PRANAB VIDYAPITH HR. SEC. SCHOOL

Milan Mandir Road

Dimapur: Nagaland

Phone No - (03862)-232455 / 233012

Application Form Class XI & XII SCIENCE

Full Name (In Block letters )*
Present Full Address
Permanent Full Address
Father's Name (In Block Letters )*
Occupation (In Details)
Phone No
Mother's Name (In Block Letters)*
Occupation (In Details)
Phone No
Local Guardian's Name (If Any)
Occupation (In Details)
Phone No
Date Of Birth *
Religion *
Tribe / Community *
Caste *
Gender *
Email Id
WhatsApp No *
Mother Tongue of a student
Aadhaar No of a student (Enclose Xero Copy)
Permanent Education No. of a student (UDISE + PEN No.)
Last Institute Name *
Class to which admission is Sought
Last Exam Details
1.
2.

Declaration by the applicant

I, , hereby declare that I shall abide by the rules and regulations of the Institution and the particulars given in the application are correct and true to the best of my knowledge and belief.

Place

Date

Signature of Father/Mother/Guardian

Signature of the Applicant


SUBJECT COMBINATION:

A. COMPULSORY

1. English(ENG)
2. Physics(PHY)
3. Chemistry(CHEM)

B. INTERNAL ASSESSED SUBJECT (COMPULSORY FOR ALL)

1. Environment Education
2. Physical & Health Education
3. Work Experience & Art Education

C. ELECTIVE (ANY TWO)

1. Alt. English(AEN) / Hindi(HND) / Bengali(BNG)
2. Biology(BIO)
3. Math(MAT)
4. COMPUTER SCIENCE(CSC)
5. INFORMATICS PRACTICES(INF)

Note:
1. Computer Science can be opted by those who have Mathematics as an elective subject.
2. Students atleast 75% marks in Mathematics (H.S.L.C.) can opt. for Computer Science as optional paper. (Limited Seat)

Elective- 1
Elective- 2

D. OPTIONAL (ANY ONE)

1. Alt. English / Hindi / Bengali
2. Biology
3. Math
4. Computer Science
5. Informatics Practices

Optional

I . SUBJECT COMBINATION:

A. COMPULSORY

1. English(ENG)

B. ELECTIVE

1. Elective-1- Alt. Eng (AEN) or Hindi (HND)
    or Bengali (BNG)
2. Elective-2- History (HIS)
3. Elective-3- Political Science (PSC)

C. ELECTIVE 4 (ANY ONE)

1. Economics(ECO)
2. Sociology(SGY)
3. Education(EDN)
ELECTIVE 4
Subject Name :-

OPTIONAL (ANY ONE)

1. Economics(ECO)
2. Sociology(SGY)
3. Education(EDN)
4. Information Practices(INF)

Subject Name:-

Internally assessed Subject
(Compulsory for all)

1. Environment Education
2. Physical & Health Education
3. Work Experience & Art Education

NOTE:


Criteria For Admission:
1. Free Studentship for H.S.L.C Rank Holder
2. 55% marks to be obtained in MATHS and SCIENCE seperately, year of passing H.S.L.C in current Academic Year.
3. 5 marks relaxation for female candidates.
4. The H.S.L.C pass Marksheet and Admit card (1 copy each).
5. Student atleast 75% marks in Mathematics (H.S.L.C) can opt. for Computer Science as optional paper. (Limited Seat)

Selected students are to submit the following at the School Office:


1. Prescribed Fees.
2. 02 (two) copies of passport size photograph.
3. H.S.L.C pass Marksheet and Admit card (1 copy each).
4. A Character Certificate from the last school attended.
5. Pupil Cumulative Record Book.
6. Orignal Migration Certificate (Only for the students who passed class-10 from other board other than N.B.S.E).
7. Xerox copy of Caste Certificate and Aadhaar Card (1 copy each).

UPLOAD:


Marksheet:

Admit Card:

Photograph: