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AEDUCATION DEPARTMENT

AChandigarh Administration
ASession 2018-19
ARegistration Form
Counselling :2 FORM NO.: 20390
1. Name in Block Letters : PARKASH SINGH
2. Date of Birth [DD-MM-YYYY]: 8-11-1999
3. Father's Name in Block Letters : AMAR SINGH
4. Mother's Name in Block Letters : GUMA DEVI
5. Address : #38,Village Sarangpur
6. Mobile No. : 9907700077
7. Gender : MALE

8. Record of Xth class

Year of Name of the Name of the Subjects Offered Marks Max. Marks %age of
Passing 10th Board & Roll School Last Obtained Marks
Class No. Attended
2018 CBSE, GOVT ENGLISH 42 100 42.00
2325632 MODEL SR
SEC MATHS 16 100 16.00
SCHOOL SCIENCE 33 100 33.00
SARANGPU
R SOCIAL SC. 25 100 25.00
HIN/PBI/SKT. 48 100 48.00
OTHERS - 1(PUNJABI) 48 100 48.00
Total Marks: 212
Result : COMPARTMENT

9. Category (Please attach self attested copy of the relevant certificate issued by Competent Authority / self attested copy
)
GENERAL

10. PREFERENCE OF SCHOOL AND STREAM


* Candidate can fillup maximum 20 choices of school and stream.
* Before filling up of choice of school and stream, candidate may refer the cut off CGPA for the year - 2017 which is
available on the website www.chdeducation.gov.in for guidance.
* Choice of school and stream cannot be changed before the completion of 1st round of counselling. For School Code
and Stream Code please refer to page no. 3 of the Prospectus and fill the options in the order of Preference.

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Preference Order School Code Stream Code
1. 115 - GMSSS - 40 Humanities

2. 102 - GMSSS - 10 Humanities

3. 123 - GMSSS - 15 Humanities

4. 103 - GMSSS - 16 Humanities

5. 126 - GMSSS - 37-D Humanities

6. 127 - GSSS - 38(W) Humanities

7. 121 - GMSSS - SARANGPUR Humanities

8. 102 - GMSSS - 10 Tourism, Front Office Operations

9. 102 - GMSSS - 10 Tourism, Food Nutrition & Dietetics

10. 102 - GMSSS - 10 Food Production, Front Office Operations

11. 114 - GMSSS - 37-B Shorthand (Eng), Office Procedures & Practices, Typography & Computer
Application
12. 109 - GMSSS - 23 Shorthand (Eng), Office Procedures & Practices, Typography & Computer
Application
13. 126 - GMSSS - 37-D Beauty & Wellness, Food Nutrition & Dietetics

14. 107 - GMSSS - 21 Humanities

15. 129 - GSSS - DHANAS Humanities

16. 115 - GMSSS - 40 Shorthand (Eng), Office Procedures & Practices, Typography & Computer
Application
17. 113 - GMSSS - 35 Humanities

11. List of Testimonials / Certificates / Documents attached (self attested copies only) Please Tick

a) Matriculation Certificate (issued by CBSE or any other Board)


b) Category Certificate for admission against reserverd seats
c) Gradation Certificate for Sports Category

Certified that Information given above is correct

Signature of Parent / Guardian Signature of the Applicant

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ACKNOWLEDGMENT

Form No. 20390

Received application form from Parkash Singh


for admission to class XI
S/o, D/o Amar Singh
CGPA / %age of Marks obtained in Class X

Dated Signature of the receiving Official

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