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KENDRIYA VIDYALAYA NO 2 KANCHRAPARA

PROVISIONAL LIST OF SELECTED CANDIDATES ( LIST - 3 ) UNDER CATEGORY-I FOR ADMISSION IN CLASS - I 2020-21 DATED : 26-08-2020

S. NO.

APPLICATION

SUBMISSION CODE NAME No of Transfers

LOTTERY NUMBER /

WAIT LIST NUMBER REMARK

106 200051459021817428 PARINIDHI SHARMA NA 81/ WL35

93 200050944842279655 SHIVAM YADAV NA 82/ WL36

PROVISIONAL LIST OF WAITING LIST CANDIDATES ( LIST - 3 ) UNDER CATEGORY-I FOR ADMISSION IN CLASS - I 2020-21 DATED : 26-08-2020

S. NO.

APPLICATION

SUBMISSION CODE NAME No of Transfers

LOTTERY NUMBER /

WAIT LIST NUMBER REMARK

176 200056788542802548 RAJOSHREE DAS NA 83/ WL37

Wrong Category. Does not belongs to Cat-1 hence admission cannot be granted 181 200057264843056518 AKASH ANAND NA 84/ WL38 116 200052006181834206 AAROHI BANSFORE NA 85/ WL39 61 200049474341733148 RASHI KARMAKAR NA 86/ WL40 70 200049700601735296 SAYNNIKA BISWAS NA 87/ WL41

Adm I/c Principal

Important Instruction :

1 Parents of Candidates are requested to Submit all the self attested Xerox Copies of Certificates / Documents into the Dropbox near School's Main Gate , between 10.00 am to 11.30 p.m on 28-08-2020.

2 WAITING LIST CANDIDATES SHOULD ALSO SUBMIT DOCUMENTS IN DROP-BOX BUT THEIR ADMISSION WILL BE CONFIRMED IN CASE PARENTS FROM SELECTED LIST DOES NOT TURNS UP FOR ADMISSION OR DENIES THE ADMISSION.

3 Parents then have to visit school on 29-08-2020 from 11.00 am to 12.30 p.m with all necessary Original Documents for Final Verification and Challan 4 Fee Challan Amount if Any has to be paid by Parent Online / through Any Union Bank of India Counter immediately

5 The Candidature of Above Selected Candidates is subjected to Verification of Documents and existing vacancy and may be cancelled by Principal if any discrepancy is found. 6 The Candidates who have been marked Rejected should not submit document to the Dropbox. Their application stands Cancelled.

7 Self Attested Copy of Documents to be submitted : 1. Birth Certificate , 2. Address Proof , 3. Service Certificate Signed and Stamped by DDO , 4. Caste Certificate of Child / Either of Parents (with an application that he/she will submit caste certificate of child within 90 days) , 5. Blood Group , 6. Recent Salary Slip , 7. Duly Filled Copy and Signed Copy of Admission Form , 8. Self Declaration in Annexure - I

(2)

dsUnzh; fo|ky; dzekad 2] dkapjkikM+k

KENDRIYA VIDYALAYA NO.2, KANCHRAPARA

izos'k izkFkZuk i=APPLICATION FOR ADMISSION

For Office Use Only

Class & Sec: Category: SC/ST/OBC: Remarks:

ftl d{kk esa izos’k pkfg,%

Class applied for:

izos'k la[;k%

Admission No:

1. fo|kFkhZ dk iwjk uke%

Name of Student: 2. tUe fnukad% Date of Birth: fnu Day eghuk Month Ok”kZ Year 3. vk;q ¼bl o”kZ 31 ekpZ rd½%

Age [as on 31st March this year]: Year Ok”kZ Month eghuk Day fnu

4. jk"Vªh;rk%

Nationality:

5. Details of Parents¼ekrk&firk dk C;kSjk½% Motherekrk Fatherfirk

i) uke%

Name: ii) O;olk;%

Occupation:

iii) dk;kZy; dk Ukke] irk rFkk nwjHkk”k%

Name, Address & Telephone of Office: iv) vkoklh; irk rFkk eksckby%

Residential Address & Mobile: v) ewy osru ¼bl o”kZ 1 vizSy dks½

Basic Pay [as on 1st April this year]:

6. LFkkuh; vfHkHkkod dk uke o irk ¼;fn gks½%

Name & Address of Local Guardian [if any]: 7. vafre fo|ky; tgkWa i<+k gks%

School Last Attended:

fo|ky; dk uke rFkk irk%

School Name & Address:

D;k fo|ky; ekU;rk izkIr Fkk \

Whether it was recognized…? 8. foxr ijh{kk ifj.kke rFkk vad @ xzsM%

Result of Last Examination& Marks / Grade: 9. fo"k; dk pquko%

Subjects Opted:

10. LFkkukUrj.k izek.k i= dk fooj.k%

Details of TC [if attached]:

TC No. LFkkukUrj.k izek.k i= la[;k Date of Issue fuxZr dk fnukad

11. ekr` Hkk”kk%

Mother Tongue:

12. x`g uxj rFkk ftyk%

Home Town & District: 13. D;k fo|kFkhZ vuqlwfpr tkfr @ tutkfr ls gSa \

Whether the student belongs to Schedule Caste / Tribe…?

?kks”k.kk% eSa ,rn }kjk ?kks”k.kk djrk @ djrh gwWa dh esjs }kjk mij nh xbZ lwpuk esjh tkudkjh esa lR; gSaA eSa fo|ky; fu;eksa ls izfrc) jgqWaxk @ jgqWaxhA Declaration: I hereby declared that the above information furnished by me are correct to the best of my knowledge. I shall

abide by the rules of the Vidyalaya.

(3)

1. izekf.kr fd;k tkrk gS fd eSaus izos’k vkosnu i= rFkk lac) dkxtkrksa dh tk¡p dj yh gSA

Certified that I have checked the admission application form and the relevant papers and found it in order.

frfFk% izos’k izHkkjh

Date: Admission Incharge

2. lac) dkxtkrksa ds fujh{k.kksijkUr d`I;k d{kk ……… oxZ ……… esa izos’k nsaA

Please admit to Class ……… Section ……… after checking the relevant papers and realize the dues.

frfFk% izkpk;Z

Date: Principal

3. nkf[kyk fn;k x;k d{kk ……… oxZ ……… Admitted to Class ……… Section ………

Details of Amount Collected

Fee Receipt No: Date: 1. Admission Fee: 2. Tuition Fee: 3. VVN: 4. Computer Fee: 5. 6. Total Amount:

Name & necessary details have been entered in the Class Attendance Register.

frfFk% d{kk v/;kid

Date: Class Teacher

4. izekf.kr fd;k tkrk gS fd leLr izfo”V;k¡ Nk= iaftdk esa ntZ dh xbZ rFkk ‘kqYd dk Hkqxrku bl dk;kZy; @ d{kk v/;kid ds }kjk izkIr fd;k x;kA Certified that all the entries have been made in the Scholar’s Register and the dues have been realized by office / class teacher.

fo|kFkhZ dk Nk= iaftdk la[;k%

Scholar Number of Student:

[k.M%

Vol:

frfFk% dk;kZy; izHkkjh

Date: Office Incharge

5. Qkbyca) djs

FILE

frfFk% izkpk;Z

Date: Principal

******

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ANNEXURE – I

Self-Declaration Format

I ________________________________, Father/Mother of Master/Miss ____________________________ age_______ years, resident of _________________________________ (complete address), do hereby declare that the information given in admission form of the admission in Kendriya Vidyalaya, ______________ and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I am well aware of the fact that if the information given by me is proved false / not true at any point of time, admission will be cancelled and I will be liable to legal actions as per guidelines of KVS and any benefit accrued by me or my ward shall be summarily cancelled.

Date:

Place:

(5)

Self Declaration for distance between school and residence

I ... father/mother of ...

bearing Application Submission Code ...declare

that the radial distance between school and our residence

is ...km.

(6)

सेवा माणप / Service Certificate

(

के य सरकार / Central Govt.)

मा णत है क ी / ीमती ... कायालय / मं ालय म नय मत कमचार के प म कायरत ह। वे र ा सेवा / क य रज़व पु लस बल / सीमा सुर ा बल / एन.एस.जी. / एस.पी.जी / सी.आई.एस.एफ. / क य सरकार वा य सं था अथवा सावज नक े के उप म, जो पूण या आं शक प से क सरकार से व -पो षत ह , के नय मत कमचार ह तथा उनक सेवा अ थानांतरणीय है / पूण भारत म कह ं भी थानांतरणीय है।

Certified that Shri/Smt. ………. is working as regular employee in the Office / Ministry of ……….. . He/She is an employee of Defence Service / CRPF / BSF / NSG / SPG / CISF / Central Govt. / Autonomous Body / Public Sector Undertaking fully financed / partially finance by the Central Govt. and his / her services are non-transferable / transferable anywhere in India.

कायालय अ य के ह ता र (नाम, पद और कायालय क मोहर स हत ) Signature of head of the Office ( With Name, Designation and Office Stamp)

थान/Place……….. दनांक/Date………..

कायालय का पूण पता औरदूरभाष सं या/ Complete address and Telephone No. of office ……….

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Service Certificate

(

रा य सरकार / State Govt.)

मा णत है क ी / ीमती ... कायालय / मं ालय म नय मत कमचार के प म कायरत ह तथा उनक सेवा अ थानांतरणीय है / पूण रा य म कह ं भी

थानांतरणीय है।

Certified that Shri/Smt. ………. is working in the Office / Ministry of ……….. and his / her services are non-transferable / transferable anywhere in State.

कायालय अ य के ह ता र (नाम, पद और कायालय क मोहर स हत ) Signature of head of the Office ( With Name, Designation and Office Stamp)

थान/Place……….. दनांक/Date………..

कायालय का पूण पता औरदूरभाष सं या/ Complete address and Telephone No. of office ……….

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SINGLE GIRL CHILD

Rs. 100/- Stamp paper ( Notary) Affidavit

I……….aged………..years, Indian

Inhabitant occupation ………..……….Resident of

..………..… is mother/father of

……….……….. Date of Birth……….... Submitting

my undertaking to the Head of the Institution in Class I Vide KVS Admission Guidelines

1) I hereby declare that Miss………...…. is the only girl

child in my family ( with no male/female sibling). I understand that it shall be my

sole responsibility to inform you about any change in status of single girl child in

the family immediately, if and when it occurs.

2) I am also aware that in case it is detected at any time that the affidavit sworn by

me is false, appropriate action will be taken by the school authorities and KVS

against me.

Signature of father

Signature of mother

Residential address with

Contact number:

Solemnly affirmed at ………..

This………..day of………..20……….

BEFORE ME

Explained and Identified by me,

Advocate

2020)

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