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Admission Form in Class XI OAV TADAMA

This document is a common application form for admission into Class XI at Odisha Adarsha Vidyalaya for the academic session 2025-26. It requires personal information about the student and parents, including details like name, date of birth, gender, and social category, along with necessary attachments such as Aadhaar and caste certificates. Parents must certify the accuracy of the information and agree to abide by the rules of the institution.

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shanmukh sai
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4 views4 pages

Admission Form in Class XI OAV TADAMA

This document is a common application form for admission into Class XI at Odisha Adarsha Vidyalaya for the academic session 2025-26. It requires personal information about the student and parents, including details like name, date of birth, gender, and social category, along with necessary attachments such as Aadhaar and caste certificates. Parents must certify the accuracy of the information and agree to abide by the rules of the institution.

Uploaded by

shanmukh sai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE - C

ODISHA ADARSHA VIDYALAYA SANGATHAN


COMMON APPLICATION FORM FOR ADMISSION INTO CLASS XI

ACADEMIC SESSION - 2025-26

INDEX NO : (For Official use only)

Applied For:

OAV: , BLOCK: ___________________ , DISTRICT :

STREAM: (Science/ Commerce)

1. Name of the Student: ________________________________ Affix Recent


Passport size
Colour Photo
2. Name of the Mother:________________________________

3. Name of the Father:_________________________________

4. Date of Birth: Day Month Year

5. Date of Birth in word:__________________________________________

6. Age(As on 01/04/2025):

7. Gender:________Mother Tongue: Nationality: _

8. Religion: Social Category _(SC/ST/GEN/OBC/SEBC)

(Attach Self Attested Photocopy of Caste Certificate, if any)

9. Person with Disability: Yes/ No Category(HI/VI/OH):__________


(Attach Self Attested Photocopy of Disability Certificate, if any)

10. Aadhaar No:


Student: (Attach Self Attested Photocopy of Aadhaar Card)
Father: (Attach Self Attested Photocopy of Aadhaar Card)
Mother: (Attach Self Attested Photocopy of Aadhaar Card)

11.Permanent Address:
AT PO BLOCK

PS DIST PIN _
SUBJECT MARKS AND OTHER NECESSARY DETAILS

Scan the following QR code by Google Lens (In Phone Camera) or by scanner
app or Type the following link in Google search bar and fill up the required
data.

Or

https://forms.gle/EKLxN7CdBt53xNadA

N.B:
1. Submission of both offline and
Online form(Only Once) is mandatory.
DECLARATION OF THE PARENTS

1. We do hereby certify that the above information is correct to the best of our
knowledge and belief. If any information is found fake/forged, the admission
of our child may stand cancelled.

2. We do undertake that, our child and we shall abide by the rules and
regulations laid down by the Vidyalaya as well as Odisha Adarsha Vidyalaya
Sangathan(OAVS), Bhubaneswar from time to time.

3. We do understand that, the decision of the empowered committee of oavs


is final and binding on us regarding admission.

4. We certify that, we are the bonafide parents / Guardian of the child.

I Have Scanned and Filled up the Google form


in page number 3 only once. ______ (Yes/No)

Signature of the Student Signature of the Parents


Date:_______________ Date:_______________

Name and Signature of the Legal Guardian with date(If parents not alive)

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