D.A.V. Mukhyamantri Public School Devrikhurd
P.O.- Kathakoni, Block-Takhatpur, Distt. Bilaspur (C.G.)
Class XI Stream Selection Form
Applicable for Class XI Only
Category of Students
*
Exixting Student
New Student
Student's Name
*
Master
Miss
Prefix
First Name
Middle Name
Last Name
Father's Name
*
Mr.
Mrs.
Prefix
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Transgender
Father's Mob. No.
*
What's App No.
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marks Scored in X
ENGLISH
STANDARD MATHS
BASIC MATHS
SCIENCE
SO. STUDIES
HINDI
Marks
Total Marks Scored
Out of 500
% Age
Stream Selection
Choose Any One Stream
Science/ Commerce (Only Standard Maths Students can opt Maths)
Bio, Phy, Chem, PHY Edu, English
Maths, Phy, Chem, PHY Edu, English
Accountancy, BST, Eco, PHY Edu, English
Submit
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