PATRACHAR VIDYALAYA BL- BLOCK, SHALIMAR BAGH, DELHI-110088 PROSPECTUS 2017-18 FOR ( 11th & lih CLASS) AFFILIATED WITH CENTRAL BOARD OF SECONDARY EDUCATION, NEW DELHI DIRECTORATE OF EDUCATION GOVT. OF NCT OF DELHI (ALL RJGHTS RESEVED) ONLY FOR RESIDENTS OF DELHI "The object of teaching a child is to enable him to get along without his teacher" Contact: 27497521
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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 Imnartinz Education 055 Personal Contact Programme-I 066 Personal Contact Programrne-2 067 Eligibility for admission 078 Promotion of Class XI students to Class XU 079 Eligibility for admission (class XII - Science) 0810 Eligibility for admission (class XII - Commerce) 0911 Eligibility for admission (class XII - Humanities) 0912 Payment of admission fees 1013 Mode of Payment ofCBSE Exam fee 1014 Proof of residence II15 Documents to be attached (class XI) . 1116 Documents to be attached (class XU- All Streams) 1217 Guidelines for students enrolled in Class XI in Patrachar Vidyalaya 1318 Admission Procedure 1419 Reimbursement of fee for Govt. servants 1520 Subiects 1521 Examination Fees & Form for Class Xl & XII 1722 Direction for foreign students (Outside India) 1823 School schedule & holidays 1924 Cancellation of admission 1925 Fee structure 2026 Detail of subiects 2127 Annexure !Proforma of Affidavit 2228 Instructions for filling un the admission form 2017-18 23-2529 Admission form 2630 CBSE exam fees form 2731 Bank Challan form 28
Patrachar Vidyalaya IS the plOneerinstitution 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. ofNCT. 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 concernmg this course ,his/her candidature will be cancelled andfee shall be forfeited.
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1 q~''''<~q'~ 'T'fIUT tff· "<iIrtt 1 Character Certi ficate is not issued to"'Ilff 'ffiIT t I students ofP.V.
2 ~.it.,lt'1'ffi qft ~14'" "4"'iEI "'Ilff t I DTC. pass is not permissible to P.V.2.Students.
3 -.;rffi to!'! fcr i:t'( {til etil -.y f.'I"md 31ffrl! 3. No application will be accepted after the~ q;t f.'I"md -.r'flI qm: 10:00 -.rut ~ expiry of the last date as mentioned in31q'(I~"1 02:00 -.rut "'" 1ft t<l1<b 1'( f<l;m the prospectus (with in 10.00 a.m. to~I 31ffrl! ~ ~ Q!l'iUC1 <!>hI to!'! 2.00 p.m.)'t4) if) I'( o:nff 1%m \ill ,p II I
4. The candidate must submit application4 -.t-<rcl 3l'<I1off """ 3l'AT ~ "" form in person only and not through any
UI'IT iIm1Il f.l;-<fi 'I"lc:. 'l Rlf.'I~. agent, representative, coaching! tuitionOil f,j 'I ~ 3l"l'lT f.l;-<fi >fi 3Rl "ifTi('l center are any other outside person.~ 3llflt ~ to!'! t4l(f)h! "'Ilff ~UfP}-.\.I
fum mf ~ -;;m fiillfcl ct <'i<po"fj students for Secondary and Senior'f!ft!~c 'lfrm (Gfriff <pm) 3lh: ",1f.'1~< Secondary School Certificate Examinations"'!.cl 'f!ft!~ 'lfrm ('~I<~'fr <1* (X, XI, XU Classes) of the Central Boardiiill'<Sq"j iplffi) ~ ~ ••' ••••fcr<f>"t. CllfUl\ilI l[<f of Secondary Education, Delhi in all theflr.rR <l'l>l1IT -.y ..-reIT q;t fum 1IGT'f three streams viz, Humanities, Commerce'ffiIT t I and Science.
firl!1ul <PT 111t411:- Medium of Instruction:1fTlfI3IT ~ 31R1R"" Jt 1"1~ if>') <1"11 Except in languages, the medium of
" Ifill"" ~ wft f.'r<;nIT ~ fu~ '"' >[lW'f instruction in the subjects of Arts and~ t I flIWff 'lfrm ~~ tq, 3i-.J-oft, Commerce stream is Hindi. The -students~ q i3{ 1fTlfI '"' '1"'1T'f <P< -.r<!>dT t I can, however, offer English, Urdu or,,<~<ff qft iIRf 'lfr1ffi3lT -.y flr.rR WIin:i Punjabi as the medium of answenng(ufiq flr.rR, Htll1"1 ~. <1RI.,,1 flr.rR) questions in response sheets and in Board's~ fR'I 3i-.J-oft >[lW'f 3lf.'l.,zI -.wrr I Examinations. The Medium of instruction
m Science subject at seruor secondaryschool level (physics, Chemistry, Mathsand Biology) is English.
ful!fUT f<JRr- Method of Iml!arting Educationf?lElI <."Ill 14lf1I tHIEf) wft The Patrachar Vidyalaya supplieslJ""I-qI~
flr<rrf':fm q;t ~ 'II I~~~ ~ "<'ill -.y the study-material to all the students who\3q~iEI .",.,e I t ~ flr<rrf':fm q;t are enrolled in Patrachar Vidyalaya. The
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f.'r<r>I<I>Tet-tsr-t "If ,.. lIT I (<fr.<fi.1[fl.~. material is in the shape of printed lessons"il"ffi f.'t" fRd qld.q..,., 'R f.'t"md ~ on all the subjects to supplement the study'811t•••1 4:::'41~1'< ~EJI&tll GRT "tPft ~ for text books and to help students to graspq;t f.!0W"l' <3qOl••••qfi umfI ~ I) the subject contents in the each subject.
Available study material based on CBSE~ q;t 4'(IIWf ~ umrr ~ syllabus will be supplied to the students at
f.\i-ij ~.~ '8I1P.ft 4:::'41i11'( ~f.Jlclll. free of cost.<fi."I[<1.i<1'f<I> ~II cl'1Jt 1'< iIT'T "fl 'IT'<! ..RI Students are advised to personally~ "I"~~ ftrlllT ~ "il"ffi «fI"iRi 'IT'<! collectJ receive their study materials from-.;r.t 'R 'lGT'I qfi umfI ~ I 31<10w!\ -.mT Patrachar Vidyalaya, BL Block Shalimarq;t Wffi'J ~ umrr ~ f.\i -ij 3!'A\ Bagh, Delhi-88.Patrachar Vidyalayaq Id~:q jl)1'1 qfi ~ ~ 'Il~ provide the study material after obtaining",",!"EIT'I ~ ('R.<fr:{3!R.iT.) "il"ffi the approval of the Directorate off.'t" md 9;'k1iI')" ~ 1!t'2f'I "fl """ or I Education. Apart from this study material,
Students are advised to study with the helpof prescribed books ofN.C.E.R.T.lC.B.S.E.which is easily available in the market.
1fi:~.1fi. il>1!f[1:1.1 (UI nit!" d ~ ftrlllT Personal Contact programme<will>'! 1) (P.c.P.1)
~Ellclll ',l;fur " ~4:::'41i11'< "il"ffi 't11~~JI
3lRlR'Id ..,,1llT4'Q1,!i5ifl" q ~ [,(IS<fr ~ -.mT Besides providing printed lessons in the~ fuq ~d'" "Jjffi"fl ~.."'. "Jjffi "'" form of books! booklet, Patrachar;;:Facth!, VN<\I .ftd "',<11., 3ltllf)I!i!1 <!"-IT Vidyalaya organizes Personal Contact,&fc>;c:>IT >l """ ..,,1lfTli 18 fe=r ~ umfI Program from September to December ont I flIm2ff 3!'A\ ~f.\m ~ f.ri!rn ~ Sunday and all days during Autumn Break!lffiI ~ f.'t{l"d. FaEllclll >l qi5i1 I """I tr-iI Winter Break for Classes XI & XII for 18~ '" ''''. lI1f>r -R 'f[1Ijffi ~ I days. Students are advised to attend these
classes on the basis of their Patrachar I-cardat any centre prescribed by PatracharVidyalaya.
1fi.~.1fi. il>19I1t.2 (UI fltd.t d ~ ftrlllT Personal Contact programme<will>'! 2) (P.C.P.2)
Fctm<:>tll c;Qf~'tPld ~ ftrlllT After the completion of 18 PCP classes4?1I'l1I'<
<wi"", qfi •• ."rq, ~ "iITG 4?1,,,,. FctElI<:>tll Patrachar Vidyalaya organize 18 remedial18 IJIziI'l1~ If) Cf)lffiaIT ifiT 311ziI\iI"""I \iI"""I tI~ q classes III the month of January and
~ 'lIl' >l 2000 .-cit "fl f.'tqllid Vi'I"fl February on daily basis from 2:00 p.m.3l,~lftld <RdT ~I f<mT>ff 3!'A\ W4m onward. Students are advised to attend31'j'tt 1'( f.ri!rn ~ lffiI~ f.'t{l"d FctEll (it II these classes on the basis of their Patrachar>l q~" H tr-iI ~ '" ,"'. lI1f>r -R 'f[1Ijffi ~ I I-card at any centre prescribed by Patrachar
To collect admit card.The studends of class IX and X will collectthe admit card from Patrachar Vidyalaya onsubmission of 75% mandatory attendancecertificate of PCP-I & PCP-II.
Eligibility for Admission
Class Xl:Students must have passed Matriculation!High School/ Secondary SchoolExamarion from a recognised Board!Univeristy or any other equivalentexamination.
Promotion of Class - Xl Students toClass - XII (p.V.)The students of Class XI will appear in theExams 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 pass/fail out students is eligiblefor Admission in Class XI inPatrachar Vidyalaya only. Theyshall not claim their XII classpassed SLC for admission inregular schools of Delhi.
The pass out students shall not beeligible for admission in class XII in
any Govl. /Govl. Aided /Recognized school and any otherschool of Delhi state.
Eligibility for Admission in Class - XII( Science Stream)(a) Those candidates who have passed
or failed in class Xl (Science) or itsequivalent examination fromrecognised Board/University on thebasis of original SLC dulycountersigned by EducationOfficer/Competent authority.
ORThose candidates may seekadmission directly to class XIIhaving atleast one year gap afterpassing class X exam fromrecognised Board on the basis oforiginal SLC duly countersigned byEducation Officer/Competentauthority.
Candidates seeking admission In
class XII on the basis of duplicatecopy of SLC duly countersigned by
. the Education Officer! Competentauthority must furnish AFFIDA VlTill the prescribed format annexedwith the prospectus.
( Commerce Stream)(a) Those candidates who have passed
or failed In class XI( Science!Commerce) or its equivalentexamination from recognisedBoard/University after passing class
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j<I><'IT ;Hif>I'1L (Humanities Stream)('li) <I<,,<fi 'lim -q ~ <f; Itr<i (a) Those candidates who have passed
fiI><fi ~I"'dl 11T'<f om! /14."14,,,,<'1" or failed ID class XI( Science/~ '~1<6q"i (fu<rR/",fill"'l/iPclT Commerce/Arts) or its . equivalentWl>r>l ~) i:r<ftuf 13lj'<f\uf flrnT>ff examination from recognised¥I SLC uIT ~ tmn Board/University after passing class31f?;jij)I;ft/~ef1{ 31~<fjI;ft ~ X examination on the basis ofIIRI"'kl11fffuJ <f; 3lT'IR 'R v<hr <l original SLC duly countersigned by~ t I Education Officer/Competent
3!o:r<iT Authority.II<1.".,ff 'lim GWff i:r<ftuf ~ <f; ORq~illttCf)ffi fill'uSq''j .q ~ ~ tq Those candidaets seeking admission",,<1,," 'Ii<.~ t. .-.rd' ~ 'lim directly to class XII having atleastGWff i:r<ftuf ~ <f; 'ITG 1f<I' qof one year gap after passing class Xq;r T'f 31"1<1<'1 m I ftmq\ Itr<i exam from recognised Board on the""" 'lim GWff i:r<ftuf ~ <f; basis of original SLC duly",",<\ ¥I SLC uIT ~ fum countersigned by Education3!~"'I;fl/'fllWl 3!~",,;fl ~ Officer/Competent Authority.11RI" 'klI1fffuJ st 3I<WI WIT """l' I
3!o:r<iTII<1.".,ff 'lim GWff i:r<ftuf ~ <f;q.",<\ 'lim .,wfl -q ~ v<hr -q~ 'Ii< ~ t. .-.rd' ~ 'limGWff i:r<ftuf ~ <f; 'ITG 1f<I' qofq;r T'f 31"" <I<'I m I 'lim GWffi:r<ftuf ~ <f; ¥I SLC uIT ~tmn ~",,;fl/'fllWl 3!~",,;fl ~IIRI"'klI1fffuJ st 3I<WI WIT """l' I
(.••)~ flfm.,ff RiI,,;r4 ¥I SLC W (b)~ t tr"lT . SLC <6't 31:l~14"" <'I" ~ urrft ~ t. -..T 'I'[q"fIf'f (f\;!.,'" I 'IIT'Qq 14,,< fill'" I <f; ~-q 'fl'('lT.f t). IIh".,ff -..T WIT<RATtl
X examination on the basis oforiginal SLC duly countersigned byEducation Officer/Competentauthority.
ORThose candidates seeking admissiondirectly to class Xll having atleastone year gap after passing class Xexam from recognised Board on thebasis of original SLC dulycountersigned by EducationOfficer/Competent authority.
Candidates seeking admission Inclass XII on the basis of duplicatecopy of SLC duly countersigned bythe Education Officer/Competentauthority must furnish AFFIDAVITin the prescribed format annexed( A)with the prospectus.
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(.••) t« lriffir>ff ~-.t '!,Of SLCW fttm t <f1!lT SLC ~ 3!1f.;t IIIfilalcl" .t -;:;rRt '!RTl! t, q;t w:I"f'I?I (~ 'li"I 1Iw<1 fil," Pli if> I q'; 3RI>l "ffi;Jr.J t), iif'lT "iIffi'IT t
(b ) Candidaets seeking admission Inclass XII on the basis of duplicatecopy of SLC duly countersigned bythe Education Officer/Competentauthority must furnish AFFIDA VlTIn the prescribed format annexed(A)with the prospectus.
Note: Students who have failed in XII classmay appear directly as private candidateand their exam forms shall be verified toCBSE from PV_
Mode of Payment of Admission Fees:Admission fee must be paid only
through the prescribed form of BankChallan annexed with the prospectus in anynearby branch of State Bank of India. atDelhi, The paid copy of challan form ofPatrachar Vidyalaya is to be enclosed alongwith the admission form at the time ofadmission. Before depositing the requisiteadmission fee through Bank. challan,students must ensure that their fulfill thecriteria of admission and requireddocuments. Fees once deposited shall notbe refunded in any case.
Mode of Payment of CBSE Exam Fees:CBSE Exam fee must be paid only
through the prescribed form of BankChallan annexed with the prospectus in anynearby branch of Punjab National Bank,at Delhi. The paid copy of challan form ofPatrachar Vidyalaya is to be enclosed alongwiththe CBSE examination fee form at thetime of submission. Before depositing therequisite CBSE examination fee throughBank Challan, students must ensure theamount. Fees once deposited shall not berefunded in any casco
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PI,ml ~ <;ffil ~'" Proof of Residence:~ >f f.r<rn! <f; 1I1f!UT-tp.{~ As a proof of residence candidate
f.r"'f <mt<r '111 <:WI~un' >f -fl ~ 'f'I' may enclose anyone of the following~ \ifIlT q) '«(11"11 awn 1Iq) t w:fi V1JTUT lP.{ documents: (All the following documents~W1-flNI should be of Delhi Only)
"It" 1Ill" "') it IIRl ftrn>f =off ••• Card issued in the name of parents having
'IJ1I 'I'I'C vq -fl <:., f., '!<IT lIT I name of the candidate.2) Self attested copy of Voter I-Card
2. Ila;:: I (II q (l:q H 'Q"3I'qft T<ni fklll f?Id showing the name of the candidate in",lil IIRl ftrn>f =off ••• 'IJ1I legible form. In case of Minor, the Voter I'I'I'C vq -fl <:., f., '!<IT lIT I """"" Card of his/her parents Icandidate is alse=off <f; ~ 'IT<IT 'IT fun ••• acceptable.qd~ldlQ6i11'1 -lfi 1fRl m-m I 3) Self attesetd copy of Passport in
3. 3I"IToff/ 3If1't'l'" '" ••• q1'IIcr1 e I the name of any of the4. f,l",ffi/'IT'ft / ~51~'1< ~ffiqi)~ parents/child.
••• ~ (=off <f; 'IT<IT-fun <f; 4) Self attested copy of Electricity'IJ1I ••• lIT) billlMTNL telephone billlWater bill in the
5. tj~ fq)i(llll'illil -un f<l> =off name of Parents'IT 'IT<IT-fun <f; 'IJ1I ••• lIT I 5) Self attested copy of Current registered
6. 1I~'''off ~ qRCh:; ••• ~ ~ Rent agreement in the name of parents!~'II "IR\ ~ 'IlOfi m..rr 6ffi candidate as a tenant.f.r>hr 3I1R l<1~R', ~'II ~ <'Pi 6) Self attested Photocopy of Driving
"1f'HIll" qi)chlftr wrni I license in the name of candidate issuedfrom Delhi Transport Authority.
7.~ >f f.r<rn! '1'lT"T-tp.{ 11_ 7) Domicile of Delhi issued by 1st.,Juft <f; ~f,;,":c 6ffi "IR\ '{R Class Magistrate in Original.'1'lT"T-tp.{ I
8.3!mR i!>R! / 3!mR q" \jf'lifi I( U I ~ 8) Self attested Photostat copy of Adhar<'Pi 'II"" 1III" lIf1r I Card or EID number.
1lmT>ff lIiffi q;pf (Admission Form) <f; Documents to be Attached withm>:r f.'I "" ~ It;!" '1'lT"T tp.{/ <:WI~'" Admission Form:3liPflI 'Iti>rr.! <ot I"'Iffi ' ~ I~ilifr For Class XI
1. G'!I<ff /"<f;"""V~ tJRI <f; L Self attested Photostat copies ofm 'IIfl!fll><f;c aih: :Ii..,,- ",~q;, Secondary I X-class pass Certificate~ <IT-<IT "'" 'th:lIl~d lIf1r and mark sheet along with original'Iti>rr.! <otl ('It"" 1q~ <f; ~ '{R certificate for verification.lI1f!UTtp.{ m>:r ~) 2. Original School Leaving Certificatel
2. Fa •• Ii'," ~ ••• '\.'" 1I1f!UTtp.{ Transfer Certificate of Class X-un f<l> 'II1lJlI 31~ '" 1;!1 6ffi issued from the School last attended\lRl5wmfur lIT I (<IT <'Pi & duly countersigned by the'II"" 1III" lIffrlIi >ft 'Iti>rr.! -..Rl concerned Education Officerl
Inspector of school alongwith twoself attested copies of the same.
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3. Migration Certificate in those caseswhere the student has passed Xclass from any other Board exceptCBSE
Two Self attested photo copy of S.C.IS.T.Certificate issued by CompetentAuthority of Gov!. 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.Original Bank Challan Form ofPatrachar Vidyalaya showing therequisite fee deposited and journalnumber of any branch of S.B.1.situated in Delhi.One self addressed envelope withRs.5 stamp affixed.
For Class XII (All Streams)1. " Original School Leaving Certificate/
Transfer Certificate of Class Xlissued from the School last attended& duly countersigned by theconcerned Education Officer!Inspector of schools alongwith twoself attested copies of the same andtwo self attested copies of XImarksheet.
OROriginal School Leaving Certificate!Transfer Certificate of Class XCwith atleast one complete year gap)issued from the School last attended& duly countersigned by the
,concerned Education Officer!Inspector of schools alongwith twoself attested copies of the same.
3. "",."","", '1'1T"1'l?I ~ ""~ <i> ~ ~'it GWff'Plffi ~.oft.'ffl.~_ <i> 3IFaR<t<I~ 3RI m; ~ -mfiuf -.n of I
Two self attested Photostat copies ofSecondary! X-class pass Certificateand mark sheet along with originalcertificate for verification.
3. Migration Certificate in those caseswhere the student has passed Xclass from any other Board exceptCBSE Delhi and seeking admissionin Patrachar Vidyalaya on the basisof X Class.
Two Self attested photostat copies ofS.C. IS.T.Certificate issued byCompetent authority of Govt, ofNCT of Delhi only.Two self attested photostat copies ofCertificate for physical disabilityissued by the Competent Authority.
. Two Self attested photostat copiesfor the Proof of residence in Delhi.Original Bank Challan Form ofPatrachar Vidyalaya showing therequisite fee deposited and journalnumber of branch of S.B.1. situatedin Delhi:One self addressed envelope with
Rs.5 stamp affixed.
ONLY FOR THOSE STUDENTS WHOWERE ENROLLED IN Xl CLASS INPATRACHAR VIDYALAYA
, Promotion letter in Original issued byPatrachar Vidyalaya & two selfattested copies of the same.Self attested Photostat copies ofSecondary / X-class pass Certificateand mark sheet along with originalCertificate for verification.
Two Self attested photo copies of
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I-J1t<r 3I"ft,1T«f ~I \1FI en fa S.C. IS.T.Certificate issued by1f1IT1Tf 113 <tI 'f<I'l" 'H("lll~(1 Competent Authority of Govt, ofQ,lc1q Rl~ i WTnt I NCT of Delhi only.
•• "WI 31 1t1 •• ,;fI liT'/T r.r.hf .,,;fIR •• 4. Two self attested copies of3I1H'Iill <i: g1=l11l1Q'51 <tI <IT 'f<I'l" Certificate for physical disability,"" ,flId 'l>1it qRl~ i WTnt I issued by the Competent Authority.
5. ~ -q ~ 1f1IT1Tf 113 <tI <IT 5. Two Self attested copies for the~ ",,,,,,flId 'l>1c1qRl~i I Proof of residence in Delhi.
6 Q'51fl:UI{ Rtmi'tll <tI'l<'! -qlcll"'t <tI 6. Original Bank Challan Form ofqfff ftm>Y "<>f'lT <tI ~ lI<ffi ~. Patrachar Vidyalaya showing the1"{1i(tflq ~ t••.~ <tI m<ID requisite fee deposited and journal.••.• """ ail..- "'~ '''' ~ ~ lit I number of branch of S.B.1. situated
7 <r4> ~31lql;ff1"l '«IT fum s3iT in Delhi.11wI4i 14i1 ftl'HQ\{ 5 ~ ••••• ~ 7. One self addressed envelope with<'I'TT lit I Rs.5 stamp affixed.
lI<ffi q flO~ " Admission Procedure:'~,,,;<fI ail..- • ",,<ft .•• err -q lI<ffi Candidates seeking admission Inol-it qffi qih,,>ff lI<ffi 'l>1'f 'R 'f<I'l" Class XI and XII should fill in Admission'fI1:'ll1 ftlt1 "" •. ~ q;r:;c q,,,,q)t ~ Form with self attested passport Size Black'liTit f<lq •• ,~ \ti",q, 1mn>ff est
"""q & White photograph with computerized
'liTit rt.il"'~<tI fIIfu ""'L"" liT'/T 3ifllm name of the candidate and current datelit '1f'fi 'Ii<i1t1 d ~ '" "" ,flId ~ ""' ~ ",), <i: affixed on it and submits it along with allf4€lI'"~ -q 1ffiI' 10 rut -fl 2m~q';t!'ith: relevant documents! papers at the patracharrut f4>'1fi 1f\ .......t
~31q'(I t't"'1 "'" Vidyalaya admission counter from 10:00'<11~"" -fl ,,!iI>" " "'" "<>f'lT "'" """" t I AM to 2:00 PM on Monday to Friday.(<I "",f]~ 31qifjl~1 <lit $"",) 6T'I> liT'/T-.turr 'I<rr lI<ffi 'l>1'f T'f ~ -fl 'lTI lit<rr (except gazetted holidays) Incomplete
cancelled and the admission fee will beC::f(ll~ut ~ lit-it ~I \ti","" forfeited. Students should confirm theirr.,,,fRd 3iflrq fIIfu "'" 1ft 't<fl(f)I'( ~utl~PII ail..- f4>'1fi 1f\ ~ -q ~ "fiff admission personally from Patrachar~ UfT11'lT I f4>'1fi 1f\ <ff6 -fl 3J1!:'f 'lTI Vidyalaya.
s3iT lI<ffi 'l>1'f "\. "'" ~ urril'IT (['-IT Patrachar Vidyalaya will givetfu! ~ "fiff <tI ~ I provisional admission and IssuelI<ffi 'l>1'f "<>f'lT 'iI>'11-it <i: "q" '" IJ ~ tll1:ll1!f acknowledgement for enrollment! P.V. No.liT'/T 1mn>ff <lit nftG ~ oft urril-.fi I The admission will remain provisional tillq••,•.•" f4", "'~ <i:'ft't lI<ffi 'l>1'f "<>f'lT ~ the time it IS continned by PatracharfWT>ff <lit ~ lI<ffi ffi I lI<ffi 'l>1'f Vidyalaya, after re-checking the required<i: m...- ~ <J1( ~f<1I~'" <tI TI' Wi! <i: documents enclosed along with theq ••••,,\ 1ft ~ lI<ffi <tI '!~<tI urril-.fi I admission form. The fee will not be
refunded In case of cancellation ofadmission form.
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IS
;a ~if)l;fl ij IR >iI <i> fYrtI '@Ii <1ft Re-imbursement of Fee for Govt.'1R1till! Servants
l1l'lI'II/ ijjl~fcl~l ~ fmTur 'l!"'I' Govt. employees are entitled to the<liT¥,!'fifR ot ~ t I m"'l;(1 ijjofijl;(1. facility of re-imbursement of fee paid by'lffiI 'tN(f) Ii( <5 arm-r "ffO 'i'1'. 3 (15) their wards vide Gov!. ofIndia No. F3115,(:l')-2/ofi/74 ~~i",15.1.1985 <5 ~ E-I1 B/74 dated 15-1-1985. Such persons3!tR ~ <5 ~ '!'ldH lIT'<I iIR"~ should apply to the Vidyalaya to the effectt I tfl 311~.",l -.,,'t '" ifRI <liT'PIT"I tEf with a certificate that their wards aret<rr Non- ~ "'" "\3""'f OR ~ tl dependent upon him. The Vidyalaya willf4EJlcllf -q~ 311~.",1 -.,,'t ¥,!'fifR issue the re-imbursement certificate on the'PIT"I-tEf ~ "<J>t>rrfttflijj) lI'W' ~ production of which the eligible Govt.<t 3!tR flI>wr/ (f) IIIh:>t l( ~ fmTur 'l!"'I' Employees can get the tuition fee<liT¥,!'fifR ot ~ t I reimbursed from their department! office.
3IUllFI zi'Iu1"1I: Scheme of Studies~ -.,,'t -.ft<t fu: i\c-I <5 31ifll'< Students should strictly follows thef<tonif <liT<l"fhI'fl'T ~ 31f'l q [11t [ pattern of the subject combination as given
below:f<r!m Subjects:141'(641 u2IT f.11,(6<ri (f)apl" : FOR CLASSES XI I XII
~R!'''fl. oR! 2. MAIN SUBJECTS:«1\11'1' 'Rw.f.Any four or three of the Following:31~. ~. ~.
'ti til UFlil e-a. '[~I1l;;l[~. .11-1)~ijj History, Pol. Science, Economics,ftrlffi <1m 100% 'i~ill~ ,..-ffi Geography, Maths, Sociology,<5 ~ ~"'«1Iofl "l.ftrq; -.T<i>cl Home Science, Physical Education(034) & Hindustani music Vocal (034)
only for 100% Visually31R!~iffi fiI>I>I; (<1ijj~",) impaired.
\iq{t<td .r ~ -.,,'t;f 1/'1> 'IT'fI ADDITIONAL SUBJECT( OPTIONAL)(~fWq;l 'IT '!"'I ~ .r ~ : Students can O~t one Janl:;ual:;e1/'1> fiI>I>Iot ~ t I (Elective} or an:y one subject from the
main subjects}
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<II~I ~'l q>f ~ f<;r<: COMMERCE STREAM1 ~ ","/«1 "fTIWl-3i'.luft ('!>fi), LANGUAGES : Opt anyone or two
2 f.I""! >l "fl ~ 'IN / <fR ~ English (Core), Sanskrit (Core),HindilflfalV'lJ 3{UFlFt. ~ ciI~ISf)I'f. (Elec) Punjabi (Elective), Urdu (Elective)3l~, '!'ffir, ~, MAIN SUBJECTS:>Ilfllh, fulff! om 100% <;;~;Il'l Any four three of the Following:ortmf * ~ ~"1'k1l"1 "!.itr<o Business, Studies, Accountancy,~ (O34) Economics, Geog., Mathematics, Physical
Education & Hindustani music Vocal(034) only for 100% Visuallyimpaired.
3lRl~<it1~: (aif>~if» ADDITIONAL SUBJECT( OPTIONAL),m'l<it1>l "fl ~ "'" "IT'ff (~~) 'lIT : Students can O~t one laol:,uage'!"'I ~ >l "fl "'" ~ ~ ~ t I (Elective) or aOl: one subject from the
main subjects)~>ll'l q>f ~ ~~- SCIENCE STREAM
1 ~ ","/«1 'lr'IfIl' --<li'.luft ('!>fi), L LANGUAGES : Opt anyone or
ift\f4id ('!>fi), ~ (Elective) . two languages)
li'iifTifi(Elective), ",,-' (Elective) English (Core), Sanskrit (Core ),Hindi
~~~~~~~[li~[§t;t~~~"'~Direction for Foreign Students~ >¥ ~ 'IT"R ." I<a"," 'i$I,,";ffi. '"•••••f.><ld'P'iiIlR'if "' ~ "' !WI, (Outside India): Indian National
Working in Foreign Embassy:Those who are residing outside India
are required to submit N.O.C. issued byEmbassy '0 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.
I. Self attested Copy of Pass-port(One)Self attested Copy of NOC fromconcerned Embassy.The paid copy of Challan formof Patrachar Vidyalaya is to beenclosed along with theadmission form deposited in anybranch of SRI. 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 an annexed with thenrosnecrus.
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~ "'"., ,<I WIll 2 tR urR) iI><OTt I=, "i!"'fiIit 'IR'ITl' <fr "IT<fi t fip <l fumfi\>wr ..:t "iJ<I"1{"ifd ~ ••• , {" <liT "''' ct1 "'.,m ~ "'-IT ~ "':\ •• ,. 1I>Tlf T'i -.,f I
flRw >¥ ~ 'IT"R \I~ ." off .m <;;0," ,.. <i",.,'4Rt! 1f'IJUT tj"j! ~1:'f<I> f.ni_ -.ft.-,ft.\f<t.t. IfidFa", • .m -.ftm *'r'1T oPrr "d'-lT~ 'fI till fQ d l:fiTcl ~ q~ I'iI h! ~ til ("Ill.
."",1'11< "iIT'T.<f\.'[{'I.. ~-88 >¥ ~6Pf\ I 4",r'm Fa"" '" 'I >¥ ,..-.rn tq f.'r...-<;ttI'~'" ,..-.rnq;J1! "' <WI ~ M,
4""iI'. "' "'1T'I~'I ~ ","".f~til> -.;m f.!lhJ lIT I
4 il>1ffT ......-<ff >¥ ,..-.rn oM 'IT"Rlfitmoff vIT 'lPl'!l" tj"j! "' 3T1'-IT< tRq..m <>'tot .:t ~iI> g <l rn•••••f.<ld <;;0'''''' <i Fa"mil,,,,, >¥WOI"f 1lf'I~ •• "",flld 'IRT"t "'\i 4. '"" v!l«J -.,f I
PCP/Rernedial classes, Practical Schedule,issuance of admit cards & any otherinformations are conveyed to studentsthrough the icon of Patrachra Vidyalayaavailable at the official website ofDirectorate of Education i.e,www.edudel.nic.in Hence students areadvis.edto go through official website asper the calander of events available Inonline prospectus.
, "",' 'Ill: flrmm 'l '{'! lffrm -.fi.<ft'l'l.~. Note: In case student has studied otherqi 31R1~<rn ~ 31"' <l -.M -,t "",",,1 ql\ than CBSE Board he/she will submit thet ~ -.fi.<ft.'I'I.:l. ~ -,t ""'"Iff '1'1T"T equivalency certificate from CBSE Delhi.'l?I 1I'Wf '!><'IT lIT<rr I
f.'l~ I01'1 <fill! <I"-lT 31q <t> I~I:- School Schedule and Holida:ys<PI'f ~ lR "Ifffi <i<iEft "<i!"'ffilfit Admission form will be accepted
1fRI' 10:00 ..-u't -,t 31 q I{ I&:'1 2:00 ..-u't <f'P and related enquiries will be dealt with,strn t I <fil " ". "' PI",. <!"IT 3RT <I UIq ~ 0 between lOam to 2pm from Monday to31" "i[", qi ~ -q filEll '" " 'f'G 'Il'<lT t I Friday. Patrachar vidyalaya, will remain
closed on Saturdays, Sundays and GazettedHolidays.
"Ifffi <'" '" -;:torr:- Cancellation of Admission'Flm<>fi
""""Ifffi ",G <Ii'< ~ Admission of a student will be
"fTlPIT. 'Ill: cancelled without any further intimationunder the following conditions:-
. 1. "Ifffi 'l>T'i 3l'l'f lIT. I. If the admission form is incomplete.2. <!'r ~ <fuI <!>'I lIT. 2. If the fee paid in Short.3. 311'1>" '" G'Rfl'!"UI" ~ "'l1ft lIT I 3. If the supporting documents are not4. '1<fm<>fi qi 'lffi 31liHll(fJ 'Ilfu<p complete.
<it "ldI "'l1ft lIT I 4. If required educational qualification5. 'Ill: 11<l.,,<>fi ql\ ~"'fdT{ 3lT'j is not fulfilled .
fil" <flIl '" I .y <!'r ~ ..rn qi 31:\"ffi<" 5. If the minimum age criteria is not"'l1ft t. fulfilled as mentioned in prospectus.
6. 'Ill: ~/31~ ~'<RT <!'r ~ t. 6. If the incorrect or wrong information, 'Ill: t"lIU1 flI<fj lffrm ~7. Jtl~dl is given.lIT'<! -.M -,t ~ "'l1ft <t\ lIT I 7. . If the secondary examination is not
8. '1ffi 'l>T'i ~ -.jf lffE'f'I -,tpassed from a recognised board.
PlElI~o 'ff'f<I 'f'i ~ lR 'I 'l1(<rT 8. If admission form received after duelIT. date and time.
9. urJ"i'ft ",@<l UI Uf1lT ~ 'f</ lIT I 9. If the documents are fakelbogus.10.31:\."","111"01 ql\ ~ -q I 10.In case of gross indiscipline
-m:- 'T<i'lT f.rffif ~ lR "Ifffi 'l!""'" "UI'<I Note: Fee submitted shall be forfeited incase of cancellation of Admission on any
'l?I ~ umrr t ftrn lR q", I ill< 31:\lP'li<I> to the students mentioning P.V.No. after
(P.V. No.) 3T~ ..rnrr t I flrm,ff '"" -.jf the admission. Students are advised to~ mclll 3ITq a:rq-;n q~-iH"1 lf3J ~ m bring P.V. Card while visiting Patrachar"'lIT"!"clT'! I Vidyalaya.
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Date Gen. Student SC/ST/Handicap Foreign student facility Foreign studentped! Teacher with Diplomatic bag having no facilitywardl Ex- of DiplomaticServiceman bao
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 X to XII
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Details of subjects :-
CLASS STREAM LANGUAGE CODE SUBJECT CODE REMARKSXI & ARTS English Core 301 History 027 1 or 2 Language + 4 or 3Xli Sanskrit Core 322 Pol. Science 028 Subjects and one
Hindi Elee. 002 Geography 029 additional (elective)Punjabi Elee. 104 Economics 030 subject from the concernedUrdu Elee. 003 Sociology 039 stream
Maths 041Home Science 064Physical Education 048Hindustani Music 034(Vocal) only for100% VisuallyImpaired students
XI & Commerce English Core 301 Accountancy 055 I or 2 Language + 4 or 3Xli Sanskrit Core 322 B.Studies 054 Subjects and one
Hindi Elee. 002 Economics 030 additional (elective)Punjabi Elee. 104 Geography 029 subject from the concernedUrdu Elec. 003 Maths 041 stream
Physical Education 048Hindustani Music 034(Vocal) only for100% VisuallyImpaired students
XI & Science English Core 301 Physics 042 1 or 2 Language + 4 or 3xn Sanskrit Core 322 Chemistry 043 Subjects and one
Hindi Elec. 002 Biology 044 additional (elective)Punjabi Elec. 104 Maths 041 subject from the concernedUrdu Elec. 003 Physical Education 048 stream
Hindustani Music 034(Vocal) only for100% VisuallyImnaired students
Only for those students seeking admission on the basis of duplicate SLCrrC
1 S/o D/o Sh. RIo
do hereby
solemnly affirm and declare as under:
I. That the original SLC/TC was not used in seeking admission in any other class.
2. That the original certificate has been lost & FLRlDDR has been lodged in Police station (
Copy attached)
3. That if original SLCrrC is found, the same will not be used to seek admission in any
other class.
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
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Instructions for Filling up the Admission Form
For the Session 2017-2018
2017-2016 <il If'l'IT'I>T'f <!iT>WI -q F-t<"
General Instructions ~ ~~:-
I. Before filling up the admission form. please ensure your eligibility for admission as givenin the prospectus, otherwise the admission form 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 >WI -.l 'TOOl l<1"fillO" " <!t 'Il qffi <iTrmrr3IT <il -.rt " "" <'I m. "" ;!f'l~~", .,.-.l fil; 3I1'J "dO"'"" qffi &-'t o\TO it I 'Ill: an<h:<I> <ill<iTrmrr '!iff t q 3l1'R 'I>T'f q"J"" "" fhT'll <it an<h:<I> j;ffi 'ffi "'" 'I>T'f "'" "" ~ urnl'fT q an<h:<I> j;ffi ~"'" qffi "J"" """'" '!iff urr>l'fJ m. ~ 'I:'ffi '!iff <!t urnl>fll
2. Applicant must fill his/her admission form in his/her own handwriting in legible form.an<h:<I> 3I'RT "'*"" 'I>T'f ....,; 1ft >rt, r" <>,.e """ .r.ft ~ I
3. Two copies of admission form are annexed with the prospectus. First copy is MainAdmission form and second copy is meant for CBSE Exam fees (for LOC)1<1.<1',."" 'I>T'f <illG\ lfflI'li """" t I v",," lIflI ~ qffi 'I>T'f t "'"~ lIflI .t\.",.l[<f:~. 'liIm 'I>T'f (Loq -q t I
4. Information in the admission form should be filled in English only.qffi 'I>T'f " 'It4\ 'Il 'l:'ffi3IT <!iT""'" ri-.fl " tl 'It I
5. Paste self attested (Black & White) passport size photograph with computerized name &date (Date of Photography) on the admission form. Don't make any mark on thephotograph. Paste one unattested photo grapb & staple ODe (Black & white withcomputerized name and date) on the CBSE Exam fees form. Second copy of theform be submitted at the time of submission of CBSE exam fees.qffi 'I>T'f 'R .;t•• """ = ..tit 1tm'R ""'l.'" j;ffi 'IT'! "'" ,.'tit R<I~.,"<ilI'_<lifil><r-.IT ....,; ~""flI" """ f.j,,,,,,, "'" "" 'R ~ ~ •• -.r>mt I .t\.",.l[<f.t 'liIm "J""'I>T'f 'R '1'1' ..tit f.j '""" "'" '1'1' ""'" -.;t I
6. You should ensure that the particular filled in the admission form are correct. Don't leaveany column blank in the admission form.If'lm>ff ;jf'I~~", .,. -.l fil; qffi 'I>T'f " <!t 'Il "'11.,,~.i "'" t I qffi 'I>T'f "" ~ >fIqif"" -.m!\ •• uhi' ,
7. Write class in the space provided for which the candidate seek admission.an<h:<I> ~ '111 fffir •••••• " ••m rom-. ~ ,,-.t qffi *" t I
Other Instructions: '3f'<I for-hr1. P.V. No. /Enrollment number will be allotted by Patrachar Vidyalaya. Please leave it
blank.
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~ iliT 1fr.<ft."flGzrr/'114i<hOJ ~o ~ f<lElI('t~ Gm 'Jf'U~"lff il!lflff ~ 'f't.nr $ cf I2. Choose and write region where the candidate resides (North, East, South, West and
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.flImoff .,. ""'- ~ 3I'RT "'" aPtvft <t ~ ..rr >l fffi;l. ~ qvf "'" 3IWf ~ >lfWo1 "iifTII'II1 ;:tm f.1> oft";!.<t .""'1 >l fl:<rr '1'lT t I ftr<pf ""'. _ "'" ~ 'IT'! <t -<to>l "'" -.wIT """" m<fi uM 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.'ffiff "" ""'- ~ 3l'!'ft 'ffiff .., 'IT'! ai>:lvft <t ~ ..rr >l ttm I ;:tm f.1> oft";! .""'1>l fl:<rr '1'lT t I "'" .t m <II.,fi'l<f\", ttm I
Your mother's name should tally with your previous records. This will be recorded in theCertificate. No change will be permitted later on.~ 'IT<!T <t "'" .., ~ flnTR ftornf <t ~ .r.rr ~ I ..,.,y _ >l\ """' ..,.R.d" "!iff .r.rr ~ I
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 est ""'- ~ ;wr-\ fun .., 'IT'! aPtvft <t ~ ..rr >l ttm I ;:tm f.1>oft";! • .,0"1 ,yfl:<rr '1'lT t I "'" .t m <II. ~ "' ttm I
Your 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 19807. Gender: Write I for Male and 2 for Female and 3 for others in the box provided.
fui<r- ft</ 'T'I .."."... >l 'I"" <t fm1 1 m 'lfu;rr <t fm1 2 m 3RI <t fm1 3 ttm I8. Category: Write 0 I 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.<PI- ft</ 'T'I ..,"" ,y """'" <t fm11. "':l'!-~un1l! <t fm1 2. "':l'!-~","""ta <t fm13. 'i'f'liI -.If'l<l> <t fm1 4. F<l"'cll'l <t fm1 5. ~ <PI <t fm1 6. fir ••.•• <PI <t fm1 7 ttm I
9. Nationality: Write I for Indian and 2 for any other in the box provided.~,- ft</ 'T'I ..,..,. >l """'" <t fm11 m 3RI <t fm1 2 ttm I
10. Differently abJed: Write I for yes and 2 for No
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rct<tlt'ljlll;l] : tIT <6 ~ 1 Clm ';fift"-t ft;n) 2 ~ t11. Medium of Study: Write 1 for Hindi Medium and 2 for English Medium in the box
J 2. Mother Tongue: Write Ifor Hindi, 2 for Urdu, 3 for Punjabi and 4 for Others."',!~'.' ~ <t fOr<! 1. ¥ <t fOr<! 2. ~ <t fOr<! 3. ''''IT """ <t fOr<! 4 _,13. Religion: Write I. For Hindu 2. Muslim, 3. For Christian 4. for Sikh and 5. for Other..-.! - ~ <t fOr<! 1. ~ <t fOr<! 2. ~ <t fOr<! 3. _ <t fOr<! 4. "'" """ <t fOr<! 5-,14. Your Previous Qualification: Write VIU,IX, X, XI in the box provided.
~ 'iii ~- fur >f<I mol "" VlII. lX. X. Xl _ 115. Subject Choices: Write carefully correct code No. and the name of subjects given in the
prospectus in the space/ box provided. Changes of subject are not allowed aftersubmission of admission fonn.F<ftfzI'''Ef1f"'I~ ~ <t "'fTIf q m r..<l,(~Jifll 1l <ft ~ ~ ~ fllqE:lI.;'ill\<fifi 'if ~ ~ I'I>T'f WIT lit ",-R <t .-r< fmIl <fI fa'!<! -.IT iI""<fO!T'l1ff UIW'TT 1
16. Details of Fee: The admission fee is to be paid only through prescribed Challan fonnannexed with the prospectus in any nearby branch of S81 at Delhi and enclosed the copyofChallan form for Patrachar Vidyalaya, after the depositing the requisite fee.a) Branch of the bankb) Challan Number! Journal No.c) Date of' Challand) Amount paid (in Rs.)"F'" ~- 1f'hT "F'" f!f!r«qf1f1;'",,",ml"" fur >f<I ....-ro!R <t '""'" " 'fffiIto Rc of., -oft fmIl<fI l/TlID "" WIT <RR <t <mnq """"' ilia,'" "" ....-ro!R -oft 1!flI 1f'hT 'I>T'f <t -.n •• "d'T1li''''IT r...... ~ '" .•. 1a-. of., -oft l/TlIDOf- ~~/~'ll'~<f- ..".."., -oft flrti:!G- ':rf'IT"l' -oft ~ "<Jfu (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."" "10m "" 'I<!T- "1"'" fur >f<I """'" "" 30RT '!.uf 'I<!T ai-.Juft <t ~ uerf "" _ / 'I<!T3l1'l"-.l lrRT ~ "" m <t fOr<! <'" 1~.. <t "':IV" "" "OfRT ilTfurl fmIl <fI ...tr.i'I ~
Admission Form (Session 2017-18)~ f'Iww:r (PATRACHAR VIDYALAYA)
rom f.1~"'(>1",~ ~ ahrDIRECTORATE OF EDUCATION, GOVT, OF NCT OF DELHI
<1'\-"[01. ",*", ",&11"" 'iJI'T, ~-88 (BL-BLOCK, SHALIMAR BAGH, DELHI-88)q\'lfm 'lWlfitq; rom ilRl 'it w% ffi'lR (Affilia1ed with CBSE)
((ian / Class XIIXII .. StreamtI),<I'\, ~ (;;[r ~ f'Iww:r 'IJ1Ti[RI 'GITirn)P.Y. No. (To be given by the Patrachar Vidyalaya) ~lp~fVLJbLlI7ZJICCCr::IIIJ
_ f.'rim I (IMPORT ANT INSTRUCTIONS''I1'f1ITlfffi 1i1, ~ 0, 'il # ~ '11/ ~ q;) <g.\ q\ WII11m lfffi Ilirl ,p I
Please fill the Admission Form after reading the instructions given in the Prospectus.'I6'IR 'P-I 'fI 4 x 3 'it>Il. 3W!iR C!iI 'liIit ~ CI'lI ~ '11/ "lR 'fI iO«lIaR cR I 'I6'IR 'P-I q;) "I'i ,p 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.fiI'I'ii C!iI 'flT'I ~ cR I 1. fiI'I'ii # 'IfffiR finffi ~ ~ # "f@ f<lKrr 'GITirn IChoose subject carefully. Change of subject is not allowed at a later stage.
1. ~0t ~ ~ fuR;ITit it 3l1f.t ~ ~ CflTftrc;rr fc;r& 1/ Choose and write the District where the studentresides (North, East, South, West, Central) _2. fctw~cor -gyr "f1l1/ Name of the Candidate (In CAPITAL LETTERS)
3. lffi'fT cor -gyr "f1l1/ Mother's Name in CAPITAL LETTERS
4. -rmr CfiT-gyr "f1l1/ Father's Name in CAPITAL LEITERS
5. "\ifri{ fufu"/ Date of Birth
[IJ [IJ c::r::::r:::::o6, roMI Gender D 7. q<f I Category D8. '!lr:¢:Il1dl/ Nationality D9. ~/ MotherTongue D 10. trl/ Religion D11. ~ ~ ~/ Your Previous Qualification D12. fWro/ Subjects m ~/ CodeNo. ~ / Medium
Parental annuallncome Rs " p.a.18. ~ <t\ ~ tRten "" Imur Itrnq\ O!l<m '" lIt.T *" t I
Detail of Examination passed on the basis of which admission is bctna souahtI ill1M tRtenl ~ """"'I I <ffil I Board ~/ Result ~ /Rall IlI'I/v""
Exam Passed Name of'the No.School
~/Xnnwft/XI
XII
DECLARATION BY THE APPLICANT (TO BE FiLLED BY THE APPLICANT)~ <t\ '""" (~ <I; Gffi 'll\ ~)
4 '""" lImITI lImi\ t fiI; iI'I <I'll 1Wmrr >R1 ~ Wf!I oil ~. ftrn """""' <I; fR'I 4 '""" 'OR 'm 1m t I iI'I <I'll'!""I'i ~ ~ <Ilft ~ t I iI'I .••• '""" "" >RIt I ~ UIFffiTI0IR<l\ t fiI; ~ ,) ~ """ 'II WI ~ m <!Toi\~ ~ ill """'" ~ Gffi iI1l "",l"I~ f.m<I <t\ iij] wmft t I ~ ~"~I"I ~ ~ '111 <I'll f.lll'iI "" 'lIOR
'"'""/~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 l'seek admission. I have furnished all the necessaryinfonnationl document correctly. 1 have filled the form in my own writing. I understand that mycandidature is liable to be cancelled by the Patrachar VidyaJaya, if any infonnationl document isfound to be misleading or incorrect at any stage. I undertake to abide by the rules as laid down in theprospectus.
ft-:liqi IDate
'ffiIT-flmi/~ <I; ,1i\'ffiI<R
Counter Signature of the Parents! Guardian
'""'"'" f.1fu lIt.T 'l>T'I<I; mI f.1"1~ III d ~ """ 1iw-! '"' I
Please fill the Admission Form after reading the instructions given in the Prospectus.'Wi'IR tf'I 'R 4 x 3 ~. 3!1il>R "" 'liIit ~ <I'll ~ '1l/ <'lR 'R ~ <IRI 'Wi'IR tf'I q;) wi oRlPaste 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.m-m "" 'fll'l ~""I4)~4<" <IRI 1. m-m ~ lIftRR ~ 1jj N ~ 'fI'f I4>m ;;rnFn IChoose subject carefully. Change of subject is not allowed at a later stage.
1. ~ ~ 1ft:; furc;IT-q tl Jw.l ~ ~ "qj"f fuR;rr ~ II Choose and write the District where the studentresides (North, East, South, West, Central) _2. ~ (pf ~ ~I Name of the Candidate (In CAPITAL LEITERS)
3. Tffffi Cfif ¥ ';f111/ Mother's Name in CAPITAL LEITERS
4. firnT"" '!'1 'I1'l/ Father's Name in CAPITAL LETTERS
Paste unattestedIllatk & White
Photograph withComputerized
Name and Date
5. VI"! /DateofBirth
DO DO CI:I:IJ6. fWrl Gender D 7. <M/ Category
8. ~1t?hlt'11I Nationality D9 .~ I Mother Tongue D 10. tT41 Religion
1. . .
2 .
3 .
4 .
5 .
ffijOIJOIJITTIOIJ6. Additional Subject .
13. ~ ~/ Detail of Fee
1. Name of the Branch
2. Journal No.. _
3. Amount _
14 Personwith Disability (if any)
locomotor disability c=JN.A.
DyieD
Visualimpairment Hearing Impairment
spaD AutisticD
15. f.Iqm •• 1[{ff / Address of Residence (in CAPITAL LElTERS)
ATTENTION: Students arc 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 alongwith CBSE Exam fees Formin Patrachar Vidyalaya BL Block Shalimar Bagh Delhi-88 • otherwise student will not be eligible toappear in CBSE Exams