JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST 2015-16 LATERAL ENTRY – CLASS IX APPLICATION FORM Passport size photogra ph of the individual attested Roll No. (To be left blank. To be filled by the Office of Principal, JNV) 1. Name of the Candidate (in block letters) 2. Father’s name (in block letters) 3. Mother’s Name (in block letters) 4. Name of the Guardian (in case Father/Mother is not guardian) 5. Relationship with Guardian 6. Nationality of the Candidate 7. Present Postal Address : ……………………………………………………………………………………. ……………………………………………………………………………………. ……………………………………………………………………………………. Tel :_ STD Code 8. Mobile No._ Tick ( √ ) the appropriate Box : (a) (c) 9. / Number (a) Sex Boy Girl (b) Category Gen. Marital Status : Married SC ST OBC Unmarried Date of Birth (in figures) Date Month Year Date of Birth (in words)……………………………………………………… (b) 10. Identification Mark………………………………………………………….. Name of the school where candidate was studying his/her class VIII during 2014-2015 : ……………………………………..………………………………………………… (b) Whether recognized (Tick appropriate) Yes/No 11. Medium through which candidate is studying in Class VIII : Hindi English 12. CERTIFICATE BY CANDIDATE/GUARDIAN Certified that the information given above is true to the best of my knowledge and belief. In case any of the information given above is found incorrect, I will abide by the decision of the Samiti. Signature of Father / Guardian (With date) 13. Signature of Candidate (With date) Certified by the Head of the School where candidate has studied in Class -VIII during 2014-15 : This is certified that Master/Ms…………………………………………………… S/o, D/o Shri….............................................................................................. ….was studying in the School since …………………………………………………… and he/she has passed /appeared for his/her Class VIII examination from this school. As per school record his/her date of birth is……………………… …...(in figures) …………………………………………………………………………(in words) He/She belongs to SC/ST/Other is………………………………. category and his/her caste This is also certified that entries made by the applicant in the application form are correct as per school record. Date :……………………………. Signature of the Head of School (with Official Stamp) JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST- 2015-16 LATERAL ENTRY – CLASS IX ADMIT CARD Day & Date of Examination th Sunday 7 June 2015 Roll No. Time 10.00 Hrs. (Candidates to report 30 Minutes before) Venue : Passport size photograph of the candidate duly attested by head of the school where Jawahar Navodaya Vidyalaya …………………………………………. …………………………………………. (1) (2) (3) Name of the candidate……………………………………………………… Father’s Name……………………………………………………………… Date of Birth……………………………………………………………….. ………………………………………………………………………(Words) ……………………………………….(Figures) (4) Category : (Encircle appropriate) (i) Boy / Girl Signature of the candidate in the presence of HM/Principal of the school where the candidate is studying in her/her class VIII during 2014-15. (ii) Gen. / SC / ST / OBC To be left blank for obtaining signature of the candidate in the presence of Center Supdt. /Invigilator on the day of exam. ------------------------------------------------------------------------------------------------------------------------------ ACKNOWLEDGEMENT Receipt No. Received application form from Master/Ms. D/o Sh. Student of S/o School for admission in Jawahar Navodaya Vidyalaya Selection Test Lateral Entry – IX, 2015-16. PRINCIPAL J.N.V. Distt. State NAVODAYA VIDYALAYA SAMITI (MINISTRY OF HRD, GOVT. OF INDIA) REGION ENTRANCE TEST FOR ADMISSION TO THE IX CLASS AGAINST VACANT SEATS DURING 2015-16 As envisaged in National Policy of Education (NEP), 1986, Govt. of India has set up coeducational residential institutions named Jawahar Navodaya Vidyalayas in 34 States/UTs excluding Tamil Nadu. At present, 598 such Vidyalayas have been sanctioned in the country. The main objective of these Vidyalayas is to provide quality modern education to the children predominantly from rural areas. Though the admission into these Vidyalayas is at VI class, it is intended to fill vacant seats with a lateral entry test at IX Class level. Applications are invited for admission to Class IX of Jawahar Navodaya Vidyalayas of the District, against the vacant seats, which are likely to be available during the academic year 2015-16. The admission is through an All India Test to be conducted on th Sunday, 7 June 2015 at 10.00 hrs. in Jawahar Navodaya Vidyalaya of the district concerned. The medium of test is English/Hindi. Eligibility: a) Only those candidates who have studied in class VIII during the Academic Session 2014-15 in one of the Govt./Govt. recognized schools of the district where the Jawahar Navodaya Vidyalaya is functioning and where admission is sought. b) c) after d) Candidate appearing for the selection test must pass Class VIII in the academic session 2014-15 from a Govt./Govt. recognized school in the district where he/she is seeking admission. Candidates seeking admission must not have been born before 01.05.1999 and 30.04.2003. This will apply to candidates of all categories including those belonging to SC/ST. Navodaya Vidyalaya Samiti reserves the right to refer any candidate to a MEDICAL BOARD for confirmation of the age of the candidate in case a doubt arises about the age certificate produced by the candidate before the admission is given. Nature of the Selection Test Sl.No. 01. 02. 03. 04. Subject English Hindi Maths Science TOTAL Marks 15 15 35 35 100 Marks The test will be objective/descriptive type with 03 hours duration without any break. Centre for the examination will be Jawahar Navodaya Vidyalaya of the concerned district. How to Apply The Prospectus-cum-Application form containing detailed instructions can be obtained free of cost from the Office of Principal, Jawahar Navodaya Vidyalaya and office of District and Block Education Officers of the District. Application forms can also be downloaded from our Office website http://www.navodaya.nic.in. Neatly typed and Xeroxed copy of the applications also can be used for applying. Application forms filled in all respect are to be submitted to the office of Principal, Jawahar th Navodaya Vidyalaya of the concerned district by Friday the 15 May 2015 either through Registered Post or in person.
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