परीक्षा आवेदन फार्म (आ अब लौट चलें योजना - 2022) - कक्षा 12वीं
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Samagra Id / Enrollment No.*
Basic Details (Please do not add Mr / Mrs / Miss / Ms / Ku / Master / Dr / Shri / Smt in names)
Full Name of Student*
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Full Name of Father*
Full Name of Mother*
Date of Birth* (dd/mm/yyyy) Handicap Type* Blind/Dumb/Deaf Physical Handicap Not Applicable Exam Center*
Medium* Hindi English Category* SC ST OBC General EWS Gender* Male Female
M.P. Domicile* Yes No Enrollment No.* Enrollment Slip* Exam Appearing Month*
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Class Roll No.* Passing Year* Board Name* Obtained Marks* Total Marks* Result* Attach Marksheet*
8th
9th
10th
11th/12th
Subject Details
Group Subjects* Humanities Science-Maths Commerce Agriculture Fine-Arts Home-Science Science-Biology Language
First Language (Special)* Second Language (General)*
Group Subjects*
Group A [2 or 3 subjects shall be chosen]
HISTORY (110) GEOGRAPHY (120) POLITICAL SCIENCE (130) ECONOMICS (140)
Group B [0 or 1 subject shall be chosen]
MATHEMATICS (150) INFORMATIC PRACTICES (151) INDIAN MUSIC (161) DRAWING & DESIGNING (162) AGRICULTURE (165) SOCIOLOGY (166) PSYCHOLOGY (167) HOME SCIENCE (ANAT. PHYS. & HYGINS) (168)
[All subjects shall be chosen]
MATHEMATICS (150) PHYSICS (210) CHEMISTRY (220)
Group A [2 subjects shall be chosen]
BUSINESS STUDIES (310) BOOK KEEPING & ACCOUNTANCY (320)
Group B [1 subject shall be chosen]
ECONOMICS (140) MATHEMATICS (150) INFORMATIC PRACTICES (151)
[All subjects shall be chosen]
ELE. OF SCIENCE & MATHS FOR AGRICULTURE (410) CROP PRODUCTION & HORTICULTURE (420) ELE. OF ANIMAL HUS. & POUL. FARM. (430)
[All subjects shall be chosen]
DRAWING & PAINTING (510) STILL LIFE & DESIGN (520) HISTORY OF INDIAN ART & WORLD ART (530)
[All subjects shall be chosen]
HOME MANAGEMENT NUTRITION & TEXTILE (610) ANOTOMY PHYSIOLOGY & HEALTH (620) ELEMENTS OF SCIENCE (631)
[All subjects shall be chosen]
PHYSICS (210) CHEMISTRY (220) BIOLOGY (231)
Group A [1 subject shall be chosen]
HINDI (051) ENGLISH (052) SANSKRIT (053) URDU (055)
Group B [2 subjects shall be chosen]
HISTORY (110) GEOGRAPHY (120) POLITICAL SCIENCE (130) ECONOMICS (140) SOCIOLOGY (166)
Additional Subject
Contact Details
HouseNo* Colony* Town/Village* Block*
District* PinCode Mobile No.* Email Id
घोषणा* मैं एतद् द्वारा घोषणा करता / करती हूं कि, इस आवेदन पत्र में मेरे द्वारा की गई प्रविष्टियां सत्य, पूरी और सही है। यदि कोई जानकारी झूठी या गलत पायी जाये या परीक्षा के पहले या बाद में अपात्रता का पता चले तो मप्र राज्य मुक्त स्कूल शिक्षा बोर्ड, भोपाल मेरे विरुद्ध कार्यवाही कर सकता है तथा इस संबंध में मप्र राज्य मुक्त स्कूल शिक्षा बोर्ड, भोपाल का निर्णय मुझे मान्य होगा।