KESHABPUR HIGH SCHOOL
KESHABPUR, HOWRAH, 711411
CLASS XI APPLICATION (EXTERNAL)
SELECT CLASS
*
Class XI
STUDENT TYPE
*
EXTERNAL
SESSION
Student Basic Information
STUDENT'S NAME
*
DATE OF BIRTH
*
GENDER
*
Select Gender
MALE
FEMALE
CATEGORY
*
GENERAL
SC
ST
OBC-A
OBC-B
RELIGION
*
Selecet Religion
BUDDHISM
CHRISTIANITY
HINDUISM
ISLAM
JAINISM
JUCHE
JUDIASM
SECULAR
SHINTO
SIKHISM
SPIRITISM
OTHER
BLOOD GROUP
Select Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
AADHAAR No.
*
MOTHER TONGUE
*
STUDENT BSP NO.
IDENTIFICATION MARK
STUDENT PHOTO
*
Image must be within 100kb.
STUDENT SIGNATURE
*
Image must be within 50kb.
AADHAAR CARD PHOTO
*
Image must be within 100kb.
Others Information
BPL STATUS
*
Select BPL Status
YES
NO
BPL NO
CHILDREN WITH SPECIAL NEEDS
*
NO
YES
TYPE OF DISABILITY
Family Information
FATHER'S NAME
*
FATHER'S OCCUPATION
Select Occupation
DOCTOR
GOVT. EMPLOYEE
PRIVATE EMPLOYEE
SELF EMPLOYED
CULTIVATION
BUSINESS
OTHERS
MOTHER'S NAME
*
MOTHER'S OCCUPATION
Select Occupation
DOCTOR
GOVT. EMPLOYEE
PRIVATE EMPLOYEE
SELF EMPLOYED
CULTIVATION
BUSINESS
HOUSEWIFE
OTHERS
TOTAL FAMILY INCOME
*
Select Income
0-50000
50000-100000
100000 & Above
Communication Information
Gardian as
Father
Mother
Others
GUARDIAN'S NAME
*
GUARDIAN'S OCCUPATION
Select Occupation
DOCTOR
GOVT. EMPLOYEE
PRIVATE EMPLOYEE
SELF EMPLOYED
CULTIVATION
BUSINESS
HOUSEWIFE
OTHERS
MOBILE No
*
WHATSAPP No
Email
Recidental Information
PINCODE
*
STATE
*
DISTRICT
*
POST OFFICE
*
Select Post Office
POLICE STATION
*
VILLAGE
*
Previos School Information
SCHOOL NAME
*
SCHOOL ADDRESS
*
MP Marks Details
Bengali written
*
Bengali Internal Formative Evaluation
*
Bengali Total
*
Minimun Pass Marks 25.
English written
*
English Internal Formative Evaluation
*
English Total
*
Minimun Pass Marks 25.
Math written
*
Math Internal Formative Evaluation
*
Math Total
*
Minimun Pass Marks 25.
Phys Sc. written
*
Phys Sc. Internal Formative Evaluation
*
Phys Sc. Total
*
Minimun Pass Marks 25.
Life Sc. written
*
Life Sc. Internal Formative Evaluation
*
Life Sc. Total
*
Minimun Pass Marks 25.
History written
*
History Internal Formative Evaluation
*
History Total
*
Minimun Pass Marks 25.
Geo written
*
Geo Internal Formative Evaluation
*
Geo Total
*
Minimun Pass Marks 25.
Upload Marksheet
*
Image must be within 200kb.
GRAND TOTAL
(
% )
SELECT STREAM
*
-- Select Stream --
SCIENCE
ARTS