APPLICATION FORM - 2011

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sa

"All fields are mandatory"

Stream SA
1 2 Name of Candidate (as in 10th Marks Card) Date of Birth (dd/mm/yyyy) : :
NIMISHA K S

22

02

1996

/ 3 Category : General 4 Nationality : Indian 5 Gender : Male 6 Postal Address Line 1 (eg. Door No, Building) Postal Address Line 2 (eg. Street, Area) Postal Address Line 3 (eg. Area) 7 8 9 City State Pin code : : : : : Female Other SC ST OBC

BUILDING NO.34,FLAT NO.302,H

MAHUL ROAD,VASINAKA

CHEMBUR

MUMBAI

Maharashtra

400074

10 Telephone No (with STD Code) 11 Email 12 Confirm Email

: : :

n22feb1996@yahoo.co.in

n22feb1996@yahoo.co.in

Note: If the candidates have obtained a letter grade in the qualified examination, they are requested to convert it into an appropriate % and enter below. Exam Board 13 X Std (% marks)
CBSE

Science
50

Maths
50

Physics Chemistry Biology Others Aggregate N/A N/A N/A N/A N/A

14 In the academic year 2011-2012 I have joined:

XI Standard in Science Subjects

15 Centre for writing Aptitude Test (for SA, SB and SX only)

Mumbai

16 Select the language in which would like to take your Aptitude Test

: English Hindi

17 How did you come to know about the KVPY programme?

Your Teacher

18 Name of College/Institution 19 Address of College/Institution Address Line 1 Address Line 2 City and Pin Code State 20 Upload your photo (.jpg and .gif formats only. Size between 1kb minimum and 150kB maximum)

KENDRIYA VIDYALAYA,E

: : : : :

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APPLICATION FORM - 2011 Step 1 Select Stream

Step 2 Enter Form Step 3 Preview & Submit Step 4 Print

Please go through the eligibility criteria and then select your stream below.

Stream SA: Students enrolled in the XI Standard (Science Subjects) during the academic year 2011-2012 and have secured a minimum of 80% (70% for SC/ST) marks in aggregate in MATHEMATICS and SCIENCE subjects in the X Standard Board Examination. [Students promoted through both the Summative Assessments-II conducted by the school and conduced by the Board are eligible to apply, if they satisfy eligibility criteria]. (If the candidates have obtained a letter grade in the qualified examination, they are requested to convert it into an appropriate % and fill-up the application form)

Stream SX: Students enrolled in Class 12 (+2) of the academic year 2011 - 2012 and aspiring to join undergraduate program in Basic Sciences (B.Sc/B.S./Int. M.Sc) for the session 2012 - 2013 provided they secured a minimum of 80% (70% for SC/ST) marks in aggregate in MATHEMATICS and SCIENCE subjects in the X Standard Board Examination. Stream SB: Students enrolled in 1st year B. Sc./B.S./Int. M.Sc. during the academic year 20112012 and have secured a minimum of 60% (50% for SC/ST) marks in aggregate in SCIENCE subjects in the XII Standard Board Examination. Stream SP-Basic Sciences: Students enrolled in XI/XII standard, I/II year (B.Sc../B.S./Int. M.Sc.) in Basic Sciences and I/II year B.E./B.Tech./B.Arch. during the academic year 20112012 and have secured a minimum of 60% (50% for SC/ST) marks in aggregate in the X & XII Standard Board Examinations. Additionally students enrolled in the II year B.Sc./B.S./Int. M.Sc/B.E./B.Tech./B.Arch. program must have secured a minimum of 60% (50% for SC/ST) marks in the I year examination. A hard copy of an original and creative Science based research project done by the applicant is required to be submitted along with the application. Download required pdf file (which is to be filled and sent along with your application form).

Stream SP-Medicine: Stream SP (Medicine): Students enrolled in I/II professional year of the MBBS/BDS/BVSc/B.Pharma program during the academic year 20112012 and have secured 80% (70% for SC/ST) marks in aggregate in SCIENCE subjects in the XII Standard Board Examination. Students enrolled in the II professional year of the MBBS/BDS/BVSc/B.Pharma program must have secured 60% (50% for SC/ST) marks in the I year examination. A hard copy of an original and creative Bio-Medical project must be submitted along with the application. Download required pdf file (which is to be filled and sent along with your application form).
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- Stream SA

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