1. The document is a registration form for a 10+2 level vocational course, with personal details of student Supriya Das.
2. It provides information such as address, family details, subjects selected for classes 11 and 12, and details of last qualifying exam (Madhyamik in 2019).
3. The head of Barsundra High School certifies that Supriya Das is a bona fide student and is not concurrently enrolled in any other full-time course.
1. The document is a registration form for a 10+2 level vocational course, with personal details of student Supriya Das.
2. It provides information such as address, family details, subjects selected for classes 11 and 12, and details of last qualifying exam (Madhyamik in 2019).
3. The head of Barsundra High School certifies that Supriya Das is a bona fide student and is not concurrently enrolled in any other full-time course.
1. The document is a registration form for a 10+2 level vocational course, with personal details of student Supriya Das.
2. It provides information such as address, family details, subjects selected for classes 11 and 12, and details of last qualifying exam (Madhyamik in 2019).
3. The head of Barsundra High School certifies that Supriya Das is a bona fide student and is not concurrently enrolled in any other full-time course.
1. The document is a registration form for a 10+2 level vocational course, with personal details of student Supriya Das.
2. It provides information such as address, family details, subjects selected for classes 11 and 12, and details of last qualifying exam (Madhyamik in 2019).
3. The head of Barsundra High School certifies that Supriya Das is a bona fide student and is not concurrently enrolled in any other full-time course.
X/RG/ 014530 WEST BENGAL STATE COUNCIL OF TECHNICAL AND VOCATIONAL EDUCATION AND SKILL DEVELOPMENT (Under West Bengal Act XXVI of 2013) [Vocatonal Educaton Division] Karigori Bhavan, 5th Floor, Plot-B/7, Acton Area-III, Newtown, Rajarhat, Kolkata-700160
REGISTRATION FORM (FOR 10+2 LEVEL)
Registration Year : 2020 - 2021
Institute Code : 3400
Institute Name :
BARSUNDRA HIGH SCHOOL (H.S.)
1. Migration Details : Type : NON-MIGRATING
Certificate No. :
2. Name of the Student in full (BLOCK LETTERS) [As recorded in the Madhyamik Certificate] : SUPRIYA DAS
3. Address : Line 1 : BRAJALALCHAK
Line 2 :
Line 3 :
District : PURBA MEDINIPUR Pincode : 721654
4a. Personal Information :
i.Mobile No. : 9564919875 ii.Email :
iii.Citizenship : INDIAN iv.Caste : GEN
v.Religion : HINDU vi.Other Information : NONE
vii.Date of Birth : 28/04/2002 viii.Gender : MALE
ix.Marital Status : Unmarried x.Aadhaar No :
4b. Kanyashree Information :
i.Kanyashree : No
ii.Enrollment no : iii.Status :
4c. Family Information :
i.Father's Name : SUVENDU DAS
ii.Mother's Name : PARBATI DAS
iii.Guardian Name :
iv.Relationship with the Guardian : FATHER
v.Annual Income of Family (in Rs.) : 45,000.00
vi.Whether the Candidate belongs to BPL : NO
Discipline : ET Group : ETCM
5. Subject Information : ClassXI ClassXII ClassXI ClassXII
First Language : BEN1 BEN2 Second Language : ENG1 ENG2
BVP1 + VP1 : FMTD CMNT BVP2 + VP2 : : FDWK VBIT Academic Elective Paper I : MTH1 MTH2 Academic Elective Paper II : BSPC CHEM
Common Paper : EDCA ENST Optional Paper: PHYS
* Particulars of the Last Qualifying Examination :
Name of the Examination Authority : WEST BENGAL BOARD OF SECONDARY EDUCATION
Name of the Examination : MADHYAMIK
Year of Passing : 2019 Marksheet No. : M/040807 Marks Obtained in Madhyamik Pariksha (W.B.B.S.E) / Equivalent Examination :
First Language : 100 Marks / Grade : 60
Second Language : 100 Marks / Grade : 67
Third Subject : 100 Marks / Grade : 50
Fourth Subject : 100 Marks / Grade : 41
Fifth Subject : 100 Marks / Grade : 74
Sixth Subject : 100 Marks / Grade : 60
Seventh Subject : 100 Marks / Grade : 60
(For Migrating Student only : Original migration certificate,attested copies of admit card and mark sheet are to be attached)
* Other Details : Date of Admission to 10+2 Level Course : 07/08/2020 Classs Roll Number : 01
Certified that (a) I am not a passed out student of H.S. course or its equivalent (b) I am not undergoing any full time course concurrently under any board / Council / University (c) The particulars given above are correct.
Signature of the Candidate
This is to certify that the candidate whose details are presented in this Registration Form is a bonafide student of this Institution. He/She is not undergoing any course of study in this Institution under WBCHSE / W.B. Madrasah Board or its equivalent. Therefore, he/she may be registered as a student of West Bengal State Council of Technical And Vocational Education And Skill Development (VED) and a Registration Certificate in this regard may kindly be issued.
Date
Place Signature of the Head of the Institution with Office Seal
Data submitted from: 103.127.61.108 Generated on: 10/11/2020 6:41:28PM
