Registration No.: - IV/55/66/2013
Recognized by Govt. of India
Estd - 2013
BOARD OF SECONDARY EDUCATION KANT SHAHJAHANPUR U.P.
APPLICATION FORM FOR INTERMEDIATE (10+2)
Session – 20…….—20……..
.
Computer copy
Enrollment No……………………………………Roll No …………………………………………….
Region
Code
State
2. Only Use for student : name in block letters : -
Code
College
Code
Sr. no of student
Students category : - Regular (
( Do not write KM, Mr. Etc. with your name )
Fathers name in block letters : -
Signature of student
) Private (
) Students
( Do not write Mr. Shree, Etc. with the name )
Mothers name in block letters : -
( Do not write Smt, Mrs. Etc. with name )
Date of Birth of the student : - DD…….. MM………. YYYY……………………..
Please ( √
SEX
M. F.
) for correct : -
S.C.
CATEGORY
O.B.C Mino.
Gen.
RELIGION
Write
Please Fill the subject , code with stream : - Art (
Sr. No.
1.
Name
Code No.
Last Qualification information : -
2.
Name of the Board/ Council/ University/school
)
NATIONALITY
Write
Science (
3.
Year
MEDIUM
English
5.
6.
)
4.
Class
Hindi
Roll No.
Passed
Failed
Address of the student : Vill/ colony ………………………………………………………………………………………… Post ……………………………………………………………………….
Disstt ……………………………………………………………………. State …………………………………………PIN Code……………………………………...
Signature & seal of Principal
Signature of class teacher
Signature of student
Registration No.: - IV/55/66/2013
Recognized by Govt. of India
Estd - 2013
BOARD OF SECONDARY EDUCATION KANT SHAHJAHANPUR U.P.
APPLICATION FORM FOR INTERMEDIATE (10+2)
Session – 20…….—20……..
.
Regional office copy
Enrollment No……………………………………Roll No …………………………………………….
Region
Code
State
2. Only Use for student : name in block letters : -
Code
College
Code
Sr. no of student
Students category : - Regular (
( Do not write KM, Mr. Etc. with your name )
Fathers name in block letters : -
Signature of student
) Private (
) Students
( Do not write Mr. Shree, Etc. with the name )
Mothers name in block letters : -
( Do not write Smt, Mrs. Etc. with name )
Date of Birth of the student : - DD…….. MM………. YYYY……………………..
Please ( √
SEX
M. F.
) for correct : -
S.C.
CATEGORY
O.B.C Mino.
Gen.
RELIGION
Write
Please Fill the subject , code with stream : - Art (
Sr. No.
1.
Name
Code No.
Last Qualification information : -
2.
Name of the Board/ Council/ University/school
)
NATIONALITY
Write
Science (
3.
Year
)
4.
Class
MEDIUM
English
Hindi
Roll No.
5.
6.
Passed
Failed
Address of the student : Vill/ colony ………………………………………………………………………………………… Post ……………………………………………………………………….
Distt ……………………………………………………………………. State …………………………………………PIN Code……………………………………...
Signature & seal of Principal
Signature of class teacher
Signature of student
Registration No.: - IV/55/66/2013
Recognized by Govt. of India
Estd - 2013
BOARD OF SECONDARY EDUCATION KANT SHAHJAHANPUR U.P.
APPLICATION FORM FOR INTERMEDIATE (10+2)
Session – 20…….—20……..
.
College copy
Enrollment No……………………………………Roll No …………………………………………….
Region
Code
State
2. Only Use for student : name in block letters : -
Code
College
Code
Sr. no of student
Students category : - Regular (
( Do not write KM, Mr. Etc. with your name )
Fathers name in block letters : -
Signature of student
) Private (
) Students
( Do not write Mr. Shree, Etc. with the name )
Mothers name in block letters : -
( Do not write Smt, Mrs. Etc. with name )
Date of Birth of the student : - DD…….. MM………. YYYY……………………..
Please ( √
SEX
M. F.
) for correct : -
S.C.
CATEGORY
O.B.C Mino.
Gen.
RELIGION
Write
Please Fill the subject , code with stream : - Art (
Sr. No.
1.
Name
Code No.
Last Qualification information : -
2.
Name of the Board/ Council/ University/school
)
NATIONALITY
Write
Science (
3.
Year
)
4.
Class
MEDIUM
English
Hindi
Roll No.
5.
6.
Passed
Failed
Address of the student : Vill/ colony ………………………………………………………………………………………… Post ……………………………………………………………………….
Disstt ……………………………………………………………………. State …………………………………………PIN Code……………………………………...
Signature & seal of Principal
Signature of class teacher
Signature of student
Declaration by student
To
The secretary
Board of Secondary Education Kant
Shahjahanpur ( U.P.)
Sir / Madam
I am requesting you to submit my application in the year …………………. For the
Examination of ……………………………………………………….. I have deposited the Board fee. I also
declare that above noted information is correct & true . I have read all the rules & regulations of the Board . I
accept all the terms & conditions of the board.
Signature of student
Date…………………….
…… ……………………………….
Certificate of the Principal
This is certified that affixed the photo by the student is certified by me . He/ she is submit
able in the Examination by the norms of the Board. The student has been passed out the Examination of
High School (10TH class ) from equivalent Board according education act CHAPPTER XIV (2K).
p
I also certified this that I have seen the original certificate could not know about the conduct of
this student so that he /she declared unable for the examination . His / Her subject combination is correct.
He/ She has taken the admission in this school with the norms of the Board . He / She is regular/ Private
student . His / Her attendance is complete .
Yours faithfully
Principal
Stamp & signature of the Principal
SUBJECT NAME & CODE
01 - HINDI,
02 – GENERAL HINDI ,
03 – SANSKRIT ,
04 – URDU ,
05 –
GUJRATI ,
06 - PUNJABI ,
07 - BENGALI ,
08 – MARATHI
09 – ASAMIES
10 – ORIA
11 – KANNAD
12 - KASHMIRI
13 – SINDHI
14 – TAMIL
15
– TELGU
16 - MALYALAM
17 – NEPALI
18 – PALI
19 – ARABI
20 – FARSI
21 – ENGLISH
22 - HISTORY
23 – GEORAPHY
24 – CIVICS
25 – EDUCATION
26 – ECONOMICS
27 – MATHMATICS
28 – HOME SCIENCE 29 –
MUSIC 1
30 – MUSIC 231 – DRAWING 1
32 – DRAWING 2
33 – SOCIOLOGY
34 –
COMPUTER 35 – BOOK CRAFT
36 – WOOD CRAFT
37 – HUMAN SCIENCE 38 – DANCING
39 – ENVIRONMENT SCIENCE
40 – GAMES & P.T. 41 – PHYSICS
42 – CHAMISTRY
43 – BIOLOGY
44 – BUSINESS STUDY 45 – ACCOUNTANCY 46 - TYPING
47 –
BANKING
48 – BAKERY
49 –BOTANY 50 – ZOOLOGY .
51–ELE.MATHEMETICS
52SCIENCE
53- SOCIAL SCIENCE 54 – DRAWING
55 - SOCIAL STUDY 56- AGRICULTURE
RULES FOR FILLING THE APPLICATION
1-Streams : - (i) Art (ii) Science (iii) Comers (iv) Agriculture (v) Vocational
SELETION OF THE SUBJECT FOR INTERMEDIATE CLASS
FOR ART SIDE : 01- FIRST COMPULSSORY SUBJECT : - HINDI, OR ANY ONE STATE LANGUAGE
02 - ECOND COMPULSSORY SUBJECT : - ENGLISH OR ONE OTHER LANGUAGE
03 - THREE ANY SUBJECT MAY BE CHOOSEN BY THE STUDENT
04 - SIXTH COMPULSSORRY SUBJECT : - ENVIRONMENT SCIENCE
FOR SCIENCE SIDE : 01- FIRST COMPULSSORY SUBJECT : - GENERAL HINDI OR ANY ONE STATE LANGUAGE
02 - SECOND COMPULSSORY SUBJECT : - ENGLISH OR ONE OTHER LANGUAGE
03 - THIERD & FOURTH COMPULSSORY SUBJECT : - PHYSICS & CHEMISTRY
04 - FIFTH COMPULSSORY SUBJECT : - BIOLOGY OR METHAMATICS
05 - SIXTH COMPULSSORRY SUBJECT : - ENVIRONMENT SCIENCE
FOR COMMERS SIDE : 01 - FIRST COMPULSSORY SUBJECT : - HINDI, OR ANY ONE STATE LANGUAGE
02 - SECOND COMPULSSORY SUBJECT : - ENGLISH OR ONE OTHER LANGUAGE
03 - THIRD COMPULSSORY SUBJECT : - BUSINESS STUDY
04 - FOURTH COMPPULSSORY SUBJECT : - ACCOUNTENCY
05 - FIFTH COMPULSSORY SUBJECT : - MATHMETICS OR ECONOMICS
06 - SIXTH COMPULSSORY SUBJECT : - - ENVIRONMENT SCIENCE