Admission Form
Admission Form
Admission Form
ftl dkslZ ds fy, vkosnu fd;k gS mlds lkeus fVd dk fu'kku yxk,a ek/;fed ¼10 oha½ mPprj ek/;fed ¼12 oha½ l=k@
Put a tick mark in front of the course you have applied for Secondary (10th.) Sr. Secondary (12th.) Session
vH;FkhZ dk iwjk uke@ Full Name of Applicant
ftyk@District
jkT;@State
bZ&esy@E-mail
nwjHkk"k@eksckbZy@Telephone/Mobile +91 fiu dksM@Pin Code
vH;FkhZ dh iwoZ 'kS{kf.kd ;ksX;rk@ Last Educational Qualification of Applicant VIII X XII
2. 6.
3. 7.
4. 8.
2. 4.
vuqØekad@Roll Number : 3.
4.
irk@Address
ftyk@District
jkT;@State
fiu dksM@Pin Code
IT IS MANDATORY FOR THE APPLICANT TO GIVE THE FOLLOWING DECLARATION TO APPEAR IN THE BOARD EXAM
I hereby declare that I have carefully read and understood the above admission procedure in the Uttar Pradesh State Open School Board’s (UPSOSB)
brochure and I am applying for admission to the Board only after complete satisfaction, I have the minimum required Qualification to appear in this
examination and my details furnished by me in the application form are completely true, if the details are found to be false at any stage, the board will
have the right to cancel my admission or can stop me from appearing in the exam. In future, if the Uttar Pradesh State Open School Board (UPSOSB)
receives any information about any falsity in my documents, then at the same time board can remove my result from website www.upsosb.ac.in and
cancel my awarded certificate. I promise to follow all the rules and regulations of the board. I have taken complete information about the courses run
by the Uttar Pradesh State Open School Board (UPSOSB), I am applying only after my complete satisfaction, in future I will not go against the rules of
the board in & under any circumstances, situation. Even in case of dispute, the jurisdiction area will be Prayagraj Uttar Pradesh only and the decision
of the court will be valid for me and I will not demand the refund of the deposited fee by me to the Uttar Pradesh State Open School Board (UPSOSB)
under any circumstances.
cksMZ ijh{kk esa cSBus gsrq vkosnd ds fy, fuEufyf[kr ?kks"k.kk vfuok;Z gS
eSa ,rn~ }kjk ?kks"k.kk djrk@djrh g¡w fd eSus mijksDr izos'k laca/kh izfØ;k cksMZ dh foojf.kdk esa /;ku ls Ik<+ o le> yh gS rFkk eSa iw.kZr% larqf"V ds mijkar gh
cksMZ esa izos'k gsrq vkosnu dj jgk@jgh gw¡A esjs ikl bl ijh{kk esa 'kkfey gksus gsrq U;wure ;ksX;rk iw.kZ gS] rFkk vkosnu Ik=k esa esjs }kjk izLrqr esjk fooj.k
iw.kZr% lR; gS fdlh Hkh Lrj ij fooj.k ds vlR; ik, tkus ij cksMZ dks vf/kdkj gksxk fd esjk izos'k fujLr dj ldrk gS] vFkok eq>s ijh{kk esa cSBus ls Hkh jksd
ldrk gSA Hkfo"; es Hkh vxj esjs }kjk izLrqr nLrkostksa esa dksbZ vlR;rk gksus dh tkudkjh cksMZ dks izkIr gksrh gS rks oks mlh le; esjs ifj.kke dks viuh osclkbZV ls gVk
ldrk gS vkSj esjk izek.k i=k fujLr dj ldrk gSA eSa cksMZ ds lHkh fu;e] mifu;e dk ikyu djus dk opu nsrk@nsrh g¡wA eSus cksMZ }kjk lapkfyr ikB~;Øeksa
ds ckjs esa iwjh tkudkjh ys yh gSA eSa larqf"V mijkar gh vkosnu dj jgk@jgh gwW¡A Hkfo"; esa fdlh Hkh fLFkfr esa cksMZ ds fu;eksa ds fo:) ugha tkÅaxk@tkÅaxh] fdlh
Hkh fookn dh fLFkfr esa U;kf;d {ks=k iz;kxjkt mRrj izns'k gh gksxk vkSj dksVZ ls feyk fu.kZ; esjs fy, ekU; gksxk rFkk eSa fdlh Hkh fLFkfr esa tek dh x;h Qhl dh okilh
dh ekax ugha d:axk@d:axhA
fnukad @ Date : ................................. vfHkHkkod ds gLrk{kj @ Signature of Guardian vH;FkhZ ds gLrk{kj @ Signature of Applicant
7. Father's and Mother's Name: Write your father's and mother's names in block letters, in English as per specimen given below. Do not write Late., Shri, Smt.,
Mr. or Mrs. before the name.
firk vkSj ekrk dk uke % uhps fn, x;s uewus ds vuqlkj vius firk vkSj ekrk ds uke vaxzsth ds cMs v{kjksa esa fy[ksaA uke ds vkxs fnoaxr@Jh@Jherh@feLVj ;k felst u fy[ksaA
J A G A N N T H R A N A
S H M A R A N A
8. Your Father's and Mother's name should tally with your previous records. This will be recorded in your Certificate. No change will be permitted later on.
vkids firk vkSj ekrk dk uke vkids fiNys fjdkWMZ ls esy [kkuk pkfg,A ;g vkids izek.k i=k esa ntZ fd;k tk;sxkA ckn es fdlh ifjorZu dh vuqefr ugha nh tk;sxhA
9. Postal Address, Permanent Address: Provide your complete address with House No., Ward No., Village & Post Office, Tehsil, District, State and Pin Code.
Mkd dk irk] LFkk;h irk] ?kj uacj] okMZ uacj] ck¡o vkSj Mkd?kj] rglhy] ftyk] jkT; vkSj fiu dksM ds lkFk viuk iwjk irk fy[ksaA
10. Mention your DOB correctly in figures only e.g. 15.02.1986 Self Attested copy of certificate as proof of date of birth should be attached with the admission form.
viuh tUefrfFk dsoy vadks esa lgh&lgh fy[ksa mnkgj.kkFkZ 15.02.1986 tUefrfFk ds izek.k ds :Ik esa izek.k i=k dh Loizekf.kr izfr izos'k i=k ds lkFk layXu dh tkuh pkfg,A
1 5 0 2 1 9 8 6
11. Gender: Tick your gender in the box next to Male and Female.
fyax % iq:"k vkSj efgyk ds vkxs fn, x;s ckWDl esa vius fyax ds vuqlkj fVd dk fu'kku yxk,aA
12. Write down Nationality,religion,medium of study and category in the boxes
cDlksa es jk"Vªh;rk] /keZ] v/;u dk ek/;e vkSj Js.kh fy[ksaA
INDIAN HINDU HINDI GENRAL
13. Your Previous Qualification : Fill your last qualification record and attach self attested copy of marks sheet as proof of educational qualifications.
vkidh fiNyh ;ksX;rk% viuk vafre ;ksX;rk fjdkWMZ Hkjsa vkSj 'kSf{kd ;ksX;rk ds izek.k ds :i esa vad i=k dh Lo&lR;kfir izfr layXu djsaA
14. Year of Passing X & XII Exam. : Write the name of the Board from where you have passed your Examination
naloh vkSj ckjgoha ijh{kk mRrh.kZ djus dk o"kZA ml cksMZ dk uke tgk¡ ls vkius viuh ijh{kk mRrh.kZ dh gSA
15. The candidate's signature and the parent's/guardian's countersignature should be clearly placed at the appropriate place.
mEehnokj ds gLrk{kj vkSj ekrk&firk@vfHkHkkod ds izfrgLrk{kj mfpr LFkku ij Li"V :i ls fd;s tkus pkfg,A
16. If the candidate is applying for transfer of credit, then clearly fill the name of your previous board, your roll number, year of Attempt and subject details.
;fn mEehnokj ØsfMV VªkalQj ds fy, vkosnu dj jgk gS] rks vius fiNys cksMZ dk uke] viuk jksy ua-] lEefyr gksus dk o"kZ vkSj fo"k; fooj.k Li"V :i ls HkjsaA
17. It is mandatory for the applicant to fill the declaration form to get admission in the board. So read the information given in the declaration form carefully, fill the
admission only after you are completely satisfied and convinced.
cksMZ es izos'k ikus ds fy, vkosnd dks ?kks"k.kk Ik=k Hkjuk vfuok;Z gSA blfy, fMDysjs'ku QkWeZ esa nh xbZ tkudkjh dks /;kuiwoZd i<sa+] iwjh rjg larq"V vkSj vk'oLr gksus ds ckn gh nkf[kyk HkjsaA
Secondary : 10th
S No. Sub. Code Sub. Name S No. Sub. Code Sub. Name S No. Sub. Code Sub. Name
1 201 Hindi 18 218 Telugu 35 241 Konkani
2 202 English 19 219 Nepali 36 242 Santali
3 203 Sanskrit 20 220 Arbi 37 243 Mathematics
4 204 Urdu 21 222 Bhojpuri 38 244 Home Science
5 205 Assamese 22 223 Maithily 39 245 Science & Technology
6 206 Bengali 23 224 Tibetan 40 246 Social Science
7 207 Gujarati 24 226 Sindhi 41 247 Drawing & Paint
8 208 Kannada 25 228 Persian 42 248 Environmental Study
9 209 Kashmiri 26 232 Bhutia 43 249 Music
10 210 Malayalam 27 233 Melayau 44 250 Business Study
11 211 Manipuri 28 234 French 45 251 Elements Of Business
12 212 Marathi 29 235 Veda Adhyan 46 252 Data Entry Operator
13 213 Mizorami 30 236 Sanskrit Vyakaran 47 253 Business Study
14 214 Oriya 31 237 Bhartya Darshan 48 254 Psychology
15 215 Pali 32 238 Sanskrit Sahitya 49 255 Accountancy
16 216 Punjabi 33 239 Bodo 50 256 Indian Culture And Heritage
17 217 Tamil 34 240 Dogri 51 257 Economics