HIMACHAL PRADESH BOARD OF SCHOOL EDUCATION, DHARAMSHALA (KANGRA) 176213 ADMISSION FORM PLUS TWO EXAMINATION Instructions: Please write in block CAPITAL LETTERS. DO NOT write outside the boxes. DO NOT OVERWRITE. Tick only the appropriate box like FOR REGULAR CANDIDATES ONLY CANDIDATES NAME FATHER'S NAME MOTHER'S NAME District Code School Code Center Code State Pin Code SUBJECT NAME Additional Subject (If Opted) English (Compulsory for all groups) Elective Subjects Sub. Code Medium 1= Hindi 2 = English 23 1 If placed under compartment in 10+1 Examination State Roll No. Year (For Failed Candidates only) State Roll No. Year Commerce VocationalHumanities Medical Non-Medical Name of the Center at which to be examined Elective Group Offered (Please Tick the appropriate option) Date of Birth SEX CATEGORY HANDICAPPED State of Residency // DATE MONTH YEAR MALE FEMALE SC ST OBC Blind Deaf Handicapped Urban Rural Roll Number FOR OFFICE USE ONLY Application Number MARCH 2 0 0 Candidate's Photograph Space for photograph (Preferably Black & white) DO NOT PIN / STAPLE the photograph Paste the photograph inside the box only DO NOT FOLD THE PHOTOGRAPH Candidate's Signature PRINCIPAL'S SIGNATURE WITH SCHOOL STAMP 1 9 Registration Number / / / Post Office Town Tehsil District Village House number 12 Sub Name Abr. Code English ENG 31 History HIS 32 Economics ECO 33 Pol. Science PSC 34 Hindi HIN 35 Sanskrit SKT 36 Sociology SOC 37 Philosophy PHI 38 Urdu URD 39 Pub. Administration PAD 40 French FRE 41 Geography GEO 42 Home Science HSC 43 Phychology PSY 44 Music (Vocal) HMV 45 Music Instru. (Melodic) HMI 46 Music Instru. (Percussion) HPM 47 Painting PTG 48 Graphic GRA 49 Sculpture SCU 50 Applied Art AA 51 Dance Kathak DAK 52 Dance Bharat Natayam DBN 53 Physics PHY 54 Chemistry CHM 55 Biology BIO 56 Mathematics M 57 Accountancy ACC 58 Business Sutdy BST 59 Phy. Education PED 60 Inf. Technology IT 61 IMPORTANT INSTRUCTIONS All particulars to be filled in by the candidate in his/her own handwriting. LkHkh fof'k"V;ka ijh{kkFkhZ viuh fy[kkbZ esa HkjsaA Do not use photocopy of this admission form. bl izos'k i=k dh QksVksdkih iz;ksx esa u ykbZ tk,A Write in CAPITAL letters and Arabic (English) numerals e.g 1-2-3-4- etc. only. dssoy vaxzsth ds cM+s 'kCnksa rFkk vjch vaxzsth vadks 1&2&3&4 bR;kfn esa gh fy[ksaA Do not stitch/ tag admission form. izos'k i=k dks /kkxs ds lkFk uRFkh / VSx u djsaA Send the admission form to Board's office arranging them in following sequence:- Firstly arrange the forms of application group wise i.e. Humanities / Science/ Commerce and Vocational Group. In each group the Forms of girls candidates followed by boys candidates be arranged accordingly to their Admission No. Sequence. izos'k i=kksa dks cksMZ dk;Zky; esa fuEu dze ls O;ofLFkr dj Hksatsa A loZ izFke izos'k i=kksa dks xzqi ds vk?kkj ij O;ofLFkr dj ysa vFkkZr dyk ] foKku] okf.kT; rFkk O;olkf;d xzqi A gj xzqi esa Nk=kkvksa ds izos'k i=kksa dks rnksijkar Nk=kksa ds izos'k i=kksa dks la[;kd ds dze esa O;ofLFkr djsa A School are advised to keep the record of Registration No. of all students in their record for further correspondence / use INSTRUCTIONS TO FILL IN THE ADMISSION FORM izos'k i=k Hkjus ds fy;s vuqns'k 1. Please read the instruction carefully before filling the admission form izos'k i=k Hkjus ls iwoZ d`I;k vuqnsa'kksa dks /;kuiwoZd i<+sa A 2. All entries should be made in BLOCK / CAPITAL letters only without touching edged of boxes. lHkh izfof"V;ka Li"V vaxzsth ds cMs+ v{kjksa esa [kkuksa ds chp HkjsaA 3. Do not over write the character you wish to change use eraser or white fluid to whiten the box and then write the new character. xYkrh gks tkus ij jcj o LkQsn QywM dk iz;ksx djsa o rnksijkUr gh u, v{kj fy[ksaA 4. Write District Code in which your institution is located as under vius laLFkku dk ftyk dksM+ fuEu ls HkjsaA Name Of District Distt Code Name Of District Distt Code BILASPUR 0 1 LAHAUL & SPITI 0 7 CHAMBA 0 2 MANDI 0 8 HAMIRPUR 0 3 SHIMLA 0 9 KANGRA 0 4 SIRMOUR 1 0 KINNAUR 0 5 SOLAN 1 1 KULLU 0 6 UNA 1 2 5. Write School Code as allotted by Board. cksMZ }kjk fu/kkZfjr fd;k x;k L dwy dksM+ fy[ksa A 6. Write Center code of the center at which candidate are to be examined cksMZ }kjk ijh{kk dsUnz dk fu/kkZfjr dksM+ fy[ksa tgka ijh{kkFkhZ ijh{kk nsaxsA 7. Write registration Number if already allotted by the board. cksMZ }kjk fu/kkZfjr jftLVs'ku uEcj fy[ks ;fn igys fu/kkZfjr fd;k x;k gksA 8. Write the name of examination center at which candidates are to be examined cksMZ+ }kjk ijh{kk dsUnz dk fu/kkZfjr dksM+ fy[ksaA 9. CANDIDATE'S name FATHER's name and Mother's name be entered in the boxes in BLOCK / CAPITAL LETTERS ONLY as per example. ijh{kkFkhZ dk uke firk dk uke ekrk dk uke [kkusa esa vaxzsth ds cM+s v{kjksa esa fn;s uewus ds vuqlkj HkjsaA K A M A L K A N T B H A R T I th 10. Date of Birth should be entered as (For example : 19 April, 1986) tUe frfFk dh izfof" V bl mnkgj.k vuqlkj HkjsaA ( 19 viSy 1986) 1 9 / 0 4 / 1 9 8 6 11. For Sex put tick mark in the box in-front of the male or female. For category put tick mark in the box in-front of the schedule caste or schedule tribe or other backward classes. Put tick mark in the box in-front of the Blind or Deaf or Handicapped and state of residency put tick mark in the box in-front of the Urban or Rural as the case may be. 12. The code Abr. of SUBJECT, code number of SUBJECT and MEDIUM should be entered carefully. fo"k; dk dksM dksM+ u- vkSj ek/;e vR;Ur /;kuiwoZd ls Hkjsa A fo"k; ds lkeus dksM+ Hkjrs le; fo'ks"k /;ku j[ksaA For example Elective Subject is ECONOMICS uewus ds vuqlkj HkjsaA Elective Subject Sub. Code Medium E C O 3 3 1 13. Candidate Must sign at the space provided for candidate's Signature in the admission form. ijh{kkFkhZ izos'k i=k esa fu/kkZfjr LFkku ij gLrk{kj djsaA 14. Candidate must affix his/her pass port size photograph (preferably Black & White) in the space provided in the form with gum. Do not staple or pin-up the photograph. ijh{kkFkhZ izos'k i=k esa fu/kkZfjr LFkku ij viuk ikLkiksVZ lkbZt dh rlchj ('osr ';ke ) fpidk,aA d`I;k viuh rlchj dks xksan ds lkFk gh fpidk,aA rlchj dks fpidkus ds fy, fiu vFkok LVSiyj dk iz;ksx u djsaA 15 Before putting in the Signature's in the Admission Form Principal of School must satisfy himself / her self that. (I) The candidate is on rolls of the institution and have completed prescribed courses of attendance (ii) The candidate has signed the form in his presence and the particulars filled in by him/her are correct as per school record. (iii) The candidate has filled in the correct Roll No. under which he she was placed under compartment in the lower examination (Iv) Photocopy of certificate of Plus one pass examination in respect of candidate who have not passed plus one examination of Himachal Pradesh Board be attached separately. Secretary
