Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Admission Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

vuqØekad@Roll Number...................................................... iathdj.k la[;k@Reg. No.....................................................

mRrj izns'k jkT; eqDr fo|ky; ifj"kn


Uttar Pradesh State Open School Board Applicant
Photo
izos'k&lg&ijh{kk QkeZ /Admission-Cum-Examination Form
egÙoiw.kZ % QkeZ vaxzsth ds cM+s v{kjksa esa HkjsaA dsoy uhys ;k dkys ckWy isu dk gh iz;ksx djsaA Important : Fill the form in English CAPITAL Letters only. Use Blue/Black Ball Pen only. Applicant Signature
dsUnz la[;k@ AI Code ijh{kk@ Exam- iw.kZ@Full vkaf'kd@Part
dsUnz dk uke@ Name of AI

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

vH;FkhZ dk vk/kkj uEcj@ Applicant’s AADHAR Number


firk ;k vfHkHkkod dk iwjk uke@ Full Name of Father/Guardian

ekrk dk iwjk uke@ Full Name of Mother

tUefrfFk@ Date of Birth fyax@Gender : iq:"k@Male efgyk@Female


frfFk@Date ekg@Month o"kZ@Year
jk"Vªh;rk@ /keZ@ v/;;u dk ek/;e@ Js.kh@
Nationality Religion Medium Of Study Category
i=k O;ogkj dk irk@Postal Address
lkekU; irk@
General Address

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

mRrh.kZ djus dk o"kZ@Year of Passing : vuqØekad@Roll Number :


cksMZ dk uke@Board Name :
uksV% iw.kZ ijh{kk esa U;wure 5 fo"k;ksa vf/kdre 8 fo"k;ksa ds lkFk vkosnu djsaA vkaf'kd ijh{kk esa U;wure 1 fo"k; vf/kdre 4 fo"k;ksa ds lkFk vkosnu djsaA
Note- Apply with minimum 5 subjects, maximum 8 subjects in full exam. Apply with minimum 1 subject, maximum 4 subjects in Partial Exam.

dksM@Code fo"k;@Subject dksM@Code fo"k;@Subject


1. 5.

2. 6.

3. 7.

4. 8.

List of Attached Documents


1. 3.

2. 4.

vfHkHkkod ds gLrk{kj @ Signature of Guardian vH;FkhZ ds gLrk{kj @ Signature of Applicant


Applying for TOC/Part Exam : Yes/No Class
S. No. Subject Code Marks Practical Marks Total Grade
iz;kl djus dk o"kZ@Year of Attempt :
1.
cksMZ dk uke@Board Name : 2.

vuqØekad@Roll Number : 3.

4.

LFkk;h irk@Permanent Address :

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

dsUnz funs'kd }kjk ?kks"k.kk


eSa lR;kfir djrk@djrh g¡w] fd mijksDr vH;FkhZ us esjs lkeus bl vkosnu Ik=k dks Hkjk vkSj gLrk{kj fd, gSa] esjs }kjk lHkh layXu nLrkostksa dk ewy izfrfyfi ls feyku
fd;k x;k gSA fdlh Hkh Lrj ij fooj.k esa ikbZ tkus okyh fdlh Hkh =kqfV ds fy, eSa iwjh rjg ftEesnkj jgwaxkA
Declaration by Centre Director
I verify that above Student has filled and Signed this application form before me, all attached documents have been matched by me with the
original copies. I will be solely responsible for any discrepancy found in the details at any stages.

dsUnz funs'kd ds gLrk{kj eqgj lfgr


Signature of Centre Director with Stamp
INSTRUCTIONS FOR FILLING UP THE APPLICATION FORM FOR ADMISSION
1. Apply for admission only on the form available in the Prospectus or downloaded from the UPSOSB website www.upsosb.ac.in.
dsoy izksLisDVl esa miyC/k QkeZ ;k ;wih,lvks,lch osclkbZV www.upsosb.ac.in. ls MkmuyksM fd, x;s QkeZ ij gh izos'k ds fy, vkosnu djsasA
2. Ensure your eligibility before filling up the form. You will not get admission in case any of the eligibility criteria is not fulfilled and fee will be forfeited without
any intimation.
QkeZ Hkjus ls igys viuh ik=krk lqfuf'pr dj ysaA fdlh Hkh ik=krk ekunaM dks iwjk ugha djus dh fLFkfr esa vkidks izos'k ugha feysxk vkSj fcuk fdlh lwpuk ds 'kqYd tCr dj fy;k tk;sxkA
3. Fill in the form legibly in CAPITAL letters only. Avoid overwriting, if you overwrite form can be cancel
QkeZ dks dsoy cMs v{kjksa esa Li"V :i ls HkjsaA vksojkbZV ls cpsa ;fn vki vksojkbZfVax djrsa gSa rks QkeZ jn~n fd;k tk ldrk gSA
4. Incomplete admission form without supporting documents will be summarily rejected and fee forfeited
lgk;d nLrkostksa ds fcuk v/kwjk izos'k i=k [kkfjt dj fn;k tk;sxk vkSj 'kqYd tCr dj fy;k tk;sxkA
5. Instruction Regarding Photograph
QksVks ds laca/k esa funsZ'k
· You need to affix your recent passport size photograph on application form. Photograph should be only fit in the the Box area provided for it.
vkidks vkosnu i=k ij viuk gkfy;k ikliksVZ vkdkj dk QksVks fpidkuk gksxkA QksVksxzkQ dsoy blsds fy, fn;s x;s ckWDl {ks=k esa fQV gksuk pkfg,A
· Photograph pasted on right side of the form has to be self attested by Candidate
QkeZ ds nk;ha vksj fpidk, x;s QksVksxzkQ ds uhps cuus ckDl esa mEehnokj ds gLrk{kj vfuok;Z gSA
· There should be not have any mark on the photograph as it will be scanned for record.
QksVksxzkQ ij dksbZ fu'kku ugha gksuk pkfg, D;ksafd bls fjdkWMZ ds fy, LdSu fd;k tk;sxkA
6. Name of the Candidate : Mention your name same as already recorded in your previous school certificate.
mEehnokj dk uke % viuk uke ogh fy[ksa tks vkids fiNys Ldwy izek.k i=k vFkok vk/kkj dkMZ esa igys ls ntZ gSA
R A D H E M O H A N R A N A

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

Senior Secondary : (10+2)


Language Code : Science Subject Code : Commerce Subject Code :
S No. Sub. Code Sub. Name S No. Sub. Code Sub. Name S No. Sub. Code Sub. Name
1 301 Hindi 1 361 Environmental Science 1 352 Banking Management
2 302 2 362 Data Entry 2 356 Economics
English
3 368 Information Technology 3 362 Data Entry
3 303 Sanskrit
4 369 Computer Science 4 366 Public Administration
4 304 Urdu 5 370 Physics 5 368 Information Technology
5 305 Assamese 6 371 Chemistry 6 374 Physical Education
6 306 Bengali 7 372 Mathematics 7 378 Accountancy
7 307 Gujarati 8 373 Biology 8 379 Statistic
8 308 Kannada 9 374 Physical Education 9 380 Business Mathematics
10 381 Banking
9 309 Kashmiri Art Subject Code : 11 382 Business Organisation
10 310 Malayalam 12 383 Economic Math
S No. Sub. Code Sub. Name
11 311 Manipuri
1 349 Dance
12 312 Marathi 2 350 Music
13 313 Mizorami 3 351 Tour and Travels Management
14 314 Oriya 4 353 Fashion Designing
Optional Subject Code :
15 315 Pali 5 354 Psychology S No. Sub. Code Sub. Name
16 316 Punjabi 6 355 Sociology 1 340 Skills & Communication
17 317 7 356 Economics 2 342 Printing Technology
Tamil
8 357 History 3 376 Mass Communication
18 318 Telugu
9 358 Geography 4 375
19 319 Nepali 10 359 Political Science 5 348 Yoga
20 320 Arbi 11 360 Home Science 6 349 Dance
21 321 Farsi 12 7 350 Music
22 322 Bhojpuri 13 362 Data Entry 8 351 Tour & Travels Management
23 323 Maithily 14 363 Indian Culture 9 353 Fashion Designing
15 364 Education 10 366 Public Administration
24 324 Tibetan
16 365 Civics 11 374 Physical Education
25 325 Spanish 17 367 Philosophy 12 384 Drawing and Painting
26 326 Sindhi 18 372 Mathematics 13 344 Veda Adhyan
27 327 Russian 19 374 Physical Education 14 345 Sanskrit Vyakaran
28 328 Persian 20 383 Economic Math 15 346 Bhartiya Darshan
29 332 Bhutia 21 384 Drawing and Painting 16 347 Sanskrit Sahitya
30 333 Melayau

You might also like