D.A.V. MUKHYAMANTRI PUBLIC SCHOOL
KEWARI, BLOCK-LAKHANPUR, DIST. SURGUJA (C.G.)
Stream Selection Form for Class XI
Only for Class XI Students
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
2 digit month, 2 digit day, 4 digit 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
Rows
ENGLISH
STANDARD MATHS
BASIC MATHS
SCIENCE
SO. STUDIES
HINDI
IT
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, IP, English
Maths, Phy, Chem, IP, English
Accountancy, BST, Eco, IP, English
Submit
Should be Empty: