bl- block, shalimar bagh, delid-ll0088...

PATRACHAR VIDYALAYABL- BLOCK, SHALIMAR BAGH, DELID-ll0088

PROSPECTUS2017-2018

FOR(9th & io" CLASS)

AFFILIATED WITH CENTRAL BOARD OFSECONDARY EDUCATION, NEW DELHI

DIRECTORATE OF EDUCATIONGOVT. OF NCT OF DELID

(ALL RIGHTS RESEVED)

ONLY FOR RESIDENTS OF DELHI

"The object of teaching a child is to enable himto get along without his teacher"Contact: 27497521

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PATRACHAR VIDY ALA YABL- BLOCK, SHALIMAR BAGH, DELli-ll0088

INDEX

S.No. Description Page No.1 Important Events and Dates to be remembered for' the session 2017-18 032 Courses Offered 053 Medium of Instruction 054 Method of Imparting Education 055 Personal Contact Proerammc-I 066 Personal Contact Programme-If 067 How to collect the admit Cards 078 Eligibility for admission 079 Promotion of IX class students to Class X 0810 Mode of Payment of Admission Fees 0911 Mode of payment ofiX class Exam Fees 0912 Mode of Payment of CBSE Exam Fees Class X 1013 Proof of Residence 1014 Documents to be attached (class IX) II15 Documents to be attached (class X) 1216 Admission Procedure ( Class IX & xi 1317 Re-imbursement of Fee for Govt. servants 1318 Scheme of Studies 1419 Subiects class IX & X 1420 Examination Form & Fees for Classes IX & X IS21 Direction for foreign students (Outside India) 1522 School schedule & Holidays 1623 Cancellation of admission 1624 Fee structure 1725 Annexure !Proforma of Affidavit-(A) 1826 Annexure !Proforma of Affidavit-(B) 1927 Annexure !Proforma of Affidavit-(C) 2028 Annexure !Proforma of Affidavit-(D) 2129 Annexure !Proforma of Affidavit-I'E] . . 2230 Annexure IProforma of Affidavit-(F) 2331 Annexure !Proforma of Affidavit-(G) 2432 Annexure !Proforma of Affidavit-(H) 2533 Annexure !Proforma of Affidavit-d) 2634 Instructions for Filling UD the Admission Form 27-29

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PATRACHAR VIDYALAYABL- BLOCK, SHALIMAR BAGH, DELHI-110088

-5i.No. Months Activities Remarks

1. 16.06.2017 to Submission of Admission31.07.2017 Forms( Without late Fees)

2. 01.08.2017 to Submission of Admission c c:o "-:31.08.2017 Forms( With late Fees) ro .~

3. 01.09.2017 to Collection of Patrachar >- r:rn •- -02.09.2017 Vidvalaya Identitv Card rn QJ>-"'C

4. 01.09.2017 onward as Submission of CBSE Exam "'C :s.- "'C

scheduled by CBSE Fees > QJ... .(see www.cbse.nic.in rn ::

also) s: ::u5. 13.09.2017 onward Personal Contact Programme-I rn ::...

+-' ..(Saturdays, Sundays & IRegular Classes rn QJ

Gazetted Holidays)c.. +-'C VI

6. Starting From Personal Contact Programme- 0 .0u QJ

01.01.2018 (continue II QJ::

classes for 25 days) QJ -VI 0VI Q)- 0.0

7. Starting From CBSEExamPracticals .-rn rn

15.01.2018 +-' o,Q) Q)

8. 20.02.2018 onwards Collection of Admit cards "'C E...0 0u, s:

9. 1-March, 2018 Annual Exams( approximate)

DATES TO BE REMEMBERED FOR THE SESSION 2017 2018

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http://www.cbse.nic.in

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Patrachar Vidyalaya is the pioneerinstitution in the field of correspondenceeducation at school level. It was establishedin January 1968 with the sole purpose ofopening new vistas of education for thedrop-outs and those belonging to weakersections of society who could not continuetheir educational facilities. Admissions areopened for following categories:

1. Those who are residing in Delhi (proofof residence in Delhi is required as perguidelines given in prospectus).2. To Soldiers posted in the borderregions.3. Wards of Indian National residingabroad and working in India Missions.4. Drop outs Male and Female( whoare not able to go to regular schools)

The Patrachar Vidyalaya runs under theadministrative and fiscal control of theDirectorate of Education, Delhi. TheDirector of Education, Govt. of NCr, Delhihas the right to modify the rules andregulations regarding admissions orwithholding the candidature of any studentif considers necessary. All the disputes andcourt cases be settled in Delhi Courts only.Caution

Patrachar Vidyalaya has notauthorized any outside individual or agencyor consultancy or academy or anyorganization like Coaching Center to workon its behalf in any manner. At any stage, ifit is found that the candidate has taken thehelp of any of these private agencies forseeking admission to the course or in anyother manner concerning this course ,his/her candidature will be cancelled andfee shall be forfeited.

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1 Q'5tlitli( f4f.1lclll ..~ lJllfOT 'tp.{"

~ 'ltf ilffiI1 t I

3 'T<'I'IT 'l'T'i 11l"<fill '" I -q f.I" fRd 3if<rof~ <PI f.!'Iffuf 'fill'! 1lTcIo10000 "'" -«31q<It(~ 02000 "'" <ri!i 1ft <41",,. flI>m'" I~ 'II I 3if<rof ~ * """Id <P1i 'l'T'i"fq"jif) I'( -.:rtf ~ \ill ~pII I

4 ~ ~ "RlI 3T'RT ~ 'l?T"!'IT "i!R11I1fllRft 'fOfc. '1~....mi"lf *'" 312M fllRft -.ft 3RI <rIt('Im"lT ~ -« 'l'T'i <41'" I< 'ltf flI»t"IT'M I

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'ifill,"" * 31iiiR "" "ifjIffi ~ <!"ITGfl"iff * wft ~ * fulff"T "iIiT 'fltlrII~ t I flIm>.fl "ililffi ~ <I"IT Gfl"iff <6l.TIl 'litlffi ~ ~ whfl. q~ if "<f{'ifill "iIiT "I"'" "iii< <riIi<IT t I

firl!f"T ~-1I-:t l'q I '{ ~14"''''~1=<'I~1IfcltPl 'ft ppfl ~

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I Character Certificate 15 not issued tostudents ofP.V.

D,T.C. pass is not permissible to P.V.Students.

3. No application will be accepted after theexpiry of the last date as mentioned inthe prospectus (with in 10.00 a.m. to2.00 p.rn.)

4. The candidate must submit applicationform in person only and not through anyagent, representative, coaching! tuitioncenter are any other outside person.

Courses Offered:Patrachar Vidyalaya prepares

students for Secondary and SeniorSecondary School Certificate Examinations(IX, X, XI, xn Classes) of the CentralBoard of Secondary Education, Delhi in allthe three streams VIZ, Humanities,Commerce and Science.

Medium ofInstruction:Except in languages, the medium of

instruction m the subjects of IX & XClasses IS Hindi. The students can,however, offer English, Urdu or Punjabi asthe medium of answering questions InTerm -I ,Term-Il Exams and in Board'sExaminations.

Method ofImparting EducationThe Patrachar Vidyalaya supplies

the study-material to all the students whoare enrolled in Patrachar Vidyalaya. Thematerial is in the shape of printed lessonson all the subjects to supplement the study

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q;'t ~,~ "4"'''' ~ umft 6 I} for text books and to help students to graspthe subject contents in the each subject.Available study material based on CBSEsyllabus will be supplied to the students at

~ q;'t q'(IJi:i!f ~ WffT ~ flf><t free of cost.m Ql('flJ mlF.ft q:::tlitli{ ~QI('tll. ift.~. Students are advised to personally~ ~llt1'IJiI" iJT1T "fl ~ <rll ~ collect! receive their study materials fromWl'ft fum fIr>wr l[m ~fcr = or.! Patrachar Vidyalaya, BL Block Shalimar'f'{ 1IGR ~ umft ~ I am, wfi >mIT q;'t Bagh, Delhi-88. Patrachar Vidyalaya~ ~ WffT ~ flf><t 3I<Rt ·4Id.'II'''' provide the study material after obtaining~ ~ ~ 'I't~ ~!:IA '1'1'the approval of the Directorate of~ (1ff"-.!\.t3IR.~.) l[m r..••r~d Education. Apart from this study material,g'RI<til" 1Jl'<1f'l -,'t "" oJ I Students are advised to study with the help

of prescribed books ofN.C.E.R.T,!C.B.S.E.which is easily available in the market.

<fi:ff\ :<It (",f,ffi'ld ~ fum1 'li1!11~'liT'flf'1t 1) Personal Contact (!rogramme-I

IT·C.P·-D4"1'11< f.\"",,,~ l[m ~ Wl'ft 31RI~"" <pm 'It<ff <IOU ~ >mIT Besides providing printed lessons in the~ Rid 44 "( ...-m -,'t ~+l44'< ...-m - form of books/ booklet, Patrachar,f.\"... mG./ .ftd"'loft~ 31"",1" <IOU Vidyalaya organizes Personal Contact.•• ~ -.f "lIT'<Pm<! 18 ~ wrr;f umft Program from September to December oniI 'flIm>ff 3I<Rt 'jF<lm ~ f.'r<t"m Sunday and all days during Autumn Break!"tfffi if; il~Pld ~Ellclll 1l Q15T.1H ~ Winter Break for Classes !X & X for 18r.:"" "" lI<fw -R ~ ~ I days: Students are advised to attend these

classes on the basis of their Patrachar I-cardat any centre prescribed by PatracharVidyalaya.

<fi:ff\. <fi. 2 (",f.\tl'ld "fl"Ii!l fum'li1!11~I!ro~ramme-n'liT'flf'1t 2) Persona! Contact

rr.c.r-rnr4Ellclll C21F<R1'Id "fl"Ii!l fumQ"5(IT.lIi{

'liT'f"",-1 ~ ~111fi<1 iOG Q?tIT.lIi{ After the completion of 18 PCP-! classesfcfEllclll 18 Cllf<RI'ld ~ fum Patrachar Vidyalaya organize 18 PCP-II"'I >f",~ 2 <t>T 311111Ul~UI~i:1f1 q ~ classes ill the month of January and1J"1"5"-.f ~ 2'00 <r<it -,'t r..~fild ~-,'t February on daily basis from 2:00 p.m.311")Ittd <tmIT ~I flIm>ff 3I<Rt 'jF<lm onward. Students are advised to attend

f.'r<t"m <6 qm <6 "il ~ r..d f.\<II'"~ -.f these classes on the basis of their Patrachar

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q!;ill., ~ ~ (;II.,. 1I'hT '" 'II'I><ITIt I I-card at any centre prescribed by PatracharVidyalaya. .

75 yidml ~ 3lf.rqJ-,f y,hr-.:r-:f ],[f'{[ ~: 75% Attendance mandatory To<pm oM! ""iT ~ <6 ~ q;f

collect the admit card.<nfitq; tRIm >1 ~<R ~ q" Iill. fil"," q The studends of class IX and X will collect..t 1I'hT ~ lIT'([" 'R'lT N>rr. ~ ~the admit card from Patrachar Vidyalaya on'" f.l>d 'I d wqq( fum 'Iiflf'l>'ll 1 il 2 <t\

'ltl'!!%if>~ 75% .r.rr ",r...,4 t I submission of 75% mandatory attendancecertificate of PCP-I & PCP-II.

~qi~ ll~'llOI~ "'lID<p) rnn.ff of ",r...,4 '0'1 ..t ~ Eligibility for Admission

~~ifjl~/ t1'< ifj I;fl t1t::llIfII 1Ir«f Class IX:/fOJlOZlIdl lIT'([" fil",,,~/.ml ..t a) Those candidates who have2017 >1<pm 3IlO<ff "d)ol ~<flol passed/failed in Class VTII in 2017lit ~ElIC'llI <IiT'@ q~~111 1f'ITUT from a Govt./Govt. Aided/1p.f TfI9lJ 31 ~ (fj I ,0:"1 ..t 'lRl!;'k1I~ Recognised school are eligible for.r.rr 31f.1.,<1 t I class LXadmission on submission of

original SLC duly countersigned by3I2f'IT Competent Authority (DDE Zone)

~ flIm,ff >ft ftF;;Yof <pm ~ OR- <t\ ~ f.l<;fi '0'1 ..t <t\ t.fil",,,~ >1 1I'hT <f; ~ ""~~., .••• Those candidates who have studied.....-ff ifl ~ ~~ fil'N fillif>I upto Class VII privately can seek>1 ~ 'f</ 'lNO!i ~ q;f <iF'! 1I'fTUT admissions on the basis of affidavit~ ...-f%cr1I'Wf 'R'lT '" r.. 'II1 1I'hT <'!of ilT<'I 3I"lToff<t\ 1I'hT 3lJ1! 31 'IT'i 2017 q;f if>"! b) The candidate must have completed..t if>"! 13 <NM ~ I 3!"IhI: 13 years of age as on 31st March~ <liT<iF'! 01-04-2004 <t>'t 'lIT 2017 i.e. the candidate born on or\fffi\ lfl'<'I <liT.r.rr ~ I before 01-04-2004.

G<I'ft "'lID<p) 1I<hrr>ff of 31f.1~14 '0'1 ..t ~ Class X:

'It.if>I~ / tl '((f) I;f1 fl~l~ol 1Ir«f a) Those candidates who have/ 'I1;::qt1l lIT'([" fil<II "q /.ml ..t passed/failed in Class IX in 20172017 >1<pm IX ,,«fIol/31jd1of ;;T from a Govt./Govt. Aided/f4W<"Iq <IiT'@ 4Rt'lIIII 1f'ITUT~ recognised school are eligible for<lWI 31Rlif>I~ ..t 'lRl!;'k1I~ .r.rr class X admission on submission of

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3!"l<IT<t 3fRl1,ff >fi ftMIT"'t q;1ffi 3llO'ff<r1 <r<ffi "* ~ 3IT<h;-.r <!R~ t I ""* ~ ~ fil •• fil,if>l>1 ft1 <r<ffi ~ <rr<>t3fRl1off"$T <r<ffi 3W.! 31 1Jfi'i 2017 qit "'" b)"ft "'" 14 q-.j ;;Toft ~ I 3!"l'fq:3fRl1off <t>T"'"" 1-4-2003 qit 'IT~~<t>ToRr~1

'ltc, q~lill< filmcl" "ft ~ q;1ffi >1""" S3!T flrnT>ff 3!lRT tRIm, '01'1 q~ Iill <fil '" ,cl " -;;m '" '" ,iiid <!RT"<ti ~ om! >1*" """'"t I ""* ~ ,m "TI' <r<ffi~ "$T 3!lif''''''dl .,.-;ff t I

'Pm -;jhff <t 'Pm <:<r<ff -q lIt~ts!q;1ffi "I<fT{ "* >:mf qit F-I...,~ltid tRllffi<i<f<ftoMt

I. C1I 1 >1 ~ qit tRllffi <f<ft

oMt It!'"'"I '"ill cl~ ~ "ft11:",,,,< "!ffi >1 oPrr "" tRllffi 20rn "$T oMtl

2. C1I 2 if,flf", tRllffi "" tRIm ~"ft 1Jfi'i "!ffi >1 oMt I "" tRllffi 80ai-..,l "$T oMt I

3. q;1ffi "I<fT{ >1 \lctfl·f/3!jcti\.f Ul"'I

*"'" q~ 'il' < fil '" 'cl " >1 1ft q;1ffi~ >1 <r<ffi ot ~ tl ~q ~ Ii41 '< nl Ell ('tll i[RT CfieIT ~ qJ"fl

, original SLC duly countersigned byCompetent Authority (DDE Zone)

ORThose candidates who have studiedupto Class VIII privately can seekadmissions on the basis of affidavitalong with date of birth proof.

The candidate must have completed14 years of age as on 31st March2017. i.e. the candidate born on orbefore 01-04-2003.

Note: Students of Patrachar Vidyalayawho have failed class X exam may gettheir exam form verified from thePatrachar Vidyalaya for sending to theCBSE, They do not need get re-admitted.

Promotion of Class - IX Students toClass - X (p.V,)

The students of Class IX will appearin the Exams as detailed below:

1, Term -1 (May be scheduled in themonth of November to December)of 20 marks each exam.

2. Term -2 (Annual Exam) 80 marks ofeach subject exam scheduled in themonth of February-March .as perinstructions issued by PatracharVidyalaya from time to time.

3. The passlfail out students is eligiblefor Admission in Class X inPatrachar Vidyalaya only. They

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if>T "flWT If'ITUl tfj[F-r>tff shall not claim their IX class passed-rul Wrrl ~ fuq i!1; flIRft SLC for admission in regular<r<l>I'/ if>T GT<IT -rul .,.. ~ I 1l~ schools of Delhi.~ Q?llill'l f4 '" ,<'t II <i; 31fit ~ <mflt"R;fi <i; flIRft ~ <, '" <6111 ~~ l(>Ill The pass out students shall not beI ~~cf>I~ 'fIi5tlldl =1 '1 I "'lid I eligible for admission in class X in= f4 '" <'t II 1f 10<ft' iPlffi 1f 1TihIT any Govt. IGovt. Aided I<i; ""''''< -rul !IT.r I ~ f<\w,ff <61 Recognized school and any otherII).., fit *""'" q?ll-ql~ f4t1lclll <i; school of Delhi state.fuq 1ft "'lRI -;;Pfi I ,,"" Df lffill" <tit~ iPlffi >l 1TihIT or.t <i; fuq .Q?llill'( f4 Ell COt1I >l 1TihIT 1I>Jl! 'fRf

sr-mq<f'l"f !!"'" "(jf'jf ~ ~ qfll»rr:-

1TihIT W'I' f4.~D''''' >l flr<r '1'1 Mode of Pal;:ment of Admission Fees:il' <'t ,~ 1I>Jl! ~ "11<<1'111"Rc tiP <61 ~ Admission fee must be paid only>l fWlf flIRft = >l WIT <!>'ITIlT "U1T through the prescribed form of Bank"fl"<t>(fT t I 1TihIT W'I' <61 '@" qfi'I 1TihIT Challan annexed with the prospectus in any~ tfj[ <i; <IT"!" ~ ~ I 1TihITW'I' nearby branch of State Bank of India, atWIT "<t><f"t <i; 'l:f ~ PI fhl <1 .,.. ~ flp 3II'l Delhi. The paid copy of Challan form of1TihIT<61 = ~~ t" I "'" 'IR WIT Patrachar Vidyalaya is to be enclosed along"<t><f"t <i; q~"iJld 31'~"~ W'I' flIRft ~ with the admission form at the time offimIt >l <iIflm -rul IlPm "" ~•II I admission. Before depositing the requisite

admission fee through Bank Challan,students must ensure that they fulfill thecriteria of admission and requireddocuments. Fees once deposited shall notbe refunded in any case.

tR\IID !!"'" 'l>1ID ~ ~ "(jf'jf Mode of Payment of IX Class Exam~ ~ ~fih'lI: Fees:

1Ii)lffi W'I' Fcl<l~Dlilil >l flr<r '1'1 Exam fee must be paid only throughil' <'t ,~ 1I>Jl! ~ ll'"utriI ~ "H <'t tiP <61 flt"R;fi the prescribed form of Bank ChaUan>l fWlf flIRft = >l WIT <!>'ITIlT "U1T annexed with the prospectus in any nearby"fl"<t>(fT t I 1Ii)lffi W'I' <61 '@" 11ft! 1Ii)lffi branch of Punjab National Bank. at1I>Jl! <i; <IT"f ~ ~ I 1Ii)lffi W'I' WIT Delhi. The paid copy of Challan form of"<t><f"t <i; 'l:f 1Ii)lffi W'I' <61 <lfu <.!Plflil<1 Patrachar Vidyalaya is to be enclosed along.,.. of <r<t> 'IR WIT "<t><f"t <i; q"'" <1 1Ii)lffi with the Examination fee fonn at the timeW'I' flIRft ~ fimIt >l <iIflm -rul IlPm of submission. Before depositing theiJ'Il"PII I requisite examination fee through Bank

Chalian, students must ensure the amount.Fees once deposited shall not be refundedin any case.

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<ft_<ft_~_i_ tRllffT ~1"'" Uf'IT ~ ql1-1Iftn<rr:- Mode of Payment of CBSE Exam Fees:

<fl_<ft_'RI_-,;_ 'li'tlffi filq~OI<P1 -q CBSE Exam fee must be paid only'IFf'~ ~ iHclH 'I>J1! ~ tiUITil "l'lT'Wl ;f iP through the prescribed form of Bankq\T ~ -q fil!.f<r f<IRfi >It m<lIT -q UJlIT Challan annexed with the prospectus in any<lRTI1l -orr 'I!<IffiT Itl <fl_<ft_'RI- t 'li'tlffi nearby branch of Punjab National Bank,'IFf' q\T 'i"I 11ft! <fl_<ft_'RI_t 'li'tlffi 'I>J1! <f; at Delhi. The paid copy of Challan form of"ffi"-f "ff<'r9 <RI -.IT_<ft_'RI_t 'li'tlffi 'IFf' Patrachar Vidyalaya is to be enclosed alongUJlIT ~ <f; ~ 'li'tlffi 'IFf' q\T <Tfu with the CBSE examination fee form at the,!f.'i ~"_d "'"

-a- 'fiIi .-r< UJlIT ~ <f; time of submission. Before depositing theq:tilld <fl_<ft_'RI- -,;_ 'li'tlffi 'IFf' f<IRfi >It requisite CBSE examination fee throughfu:rftr -q <nflrn -.ffiI" f.lmr urr<['Il I Bank Challan, students must ensure the

amount. Fees once deposited shall not bef.FlI'fI 'fI",otfl <: <-<11~ur refunded in cany case.

~ -q f.!<rrtJ <f; 1I>rJUJ-'<l"3 ~Proof of Residence:

~ <mt<:r Tf([ '"'' I~ ",r -q xl f<IRfi 'fiIi As a proof of residence candidate'lit UJlIT if" 'li ., I '" I,,.,, '" It <fJft 1I>rJUJ '<l"3 may enclose any one of the following

~ah~NI documents: (All the following document.

<fi_qt'f<'!_ iPRl/mH""J q\T should be of Delhi Only)1_ ~fI fill fli d q;) c) 0 ft! ~ 3!'RII,ff if>T 1) Self attested copy of BPL Card /Ration'IT'! W'C 'O'l ~ <: ., f" I 'flIT it I Card issued in the name of parents having

2_ I1d~ldl q(5-iH"'1 ~ qfr m fI~<Qll1Id name of the candidate.q;) c)!l fu ~ 3!'RIIoff if>T 'IT'! 2) Self attested copy of Voter I-CardW'C 'O'l ~ <: ., f~ I 'flIT it I '" "H'" showing the name of the candidate i3!'RIIoff <f; ~ -rrerr "lIT filcrr if>T legible form. In case of Minor, the Voter I""Id~ldl Q(5i1I"1 ~ ~ sr-rn Card of his/her parents /candidale is alse

3_ 3!'RIIoff / '" ~'l '" '" if>T qIfI q)<! I acceptable,4_ Fil'" efI / llT'fT / " !lH 'I < -e <>flq;) ., 3) Self attested copy of Passport in

if>T fu>J (3!'RIIoff <f; '!Till- filcrr <f; the name of any of the'IT'! if>T it) parents/child.

5_ ti~ f<p'O<QI"11111-orr liP 3fI'l1,ff 4) Self attested copy of Electricily• billlMTNL telephone billlWater bill in the"lIT '!Till-filcrr <f; 'IT'! if>T it I

6_ 1I<fm,ff ~ QRi18"1 fil"lT'T q\T name of Parents

~" -urRT """ 'fR'fi mm IrRT5) Self attested copy of Current registered

f.'r-.ffi 3l'R ~~ ~" q\T «ni Rent. agreement in the name of parentsl

flfIllflid 'l'lchift! 0f1TTIi I candidate as a tenant.

7_~ -q f.!<rrtJ 1I>rJUJ- '<l"36) Self attested Photocopy of Driving

1I"-f1f license in the name of candidate issued..tuft <f; "f.iI~c IrRT -urRT 'l,<>I from Delhi Transport Authority.1I>rJUJ-'<l"31 7) Domicile of Delhi issued by 1st

8_ 3!l'IT'{ iPRl / 3!l'IT'{ -q \ifl if) '<00I qj) Class Magistrate in Original.«ni flfIllflid 11ft! I 8) Self attested Photostat copy of Adhar

f<mr,ff lI'f'IT 'I>J1! (Admission Form) <f; Card or EID number."fIT>! f.'i.., ItIttl d 1I>rJUJ '<l"3/ ~ 'ttl I~ '" Documents to be Attached with

10

11

3["if'/"I:f "fi<'fT'f qR I<pm oi\<i'i

1. fum~ &m ~1IR1.'R1I",R" 3IlO'iI <pm 1.(~/3l:!"illt>f) ~ 1ll,"liiI~&m f.r>h! ~ ~ <tiT '!.<iIIIlJ1U1 lBf. am ~ <:1«flI' " ,'II flI" q;) iI g fir I

2. IItmoff ~~ 'IIf<I<ff<pm _~ ~ <f 3!VFR f.l><rr iI 2.III<IRfi> I'" I 1{ fuI 'll/ ~Ol lBf 3fTITI'{ 'R I "" mOl Uf"lIIlJ1U1 lBf ur <pm 'IIf<I<ff _~ / 3I'!"<ftuf <tiT '!.<iI III'" Iiii~f.r>h! IIlJ1U1 lBf uit f.li "''''''31~ '" I{I &m IIf1rl;ffimfur ill(~Ol-lBf <tiT '!ffi>lI lI<I'lIIII<I< fi> I'" I 1{ fuI 'll/ '!ffi>lI "':!_ it'IT ;Jil<l'~'" t I (GFitIIlJ1U1 ~ ~ <:1-<:1 «flI

""'"fl1,, IIf1rm ~ I"'''''' ~ &m f.r>h!~mi'I'" 3."':!'lfrrn 'GITfIt/ '" ., '" Im IIlJ1U1lBf ~ «Pi ",~lflI" 'lftitllflr<iI'Tlli I

"'''''' ~ &m f.r>h!~ II ;flR (fj 3T1ff1'fffi tfi Yli I 0 Iq ~ '1ft 4.",~ IflI" <:1 q;) c) g fir <iI'Tlli I~ f.'r<m! lIlJIUI lBf ~ <:1«Pi ",~ IflI" lIfIrm I 5 .4 '?II 'iJ I \! fil Ell cll.l qft "'it.>J TfR'fR~ IIf1r ftrnl{ Uf'lT ~ '31f lI<M 6.'IF"'. "11«f1~ Rc .r<P. ~~ 'lIT<'n iI>T "IJ1I aIR '" ., < iii"f'if'I ~ ill'liP 311<II'!ft ~ 'ffiT fuoo ~3IT

~"'''' ftI"q< 5 """i iI>T ~ 7.<iITfT ill

3.

4.

5.

6.

7.

<pm <:'II'ff1 fum ~

~RI."",~

Admission Form:For Class IX:

Original School Leaving Certificate/Transfer Certificate of class VIII( Failed! Passed) last attended classissued from the School dulycountersigned by the concernedDDE ( Zone) alongwith two selfattested copies of the same.

Original School Leaving Certificate/Transfer Certificate certifying uptoVII (Failed! Passed) issued from theSchool & duly countersigned by theconcerned DDE (Zone) alongwithtwo self attested copies of the sameand an affidavit as per givenProforma annexure as (F to I) withthe prospectus.

Two Self attested photo copy of S.C./S.T.Certificate issued by CompetentAuthority of Govt. o[NCT of Delhionly.Two self attested copies ofCertificate for physical disabilityissued by the Competent Authority.Two Self attested copies for theProof of residence in Delhi.Original Bank Challan Form ofPatrachar Vidyalaya showing therequisite fee deposited and journalnumber of branch of S.B.!. situatedin Delhi.One self addressed envelope withstamp ofRs. 5/- affixed.

For Class X:

II

Original School Leaving Certificate!

12

&m f.pfu ~ -.ffiR <!>T '@"11'IJUT 1BI. <I"lT ~ Gtm'II '" I fTl d 4>1c'I \I ffr I

2 rlw2lf ftRITo't 3l1O<ff <pm ""' 2.f.rufI _ " """""" !lPm -.IT~,,~ral<pl ,j fur ~ ="" ,....ql3!l'W/ 'R 1 ~ ql ~ '"'" 11'IJUT,.... >IT <pm 3l1O<ff ""'~~ol <!>T '@" ~"lcl4f.pfu 11'IJUT ,.... un flp 'tllffll

3!1>:i",,;f1 &m \lRI"'d~ -.IT I(=""-1BI <!>T lm"! 1TihT ~",ralif>1,j fur ~ 11W'l ql "':I"" IT<rr3! I" <4 if> ~ I (GRt 11'IJUT 'l?lT ql\Gt-Gt m 'IIc4lfild vffnri ~ I

3 ~ 'tllffll 3! I>:iiii I;f1 &m f.pfu 3.3! "1flfl1 d urrf<r / "H<it IRI 11'IJUT ,....

ql\ Gt "'" 'II'" I fil d 4>1c1 \I RI'cl'IT:i if>1;f1 &m f.pfu "<"'II,IT1~-if>3!1ff1l<IT ql 11'li 0 Iq~ ql\ Gt 'II'" Ifild4>1c'I \I RI 'cl'ITT'IJT! 3!h" """ cl "'f'iR """ -.IT I

7 'fif> 3! I" Itft '1 'fdT ft;mrr jl* f(;] q" •• I 7.ftj'll q, 5 ~ <!>T~ <'f'TT -.IT 1

12

4.

Transfer Certificate of class IX(Failed! Passed) issued from theSchool duly countersigned by theconcerned DDE (Zone) alongwithtwo self attested copies of the same.

Original School Leaving Certificate!Transfer Certificate certifying uptoVIII ( Failed! Passed) issued fromthe School duly countersigned bythe concerned DDE ( Zone)alongwith two self attested copies ofthe same and an affidavit as pergiven Proforma annexure (A to D)with the prospectus.

Two Self attested photo copy of S.C.IS.T.Certificate issued by CompetentAuthority of Govt. of NCT of Delhionly.

Two self attested copies ofCertificate for physical disabilityissued by the Competent Authority.

Two Self attested copies for theProof of residence in Delhi.

6. Original Bank Challan Form ofPatrachar Vidyalaya : showing therequisite fee deposited and journalnumber of branch of S.B.1. situatedin Delhi.

One self addressed envelope withstamp of Rs. 5/- affixed.

Admission Procedure:Candidate seeking admission m

13

om ~. / • 4<" < '1<l'lT 'l>T'f 'f'I m"",,[fild «.'til> 1(UG q;r;;c q[",q)i! ~q;Tct f'lq'" [~ ftj '" "' flmT,ff 'liT 'IT'I qq;Tct It!"'"~ '1ft f<lfu <PWL'" J;m 3i1lPom wit <i<ifmf m ",,",,[fild "'klI<lotY <I;mt>l q:::tl'ijl~ fq€llclOQ ~ lJRf: 10 'if\if ~ 2

""' 31q",,~ <fiI> ~ >ft q;nj k<rntil "ill< <1 '{Ill>"I< <fiI> Uf'ff 'Ii'I ....-..<l t I0<""<6),, 31""'[>[ <t>T uh?'Ii'I) """ J;m4urr 'flIT 1fiffi 'l>T'f 'huf "" <1 >m or.n~ 31'1<: ~ <IT>! wit 31["''''''"'klI<l", <iO!'"'f ~ ~ I r.;,,,,ijj)f.'j" rRd 3iflm f<lfu <fiI> 1ft til) '" I< ~U!T1f'lT 31'1<: ~ >ft ~ -q <nfim 'TIff~ U!T1f'lT I ~ >ft "'" <1 31'!,uf >m\1;31T1fiffi 'l>T'f ,,\G 'Ii'I fl:m urriI7fT <f"lT~ <nfim 'TIff '1ft ~ I

1fiffi 'l>T'f Uf'ff "i'IRT"t <I; " q"'"~ <l" ["'Ill J;m fimr<>ff T ~ « <fturriIofIl q"[il[< 14",[",,, ~ ~.r.r 'l>T'fUf'ff ~ fimr<>ff <t>T ~ ~.r.r«7fT I1fiffi 'l>T'f <I; W'l ~ <fl( G«fTifur '1fturtq <I; ",il[d, 1ft ~ >;r<hT '1ft ');k '1fturriIofIl

~Bfl\""'~~['''''[l' / '" [" r", "f <1 fullfUT 'IJ"'!'

'liT T"!'fdFf of ....-..<l t I •••• "'[~ iP'l~,"lffiI ••••"'[< <I; 31f«'IT <io 'I'P. 3 (15)(-,,')-2/<11/74 n:~i",15.1.1985 <I; 31:1"'[<3T'R ~ <I; ~ ':\'[ d [~ = 'Ii'I ....-..<lt I ~ 31[<l" ijj)' <t>T l[fI 'IRI 'liT ~'IT"T lEj"«"IT o't7fT ~ unr "" 'f'I 31IfWr t I14 '" ['" " '1<1 31[<l" ijj)' T T"!'fdFf~'IT"T-lEj" ~ ~7fT ftj",,,,l '1'Wf ~" 3T'R flr<rrq/ ",["r",,, <1 fullfUT 'IT<""'liT T"!'fdFf of ....-..<l t I

3Tgpr;:f ;q)\JI'11:

Class IX & X should fill in AdmissionForm with self attested passport size black& white photograph with computerizedname of the candidate and current dateaffixed on it and submits it along with allrelevant documents! papers at the PatracharVidyalaya admission counter from 10:00a.m to 2:00 p.m. on Monday to Friday.(except gazetted holidays) Incompleteadmission form shall be treated ascancelled and the admission fee will beforfeited. Students should confirm theiradmission personally from PatracharVidyalaya.

Patrachar Vidyalaya will give provisionaladmission and issue acknowledgement forenrollment/ P.V. No. The admission willremam provisional till the time it IS

confirmed by Patrachar Vidyalaya, afterchecking the required documents enclosedalong with the admission form. The fee willnot be refunded in case of cancellation ofadmission form.

Re-imbursement of Fee for Govt.Servants

Govt. employees are entitled to thefacility of re-imbursement of fee paid bytheir wards vide GOY!.of India No. F3115,E-Il B/74 dated 15-1-1985. Such personsshould apply to the Vidyalaya to the effectwith a certificate that their wards aredependent upon him. The Vidyalaya willissue the re-imbursement certificate on theproduction of which the eligible Govt.Employees can get the tuition feereimbursed from their department! office.

Scheme of StudiesStudents should strictly follows the pattern

13

14

.'" iI>T~'l(Uf RT"" ~q, q • I of the subject combination as given below:

~For Classes IX (Five Subjects)<pm 'f'!lft qi I£N

~ 'liTI ~ <'r.'t f I1. ~ <IT 'IT'IT'l ('1'1' """ '! <1"11 ~ 1)Any two languages out of the following

"""-tI 6RT <II PI" I >f f) 3i-.;luf\ '! (One language A & second language B is

(101)/3i-.Juf\ -tI(l84), f0fi '! mandatory)

(002)/f0fi -tI (OB5), 'l'un<ft(004), English -A ( 101)/ English - B(l84), Hindi

'ti'l<l(o(122), 'if{ '! (003)j'if{ -tI (303) A(002)/Hindi-B(085) , Sanskrit(122),Punjabi(004), Urdu ( B) (303) I Urdu

'(11'11ftI if) ~ (OB7) (<II PI" 14(A)(003)

2.~) 2) Social science (087) is compulsory

subject

3 ~ <IT ~-~(OB6), qfbr (049),'[" 14;j\I~(064), ~(041) <1"11 100% 3) Two subjects from Science (086),~ m?IT qi I£N ~'»""'~~"l.ftr;p Home Science(064)1 Mathematics

(034) (041),Painting(049) ,Hindustani musicVocal (034) only for 100% Visuallyimpaired)

<pm Gffifi qi I£NFor Classes X (Five Subjects)

~'liTI~~fl1 ~<IT 'IT'IT'l ('1'1' """ '! <1"11 1) Any two languages out of the following

~ """-tI 6RT <II PI'114 f) (One language A & second language B is

3i-.;luf\ '! (101)j3i-.;luf\ -tI(184), mandatory)f0fi '! (002)/f0fi -tI (OB5), English -A ( 101)/ English - B(184), Hindi'l'un<ft(004), 'ti '1<1(0(122), 'if{ '! A(002)/Hindi-B(085), Sanskrit(122),(003) /'if{ -tI (303) Punjabi(004), Urdu ( B) (303) I Urdu

(A)(003)2 tlll1lft'1 Cfj ~ (087) (3\PI"14

~) 2)Social science (087) is compulsorysubject

3 ~ <IT ~-~(086). .,["I4;j\H(064), ~(041) <1"11 100% 3) Two subjects from Science (086),'ir&!!!)~ m?IT qi I£N ~'»"'" oft "l.ftr;p Home Science(064) I Mathematics~ (034) (041),Hindustani music Vocal (034) only

for 100% Visually impaired)

~!ffT 'lifIf ~ ~!ffT n<"!> (-;ft<ff ~G<Iifi) Examination Form and Fees for Class

IX and X;~~~lIoff ",1140'10 v;q ~ 'litm W'i

14

15

'" -A v 0q .,.[:q I '< jq '€II <:'14 et L~. i(,>Jfif) :tII ~ 111['< lfTlT1\" WIT "iIRT<l-it I ~Iffi ~ WIT " EMqlt ~ 1\" IlI:w>ff • IflfOi ~Iffi -it "fiffto <rO>ill1~Iffi ~ WIT "O><Fl <t WI'!~Iffi'!ff gh11E>llff Gffi ~Iffi 1I>J1! ~('f<'I.3Ihfi.) -it qlt 'TIf <fIfi glll~>ir -..r3l'>ft CRl' ,ljqcl)Oi~ ...-R <t 4''''''', 1ft3l1R Offi[ffi -..t I 'f<'I.3Ihfi. -it >R 'f<1f<ro!<! <I"IT 'Ifoifmf f<ro!<! <Ph; 'f'! ~IffilII"2I'f ~«II ~ 11III~ "r -it ~ >It 4R. It ~ 1\" 1lT'"I "fiff ..ro 'f'!Q?llill"! fc)Ellclll ~ ~ 'dt1\!GI41 Ofift..rol

4","',< III'" 101" rt-.r. -.ft.oft.1I'I.-;f. ~Iffi~. ",,14><1',<1 ~ fulffi Oi,>I",,, 1 q2. g,>ilfl,Oi ~Iffi. rt-.r "" urRt Rr<ri3RI <i"'~I~ fulffi ~ qlt ~.'II'~"www,edudel.nic.in <t lII"2I'f -it WI'!-2tf{ .urRt <Rdl t I =, ~ ~ <ftumfi t ~ if fulffi ~ qlt ~""~''II'~c -..r ,".cl)Oi~ m -.t <I"IT 1M4ar:!'<IT'I -..r>! '!.uf -..t I

r.r.m 1\" -..,.'t 'ITOt 1i<fm>ff -..T <;><1,.,'11 -it'"~'4Ru 1I'ITUJ "" ~lffO> f.r>i"", -.ft.oft.1I'I.t. 1O<11l1,;J< -..T -.f\m ~ sr-n <I"IT~ 'tklll ~ t1 l:fiTcl Y'ffr q ?II ill '< ~ Ell COlli,'11<1)",.'IT'T. oft.'f<'I.. ~-88 -it *'r-fioMIl 4"I'" ,. III'" I01 " -it rt-.r ~ f.'l>'!~@~'"rt-.r 1I>J1! <t <IT"!' ~ -;;PI,

Candidates will personally deposittheir examination fees in PatracharVidyalaya, BL Block, and Shalimar BagbDelhi-88. Candidate cannot appear InCBSE examination without submission ofrequisite examination fee. Examination feewill be paid in Bank through Bank Challan.Patrachar Vidyalaya will not hold anyresponsibility for any delay regardingsubmission of Examination Sheet (LOC)candidate must check LOC before markingtheir signature. Subject and their respectivesubject code filled once in the LOC will notbe changed in any circumstances. Studentmust get the receipt of Examination feedeposited by their from the ConcernedAdmission lncharge.

All informations pertaining toadmission, CBSE Exam fees, PCP-JIPCP-II, Practical Schedule, issuance of admitcards & any other informations areconveyed to students through the icon ofPatrachra Vidyalaya available at the officialwebsite of Directorate of Education t.e,www.edudel.nic.in Hence students areadvised to go through official website asper the calander of events available 10

online prospectus.

Direction for Foreign Students(Outside India); Indian NationalWorkine: in Foreign Embassy:

Those who are residing outside Indiaare required to submit N.O.C. issued byEmbassy to C.B.S.E, Preet Vihar, oneattested copy of N.O.C. should besubmitted to Patrachar Vidyalaya, BL-Block Shalimar Bagh, Delhi-88. At thetime of Admission in Patrachar Vidyalaya,BL-Block Shalimar Bagh, Delhi-88following documents are to be enclosedwith the admission form.

15

http://www,edudel.nic.in

http://www.edudel.nic.in

16

School Schedule and HolidaysAdmission form will be accepted

and related enquiries will be dealt with,between lOam to 2pm from Monday toFriday. Patrachar Vidyalaya, will remainclosed on Saturdays, Sundays and GazettedHolidays.Cancellation of Admission

Admission of a student will becancelled without any further intimationunder the following conditions:-

1. lfthe admission form is incomplete.2. If the fee paid in short.3. If the supporting documents are not

complete.4. If required educational qualification

is not fulfilled.

2 -qql ~ 'ft ('IQ I fCl(1 'ft t=1!tf.\.:J t'1 'i,d Iq I 'fI

.,'t '11'<1 "'~, q!ttl '1'11"T-Q?[ ('R.<it.<ft) <t) il>T'fi

3 '1<f>T W"l' .,,,<ft~ .ree ""<!> <t)~ ft>r<r won >l iI'cl'~ 1JTUr'l .,'t UPU """I 31"fiIT ;tr.;tr.<it.q ~ ,ill< "If'I <t'l 'llJ1fC 3RRI~""<!>Gffi f.'Iofu 01 1

4 <!>IID G<n!I >l ]T'M <I~ 'IR'l'.l'fm>ff uIT 'R'I'l Q?[ 3lTtrR 'R'1<hT <I~ ~<!> t l~orr.'I 'R'I'l'I?I 'I1<"'1,fi:ld~ "q.,,,, >l~<rll

I. Self attested copy of Passport(One)

2. Self attested copy of NOC fromconcerned Embassy.

fil'lIOl>l <Pl>I (["IT 3l<l<ti1 ~I:-i!IT1I ~ 'R '1<hT ~<i,fiUf'Ri%

'1Tffo 10000 <tuf .,'t ",q.,,,~2000 <tuf (jifi

.mrr t 1 • fil" I.. .,f.'I",. <I'lT 3RI < , '" q r" d"' " ili,., fl8T >l fil'" ,cl~ "if'G 'l'<fT t 1

'1<hT ffi iIT-rro-'1tm>ff 'PT '1<I'lT 'G:G <!>< ~urnrTT. 'Ill:

1. '1<f>Tq;pf ""l'T 01.2. oft 7r;f tfuJ "'" 01.3. "",,"~ili ~'" ~ 'lIlT 014. '1~ tjffi ",',,"~ili 'i"tm

~1'~d''lIlT 0115. 'Ill: g~.II>ff <t) "l'fd'l 3fT'!

fil".fillilil >l oft 7r;f 'IT<f 3P.!""

3. The paid copy of Challan formof Patrachar Vidyalaya is to beenclosed along with theadmission form deposited in anybranch of S.B.1. in Delhi or draftissued by International bank infavour of DDO PatracharVidyalaya.Those candidates who seekadmission In Class X on thebasis of Affidavit are required toproduce affidavit through theirconcerned Embassy in prescribedformat as annexed with theprospectus.

16

5. If the minimum ap-e criteria is not

17

or;ff t. fulfilled as mentioned in prospectus.6_ -.rtl: """'" / ~ '1['AT <ft 'f!! t. 6. If the incorrect or wrong information

is given.7_ ,.-ffi q;-rq filRfi -.fi 1f1UT'I -it 7_ If admission form received after due

f.'l"md WflI <ri ~ 'R 'f "\(-.-r date and time.st.

8_ urrofI " @ ~'" "<iJ1lTf<I;-1("'f'i -;it 1 8. Ifthe documents are fake/bogus.9_ "':!'" '".,tl., dI <tt ~ -.y 1 9. In case of gross indiscipline

-..R- ,.-ffi f.rffiJ -;;r.t 'R ,.-ffi ~ "Of"i<! Note: Fee submitted shall be forfeited inilR: fO!m ""'I'l11 case of cancellation of Admission on any

one of the above cited reasons.

Q3tIT·U'I!:fclEllclil Qi$ill'1 ~ PatracharVidyalaya Identity Card:,.-ffi <t \OJ q'( l"'ti f<mI>ff <!i't ~E1::tI"1 Patrachar vidyalaya issue an identity card

"'" flrm orrm t ftm 'R q" '" I< 31"Iii> ••i'" to the students mentioning P.V.No. after(p.V. No.) 3if.l;o -;itcrr t 1 f<mI>ff UfO! -.fi the admission. Students are advised to~ "" '" " 3Ill( 3ItRI q~" H "'" ~ 3IlA bring P.V. Card while visiting Patrachar~ i'If1i 1 Vidyalaya.

Date Gen. Student SC/ST/Handicap Foreign student facility Foreign studentped! Teacher with Diplomatic tag having no facilityward! Ex- of Diplomatic tagServiceman

Without 16-06-17 to Rs.3001 Rs 1501 Rs 3001 Rs. 10001late fees 31-07-17With 01-08-17 to Rs.5001 Rs.3001 Rs.5001 Rs. 12001late fees 31-08-17

Annual Fees Class IX & X

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18

ANNEXURE -A

Proforma for Affidavit (A)

For Students seeking Direct Admission to Class -X below 18 years as on 31.03.2017

I Flo KmlMr. and resident of

_________________________ do hereby solemnly affirm

and declare as under:

That my above named ward has not studied so far in any Recognised! Aided IUnaidedl

Govt .school but studied up to class IX privately at home.

That I do hereby solemnly affirm and declare as under:

That hislher date of birth is as per certificate attached (in figure) .. ./ .. ./ (in words)

DEPONENT

Verified at Delhi! N. Delhi on this day and the contents of above affidavit are

true to the best of my knowledge and belief and nothing has been concealed there from.

DEPONENT

18

19

ANNEXUR£-B

Proforma for Affidavit (B)

For Candidaets seeking Direct Admission to Class -X below 18 years as on 31.03.2017

and resident of

________________________ do hereby solemnly affirm

1 F/o Km/Mr .. _


That my above named ward has studied up to class __ in a recognised! Govt. School

IGovt. Aided / unaided school (i.e. Name of the school... . .

.. . ) but thereafter he/she has studied up to Class IX privately.


That his/her date of birth is as per school1eaving certificate attached is (in figure) .. ./ .. ./ (in

words) _

DEPONENT

Verified at Delhi! N. Delhi on this day and contents of above affidavit are true to

the best of my knowledge and belief and nothing has been concealed there from.

DEPONENT

19

20

ANNEXURE-C

Proforma for Affidavit (C)

For Candidate seeking Direct admission to Class X above 18 years as on 31.03.2017

____________ s/o, % Sh: _

doRio

hereby

solemnly affirm and declare as under:

That I have not studied so far in any recognised! Govt. institution! Govt. Aided! unaided

school but have studied up to class IX privately at home.


That my date of birth as per certificate attached is (in figure) .. ./. . ./ )(ill word) ~~ _

DEPONENT


true to the best afmy knowledge and beliefand nothing has been concealed there from.

DEPONENT

20

21

ANNEXURE-D

Proforma for Affidavit (D)

For Candidate seeing Direct admission to Class X Above 18 years as on 31.03.2017

Sio D/o Sh. Rio

do hereby


>

That I have studied up to class in a recognised I Govt. School! Govt.

Aided!unaidedschool (i.e. Nameof the school.............................. . .

... ) but thereafter I have studied up to Class IX privately.


That my date of birth as per school leaving certificate attached is (in figure) .. ./ .. ./ )

(in word), _

DEPONENT

Verified at Delhi! N. Delhi on this day and the contents of above affidavit are true

to the best of my knowledge and belief and nothing has been concealed there from.

DEPONENT

21

22

ANNEXUR£-E

Proforma for Affidavit (E)

From 1$1 Class Magistrate Rs. 10 Stamp Paper

Only for those candidates seeking admission on the basis of duplicate SLCrrC

Sfo Dfo Sh. Rio

do hereby


1. That the original SLCrrC was not used in seeking admission in any other class.

2. That the original certificate has been lost & FIRlDDR has been lodged in Police station (

Copy attached)

3. That if original SLCITC is found, the same will not be used to seek admission in any

other class.

DEPONENT



DEPONENT

22

23

ANNEXURE-F

Proforma for Affidavit (F)

For Candidates seeking Direct Admission to Class -I,X below 18 years as on 31.03.2017

I F/o Km/Mr. and resident of

__________________________ do hereby solemnly affirm


That my above named ward has not studied so far in any recognised! Govt. institution but

studied up to class VIII privately.

That I do hereby solemnly affirm and declare as under: '

That his/her date of birth is as per certificate attached (in figure) .. ./. . ./. ..... (in words)

DEPONENT



DEPONENT

23

24

ANNEXURE-G

Proforma for Affidavit (G)

For Candidate seeking Direct Admission to Class -IX below 18 years as on 31.03.2017

______________ F/o Km/Mr. and resident of

__________________________ do hereby solemnly affirm


That my above named ward has studied up to class __ in a Recognised! GoV!. School

(i.e. Name of the school ~ )

but thereafter he/she has studied up to Class VIlI privately.


That his/her date of birth is as per school leaving certificate attached is (in figure) .. .l, ../. .....

(in words) _

DEPONENT

Verified at Delhi! N. Delhi on this day and contents of above affidavit are true to

the best of my knowledge and belief and nothing has been concealed there from.

DEPONENT

24

25

ANNEXURE-H

Proforma for Affidavit (H)

For Candidate seeking Direct admission to Class IX above 18 years as on 31.03.2017

do

RIo

hereby

I ___________ ,S/o, 0/0 Sh. _


That J have not studied so far in any recognised/ Govt. institution but have studied up to

class VIII privately.


That my date of birth as per certificate attached is (in figure) .. ./ .. ./ )

(in word), _

DEPONENT



DEPONENT

25

26

ANNEXURE-I

Proforma for Affidavit (l)

For Candidate seeking Direct admission to Class IX Above 18 years as on 31.03.2017

Sio % Sh. Rio

do hereby


That I have studied up to class in a Recognised / Govt. School (i.e. Name

of the school )but

thereafter I have studied up to Class VIll privately.


That my date of birth as per school leaving certificate attached is (in figure) / .. ./ )

(in word) _

DEPONENT



DEPONENT

26

27

Instructions for Filling up the Admission Form

For the Session 2017-2018

2017-2018 •• Jroffi 'I>T'f <!>l 'R'l ~ r.r<"

General Instructions ~ f.n!'iT:-

1. Before filling up the admission form, please ensure your eligibility for admission as givenin the prospectus, otherwise the admission fonn will be cancelled and the fee paid by youwill not be refunded. Neither any intimation will be sent to you nor any correspondencebe entertained in this regard.'I>T'f 'R'l '!l ...-.l Fil•• fi>,." ~ <l ~ Jroffi W<maIT •• m ~". " "'" "" <jf.l~'d, .".'" flI; 3fT'! 41d 0 we ~ Jroffi -,tit."p" t I >rilt """"'" -..l\ W<m -."ff t. • awr-\ 'I>T'f .••l!J"'" 'R fl:m 't ill ~ ilT<T 'RT '!'IT 'I>T'f "'" "" fl:m vmtm .•• """"'" ilT<T fl:m'!'IT Jroffi l!J"'" -..lcrm -."ff vmtm "'" ~ 'i"'"IT 'fg! <l ;;rnt.ft I

2. Applicant must fill his/her admission form in his/her own handwriting in legible form.""""'" 3<'RT """"" 'I>T'f _ g) 'It, f~"",,," ""'" -.Mt ~ ,

3. Two copies of admission form are annexed with the prospectus. First copy is MainAdmission form and second copy is meant for eSSE Exam fees (for LOC)Fil. ,fi>,'" , ~ 'I>T'f -..l\ <:\ 'l1lr<rf "ffi<r.l t, ~""lfflr '.l"" Jroffi 'I>T'f t trerr ~ lfflr <fI.;fi.l[<I.t <R'Iffi 'I>T'f (LOC) ~ t I

4. Information in the admission form should be filled in English only.~.". 'I>T'f ~ 'Ii-.ft ~ 'l:""1aIT <!>l •• "'" ai'Juft ~ g) 'It ,

5. Paste self attested (Black & White) passport size photograph with computerized name &date (Dale of Photography) on the admission form. Don't make any mark on thephotograph. Paste one unattested photo graph & staple one (Black & white withcomputerized Dame and date) on the CBSE Exam fees form. Second copy of theform be submitted at the time of submission ofCBSE exam fees.Jroffi 'I>T'f 'R ~'" 'I"" ~ ..tel ftr<I'R """l-'" ilT<T "'" '"'' ..tit fl<I~.," -..l\ _aifll>d ;;'t _ "",,11m ""'" Riq",,,, am "" 'R ~ """' " wmt I <fI.;fi.I[<I.t <R'Iffi l!J"'"4>T'f 'R 'I<t> ..tel Riq'" '. """ 'I<t> """" <IR,

6. You should ensure that the particular filled in the admission form are correct. Don't leaveany column blank in the admission form.1fffiToff <j~ "" '" flI; Jroffi 4>T'f ~ <l ~ ,","""floi "'" t I Jroffi 4>T'f <t>T~ >fi-..if<rqmoll " ~ ,

7. Write class in the space provided for which the candidate seek admission.""""'" ~ 'I1I fffir """' ~ .."orr twO. ftm>Y .,... .,h! .r.rr t ,

27

28

Other Instructions: 3RI f-rt'!T1. P.Y. No. IEnrollment number will be allotted by Patrachar Vidyalaya. Please leave it

blank.~ <tiTtfi.qt.~wrr/'1I"liifH ~o ~ fqElI<1l1 ifRT 1RT~'lT ~lfm ~ ftIffi uh? ~ I

2. Choose and write region where the candidate resides (North, East, South, West andCentral)flrm"ff ;wR f.mm "'"' <lIT feren '.I"' <IR _ (iffiR. <&1"1. 'l'i. qftqq 3ll< ~",)

3. Name of Candidate: Write your name in block letters, in English. Each letter should bewritten in a separate column, as per specimen, given below, leaving one space betweenname, middle name and surname.flrm"ff "" "If'!- ~ OI'RT "If'! ",>tuft ql ~ ..rr " _. ~""'" quf "'" ""'" """'" "ft;rnrr ~l'JT I <itm fiV ~ <ff 'dG:Ii5'<UI -q ~ 7fm t I ~ ';'fIll, ~ ifIll i11,i.>r ifI1l <t ~" "'" en=rr """" m<fl m I

4. Mother's name: Write mother's name in block letters English as per specimen givenbelow. Do not write Smt. & Mrs. before the name. ~merr <lIT"If'!- ~ 3I'Rl 'ffi!T '"' "If'! ",>tuft ql ~ ..rr " _, ",,,, Ill> ~ 0"",,," f.\'lT 'I'lT t I "If'! "m .,ft. _ "' _ I

Your mother's name should tally with your previous records. This will be recorded in theCertificate. No change will be permitted later on.~ mar ql "If'! "" fltt>rR fllm\ fto;ri ql ~ .m ~ I "'" flI>.tt <ft """' '"'~"<Jtf.m~1 .

5. Father's Name: Write father's name in block letters English as per specimen given below.Do not write Shri & Mr. before the name.fun <lIT =rm-. ~ ;wR fun "" 'WI ",>tuft ql ~ ..rr " _, ",,,, Ill> ~ 0<'0<" "f.\'lT 'I'lT t I "If'! " m 'lfi. 'lfionol "' _ I

AJESH CHAN YA IYour father's name should tally with your previous records. This will be recorded in theCertificate. No change will be permitted later on.

6. Date of Birth: Mention your Date of birth correctly as given in the required documentsfor your date of birth for example, if your Date of Birth is 18th April, 1980 it should bewritten as under:

18 04 1980~ ~- ~ ~ ~ ~ ~ tlhtf%ld 1,llfTUTlJ3 <t ~ ifr ~: '3<;:16'<01 <t~ 'lft ~ cr=r _ 18 anl", 1980till"" f.I",~ftl" """' " =urnl'11l

18 04 19807. Gender: Write I for Male and 2 for Female and 3 for others in the box provided.

ft;;'l- fG'I 'l'i q,'f"", " T'" ql ~ 1 3ll< ~ ql ~ 2 .• 3Rl ql ~ 3 _ I8. Category: Write 01 for General, 02 for Schedule Caste, 03 for Scheduled Tribe, 04 for

Ex-Service man ,05 for differently abled ,06 Other backward classes and 07 for TeachersWard.<r'f- fG'I 'l'i q,'f"", " ~ ql ~ 1. ~m unfu ql ~ 2. ~m "",,,111 ql ~3. ~ <1f.no ql ~ 4. ~PT ql Itni 5. ~ <r'f ql ~ 6. fu"", <r'f ql ~ 7 _ I

28

29

9. Nationality: Write I for Indian and 2 for any other in the box provided.~,- fl:-.I 'flI "i[fiffi " 'lffiIl<! •• ~ 1 3iN 3Rl •• ~ 2 fffi;ll

10. Medium of Study: Write 1 for Hindi Medium and 2 for English Medium in the boxprovided.31""'" "" 'IT£'P!- fl:-.I 'flI "i[fiffi " ~ """" •• ~ 1 3iN ,,'.loft •• ~ 2 fffi;ll

11. Mother Tongue: Write 1for Hindi, 2 for Urdu, 3 for Punjabi and 4 for Others.""1"""- ~ •• ~ 1, 'l.<f•• ~ 2, ~ii!NI •• ~ 3, """ 3Rl •• ~ 4 fffi;ll

12. Religion: Write I. For Hindu 2. Muslim, 3. For Christian 4. for Sikh and 5. for Otherq>f - ~ q) ~ 1. ~ q) for« 2. ~'<fI11 •• ~ 3. fu<m q) ~ 4. "'" 3Rl •• ~ 5fffi;ll

13. Your Previous Qualification: Write in the box provided.3I1'!<Il\ 'h'I """'" - fl:-.I srq "'"' " fffi;l,

14. Differently abJed: Select the appropriate boxFclifii.'1flll;lI : ~ <ifffi 1f f.1mrr ~ I

IS. Subject Choices: Write carefully correct code No. and the name of subjects given in theprospectus in the space/ box provided. Changes of subject are not allowed aftersubmission of admission form.~ ~- ~ <t rrTlf q tsts f4q'{frJl<tl1 l{ ~ ~ tIIR1<tl1 ~ tllqElI;:J'i'i4<tl if ~ ~ I

'l>T'f wn it urA q) ""' ~ >1\ flto-o "" aesn "" """IT I16. Details of Fee: The admission fee is to be paid only through prescribed Challan form

annexed with the prospectus in any nearby branch of SBT at Delhi and enclosed the copyof Challan form for Patrachar Vidyalaya, after the depositing the requisite fee.a) Branch of the bankb) Challan Number! Journal No.c) Date ofChalland) Amount paid (in Rs.)"F" f.muT- ""'IT "F" flI<Ift'TI " fl:-.I 'flI ""'"" •• """" '" 'lffiIl<! Rc it", <6t ~>1\ lIml!T " wn ~ q) """"l 'P-IT'IR f4 ~ WI " ""'"" <6t ~ft\ ""'" 'l>T'f •• 'ffi'.f ~TI21f ~ f<t<RuJ 1'R ~ I31- it", <6t m&T'if- 'iITffi'if ~wn/ ~ ~"&TT

<1- ""'"" <6t _G- 'l'RfPI <6t ~ mlT (in Rs.)

17. Postal Address: Please write your complete address in block letters in English andtelephone number. Do not forget to enclose proof of address as given in the Prospectusotherwise your application will be rejected. Please do not give the Coaching Centeraddress. In that case you application will be rejected.'" """"" "" 'fGI- "1= fl:-.I 'flI ~ " 3!'A1 'l,"f ""' ,,'.loft •• ~ ..rr " fffi;l; 'fGI"""'" ilRT ~ " m ••~ Gte "~ •• 3f'J"" "ffi ViRT ~ I ~ >1\ _" 's=evest vat ., fffi;l 3Rl'" """"" ~<hr "" "'" flcm umI'lT I ""'" ..rem >1\ """" fffi;ll

18. Email ID~~,. ami <ft I

19. Parental annual income (in Rupees)31~ ~ WfJ <tt qrf'if-cp 3Tm I

20. Details of pre examination passed on which admission is being sought.'h'I "'1fIT3IT "" ..m ~ 311m< 'R 3IT'! ""'" " '" 'it I

29

So

m-'l'T'\ ("ffiI 2017-18)Admission Form (Session 2017-18)

~ ~ (PATRACHAR YIDYALAYA)

fuen f.\~""".,~ ~ ehDIRECTORATE OF EDUCATION, GOYT. OF NCT OF DELHl

~-'I"I. ~, '"~"I"" 'IT'!, ~-aa (BL-BLOCK, SHALIMAR BAGH, DELHI-88)~ ~ fuerr q)i 'Il w<r.;; ffiolR (Affiliated with CBSE)

'lien / Class IX IX~.t.'Iffim «;it ~ ~ 'IT'T &m onirn)P.Y. No. (To be given by the Patrachar Vidyalaya)

3lT1IW<Iim/ (IMPORTANT INSTRUCTIONS'1'I1lT m !llqR"lilil ~ ~ '1'1 ~ q;) ~ ~ t\ m 'l'T'\ >R IPlease fill the Admission Form after reading the instructions given in the Prospectus.'W'IR 'f'I 'R 4 x 3 Wtt. 3l1iliR<!iT'litit ~ il'lT ~ '1'1 <'lR 'R ffiJl!R q;t I 'W'IR 'f'I q;) m >R IPaste 4 x 3 em Size Photograph on the Identity Card and Mark his/her signature in the space provided. Studentshould fill up the columns in the l-card.~ <PI'flI'I ~ q;t I 1. ~ ~ ~ M1l\fM'f ~ 'It! fmonirn IChoose subject carefully. Change of subject is not allowed at a later stage.

1. ~ ~ ~ ft:rcit ~ ~ :wR ~ ~ em fuR;rr ~ 1/ Choose and write the District where the studentresides (North, East, South, West, Central) _

2. ~ em ~ 1f1f/ Name of the Candidate (In CAPITAL LETTERS)

3. lfTffi" em ~ 1Jl1/ Mother's Name in CAPITAL LEITERS

4. <nT ~ -;:yj11 / Father's Name in CAPITAL LETTERS"

5. "I:ifll" / Date of Birth

CD CD LIIIJ6. fWr/ Gender D 7. <rf / Category

8. xl~I~(1I/Nationality D9 +mpWfI/ MotherTongue D 10. trl/ Religion

D

D11. ~ ~ ~/ Your Previous Qualification D12. f<ttn:I/ Subjects qfrn"ffism/ Code No. lfI'tlIll / Medium

I. ............... [IT] I2. . ...... ......... [IT] I3. ........•....... [IT] I4. ................ [IT] Is. ............... [IT] I

Paste Self AttestedBlack & White

Photograph withComputerizedName and Date

13. ~ ~/ Detail of Fee

1. Branch Name _

2. Journal No.. _3. Date _

4. Amount __ -;=0;===[IT]

31

14. Divvang Candidates with Disabiltiy (if any) NA D Visual impairment DHearing Impairment D Locomotor disability D Dylexsic D Spastic D Autistic D

15. f.1crrn ifiT -q{ff/ Address of Residence (in CAPITAL LElTERS)

~/ StatePinCode/~

~/ Telephone No . ~/MobileNo .

16. Email id. . .17 "l'l • 3!J'liM\ <>0 .

Parental annual Income Rs p.a.18. ~ oft 'It <RIm "" fffi"f ftrnil\ 3!I'lR '" ~ WIT ~ I

Detail of Examination oassed on the basis of which admission is being sought

."'"~~ """"'/ qftury'qj Result ~ /Rall <f1"i/Year Remarks

/ Last Class Name of the No.Passed School

DECLARATION BY THE APPLICANT (TO BE FlLLED BY THE APPLICANT)~ oft ~ (~ '" 6RT <RI ~)

~ ~ <m1! <!R<l\ t ftI; Jf.l <l'l\ <iMfflT >!if """" """ oft t ftrn '""""'" '" fR<I~ ~ "" m /"W1 t I Jf.l <l'l\~ '01'1 """'" "lfIl ~ ~ I Jf.l "'" ~ 'R 'ffi t I 4 iifffiIT /iiiR<l\ t ftI; ~ ~ ~ """ 'IT WI >1 ~ molt~ 'It m = ~ 6RT it1l 0<41, 01~ f.'m<! oft ;;n ""'"' ~ I ~ ~"~"iI >1 ~ '"' <l'l\ f.!wit "" 'lR'R

'""'" / <Wfi I

(I hereby declare that I have carefully read and understood all the conditions of the eligibility and Ifulfill the criteria for the course for which I'seek admission. I have furnished all the necessaryinformation/ document correctly. I have filled the form in my own writing. I understand that mycandidature is liable to be cancelled by the Patrachar Vidyalaya, if any information! document isfound to be misleading or incorrect at any stage. I undertake to abide by the rules as laid down in theprospectus.

fGrrtq; / Date

'lRlT-fimi/~ '" ~'" Signature of the Student

Counter Signature of the Parents/ Guardian

"""'"" f.tI.>t ~ q;rf '" <1m f,1..,lCiltod """'" 3ffill '"'"' '"' I1. 'lffiiTo "f?:c *" oft =~~iil'lT ~ '"' 'l"" ~ '""'" I!ft\ I2. ~ uTic'r <liTWlI"I 'R (S LC) oft '[i'f I!ft\ ~ 6RT ,Ii\,@<fitr I

3. 'll"lR 'R 'R 'lilir ~ q """" '"' I ('ll"lR 'R ~ 6RT 'ffi ~)4. WlI"I 'Rl oft <l'l\ ~ mi ~ '"' "'" '[i'f WlI"I 'R <1m aTIIl5. 3C.l.;;n/3C.l.",.;;n./~/""","", 1l'f '" 3!I'lR '" ~ &-l1lTi\ fm,ff '''f'' ~ 6RT i%! 'R oft mi

~~I6. ~ ~ w-l "" r.r.m '<'lR "" WlI"I 'R I7.

Signature of Admission In charge Signature of the Principal

(TO BE SUBMITTED AT THE TIME OF SUBMISSION OF eBSE EXAM FEES)wm '¥l' 'WI (m 2017-18)

Exam. Fee Form (Session 2017-18)'RTi'Il'I~ (PATRACHAR VIDYALAYA)

mm f.1~'""R~ ~ it;<DIRECTORATE OF EDUCATION, GOVT. OF NCT OF DELHl

tfi-'fC'I. ~. ~ 'IT'T.~-B8 (BL-BLOCK, SHALIMAR BAGH, DELHI-88

~ ~ mm qJt <l W%' ~ (Affiliated with CSSE)

'lim / Class IXIX1fr.<!t. 'OO!T(ull 'RTi'Il'I ~ 'IT'T ;;m umrn)P.Y. No. (To be given by the Patrachar Vidyalaya)

Staple UnattestedBlack & White

Photograph withComputerized

Name and Date

IpIv11IZIITIL--'---,-_D~ ~/ (IMPORTANT INSTRUCTIONS

"i'f'lT wm fi1qROI$1 ~ ~ '11? f.1ifW qi\ m <I; 1l'i'lRl m wm 'WI >R ePlease fill the Admission Form after reading the instructions given in the Prospectus.'llO'IT'! 'R '1'1 4 x 3 WIl. 3lfi!iR 'liT 'liIi\ ~ TI'lT~ '11? "'"" '1'1' ",,"aN 'IR I 'llO'IT'! 'R qi\ m >R IPaste 4 x 3 em Size Photograph on the Identity Card and Mark his/her signature in the space provided. Studentshould fill up the columns in the I-card.fur!1if 'liT "fIT'I ~ 'IR I 1. fur!1if ~ 'lftmR ~ m N ~'fIlfiI;m umrn IChoose subject carefully. Change of subject is not allowed at a later stage.

1. fcm'MT ~ 1]1:! fVrc:;if it it 311R f.1crrn ~ em ftrffi m1/ Choose and write the District where the. studentresides (North, East, South, West, Central) _2. filw,ff 'liT 'l:'1 'IT'l/ Name of the Candidate (In CAPITAL LETTERS)

3. 11lC1T em 'lYT 1Tll/ Mother's Name in CAPITAL LETTERS

4. fitru em 'lYT 1Tll/ Father's Name in CAPITAL LETTERS

5. 'iif'*l ffrfIl/ Date of Birth

[IJ [IJ c::r::::r::::IJ6. fu7r / Gender D 7. 'l'f / Category D8. ~I~~lldl/ Nationality D9 ~ / Mother Tongue D 10. w:f / Religion D11 ~ ttf ~ / Your Previous Qualification D12. ~/ Subjects ~ 1l&n/ Code No. l1JU11l'/ Medium

Paste unattestedBlack & White

Photograph withComputerized

Name and Date

13. ~ filcRuT/ Detail of Fee

1.

2. ErnITOITOITJJ 3. Amount _

1. Name of the Branch

J .

4.

5.

2. Journal No.- _

................

33

14 Person with Disability (if any)

locomotor disability DN.A. Visual impairment DHearing Impairment. DDvlexslc DSpastic[Jutistic D

15. f.1clm ifil Qijf / Address of Residence (in CAPITAL LE1TERS)

Wii'!I! StatePinCode~

~/ Telephone No . ~/MobileNo .

16. Emailld .

17. 'Ii" • 3!l'IG'fi "' ....Parental annual Income Rs. . ... p.a.

18.Only for the candidates of class Xl & XII

a) Roll No. of Class X passing

b) Year

c) Name of Board! University

d) Year of class Xl passing (ifapplicabJe)

Note: Attach two Self Attested copies of all the following documents:

For Class IX & X

1) Two self attested copies ofSLClBirth certificate

2) Caste Certificate! Disability Certificate (if applicable)

3) Copy of the Admission Form Receipts

~/Date

Signature ofthe Student

Patracahr Vidvalava CopySTATE BANK OF INOlA

JOURNAL No .Branch Date .

Please credit in 5B Alc No.Patrachar Vidyalaya, DelhiName of the Candidate.Address ..' .

30821405922 of 0.0.0.

On account ofI. Admission Fee Rs .2. Late Fees Rs .

Total Rs ..3. Bank Charges RS 60 1-

Grand Total Rs .Rs .

(in words)

Patracahr Vidvalaya COPySTATE BANK OF INOlA

JOURNAL No .Branch............... Date .

Please credit in 58 Ale No. 30821405922 of 0.0.0.Patrachar Vidyalaya, DelhiName of the Candidate .Address............... . .

On account ofI. Admission Fee Rs .2. Late Fees Rs .

Total R:s .3. Bank Charges Rs 60 .. 1-

Grand Total Rs .Rs .

(in words)

All S.B.1. Branches shall mention journal number allcopies of the challan.(To be attached with form by the Depositor.

CANDIDATE COPYSTATE BANK OF JNDIA

JOURNAL No. . .Branch.................... Date ..

Please credit in 5B Nc No. 30821405922 of 0.0.0.Patrachar Vidyalaya, DelhiName of the Candidate .Address .

On account ofAdmission FeeLate FeesTotal

3. Bank ChargesGrand Total

Rs .

I.

2.Rs. . .Rs. . .Rs .Rs 60 1-Rs .

Patrachar Vidyalaya Copy through S81 Old Sectt.Delhi

BANK COPYSTATE BANK OF INDIA

JOURNAL No.Branch . Date

30821405922 of 0.0.0.Please credit in 5B Ale No.Patraehar Vidyalaya, DelhiName of the Candidate .Address .

On account of1. Admission Fee2. Late Fees

Total3. Bank Charges

Grand TotalR,.

Rs .R>.Rs .Rs 60 1-R,.

PATRACHAR VIDYALAYA COPYPUNJAB NATIONAL BANK

USE-FCMBR MENUJOURNAL No. . .Branch .InstitutionallD: DDQPY

Dale .Collection Code DOOI)V

Please credit in S8 Nc No. 41840001002096290f0.0.0. Patrachar Vidyalaya, DelhiName of the Candidate .Address.. . .

On account ofI.

2.3.

4.

eBSE Exam Fees Rs .Practical Fees Rs.. .

Additional Sub. Fees Rs .Total Rs .

Bank Charges Rs 30/-Grand Total Rs .Rs .

(in words)

Patrachar Vidyalaya Copy through BT Block, ShalimarBagh., Delhi

PATRACHAR VIDYALAYA COPYPUNJAB NATIONAL BANK

USE-FCMBR MENU

JOURNAL No .Branch .InstijutionallD: DDapy

Date .Collection Code DDOPV

Please credit in SB Ale No. 4184000100209629 of0.0.0. Patrachar Vidyalaya, DelhiName of the Candidate. . .Address .

On account ofI. CBSE Exam Fees Rs .2. Practical Fees Rs.3. Additional Sub. Fees Rs .

Total Rs .4. Bank Charges Rs .. 30/·

Grand TotaJ Rs .Rs .

All P.N.B. Branches shall mention journal number allcopies of the challan.(To be attached with fonn by the Depositor.

CANDIDATE COPYPUNJAB NATIONAL BANK

USE-FCMUR MENU

JOURNAL No.Branch. Date .InstitutionallD: OOOPV Collection Code ODOPVPlease credit in SB Nc No. 4184000100209629 of0.0.0. Patrachar vidyelaya, DelhiName of the Candidate .Address .

On account of1.

2.3.

eBSE 'Exam FeesPractical FeesAdditional Sub. Fees

TotalBank Charges

Grand TotalRs ....

Rs .Rs .Rs .Rs .Rs 30/-Rs .

4.

BANK COPYPUNJAB NATIONAL BANK

USE-FCMUR MENU

JOURNAL No .Branch........... Date .InstitutionallD : DDOPY Collection Code DDOPYPlease credit in SB Afe No. 4184000100209629 of0.0.0. Patrachar Vidyalaya, DelhiName of the Candidate.Address .

On account of1.

2.3.

CBSE Exam FeesPractical FeesAdditional Sub. Fees

TotalBank Charges

Grand TotalRs .

Rs .Rs .R,",.Rs. . 30/-Rs .

4.

(in words)

ATTENTION: Students are directed to deposit the CBSE Examination fees in the month of September,2017 as per schedule available at website www.edudel.nic.in at Patrachar vidyalaya icon in any branchof Punjab National Bank at Delhi and immediately submit the receipt aJongwith CBSE Exam fees Formin Patraehar Vidyalaya BL Block Shalimar Bagh Delhi-Sa • otherwise student will not be eligible toappear in CBSE Exams

PATRACHAR VIDYALA YABL-BLOCK, SHALIMAR BAGH, DELHI-1 10088

(AFFILIATED WITH CBSE)IDENTITY CARD (2017-18)

CLASS . ENRO LLMENT NO.1 P.V. NoJe:::EL:Ji:JlIiII IIII::I::I=

NAME .....

MOTHER'S NAME

FATHER'S NAME.. ..

l!lE<P'I" / Medium

Paste unattested Black &

White Photograph withComputerized Name and

Date

DATE OF BIRTH CD CD ITIIJSUBJECT CODE: ~ / Subjects ~"ffi5;m / Code No.

1. . . [II][II][II][II][II][II]

2 .

3.4.5.

6. Additional Subject

ADDRESS .

SIGNATURE OF THE CANDIDATE PHONE NO .

NOTE: Student must bring this card while visiting the Patrachar Vidyalaya.

http://www.edudel.nic.in