Navodaya Vidyalaya Samiti

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1 Navodaya Vidyalaya Samiti NOTICE Select list of students for admission to Class XI through Lateral entry against vacant seats has been released. The parents/guardians of selected students may take the following steps for admission to Jawahar Navodaya Vidyalaya: 1. Formats for submission of details may be downloaded 2. Filled in formats are to be submitted to the Principal of JNV concerned as per schedule. 3. Certificates from the competent authority in respect of Rural, OBC, SC, ST and Disability as applicable are to be submitted to the JNV for verification of documents / eligibility to confirm admission to Class XI. After verification, JNVs will confirm the admission, if the candidate found eligible as per NVS norms. It is informed that admission will be given to the selected candidates only after due verification of the documents. Parents are advised not to take TC from the previous school until the admission is confirmed by the JNV. Admission to JNVs is done free of cost. No fee is to be paid to school authority for admission to Class- XI. The parents/students are required to approach directly the Principal of the JNV concerned. For any complaints in the process of admission, may be sent to acjnvst.nvs@gov.in

2 (To be filled in by the Parent/Guardian of the Candidate with the help of the Headmaster/Headmistress of the School from where the candidate passed Class X Examination) 1. Name of the Candidate: Aadhar Number: 2. Sex Male Female TG PHOTO of student 3. (a) Category Gen OBC SC ST (b) Caste 4. Date of Birth : Date Month Year Date of Birth in Words : 5. Father s Name : 6. Mother s Name : 7. Name of the Guardian and relationship with him/her, if applicable : 8. School(s) from where the candidate passed X. Particulars Class X (A) (i) Month & Year of Joining (ii) Month & Year of Passing (B) (i) Name of the School (ii) Is It a recognized school? (YES/NO) (C) Name of the Village or Town in which school is located. (D) Name of the Block (E) Name of the District (F) Location of the School Indicate RURAL/URBAN (Separate certificate is to be obtained if the candidate had studied class X in different schools)

3 9. Marks scored by the candidate in class X board examination( )- ( Self attested copy of the mark sheet is to be attached) Sl.No Subject Marks scored Maximum Marks 1 English 2 Mathematics 3 Science 4 Social Science 5 Language (mention the name of the language) Total Note: Grades, if any are to be multiplied by 9.5 to get marks out of 100 CERTIFICATE (BY PARENT/GUARDIAN OF THE CONCERNED CANDIDATE) Certified that the information given above is true to the best of my knowledge and belief. In case, any part of the information furnished by me is found incorrect, the admission of my child/ward may be cancelled. I am ready to produce the relevant certificates issued by Competent Authorities as and when asked for. Signature of PARENT/GUARDIAN Entries verified, certified and found correct. Signature of the HEADMASTER/HEADMISTRESS Name : Desgn.: School Seal : (NOTE FOR THE HEAD OF THE SCHOOL: - Following Certificate is required to be issued in respect of candidate selected for admission in JNV in the respective district).

4 CERTIFICATE BY THE HEAD OF THE SCHOOL Certified that the information given above is found correct as per our school records. It is also certified that Master/Kumari was admitted in this School in Class on (date) and passed Class X on (date). Signature of the Head of Institution last studied with School Seal Date : UNDERTAKING BY THE PARENT/ GUARDIAN Certified that the information given in the application form for admission into Class XI in Jawahar Navodaya Vidyalaya, District: for the academic year for my ward is true to the best of my knowledge and belief. In case any part of the information furnished by me is found incorrect, admission of my ward may be cancelled at any time. I am ready to produce relevant certificates issued by the competent authority to your office when asked in support of entries in my original application. Address of parent/guardian: Name: H.No: Street Village Mandal/Block Pin Code: STD Code: Phone No Mobile No: Signature of the parent/guardian

5 UNDERTAKING I, (Father/ Mother/ Guardian) of Kumari/Master who got selected for admission into Class VI in Jawahar Navodaya Vidyalaya,.District hereby give an undertaking that I am ready to pay Navodaya Vikas Nidhi in Classes-XI and XII every month as per norms Navodaya Vidyalaya Samiti. Signature of the parent/guardian Note: This is not applicable to SC/ST categories and all girl students and the students whose parents Income is below poverty line.

6 JAWAHAR NAVODAYA VIDYALAYA: DISTRICT: 01. Name of the candidate MEDICAL FITNESS CERTIFICATE : 02. Father s name : 03. Address: 04. Date of birth 05. Height 06. Weight 07. Abdomen 08. Chest 09. Vision LEFT RIGHT 10 Ears 11. Throat 12. Locomotor system 13. State of vaccination 14. Skin 15 Blood Group 16 Dental Hygiene 17. Remarks of Medical Officer : Recommended/not recommended for admission/recommended to C.M.O for Verification if any. PHOTO OF THE STUDENT CIVIL SURGEON

7 DISABILITY CERTIFICATE If the candidate is Divyang ( differently abled), he/she shall submit the certificate issued by the competent authority. COMMUNITY CERTIFICATE Community certificate in the prescribed format from the competent authority is to be submitted by the candidate, wherever necessary. RESIDENCE CERTIFICATE (To be furnished by the parents of the qualified children at the time of admission to JNVs) As per Jawahar Navodaya Vidyalaya, District, State letter No: dated: my ward Master/Kumari has been selected for admission to Class XI at JNV, District, State during the session I am residing along with my ward mentioned above at the following address: District Village: Town: District: State: Pin Code: Signature of the parent Full name: Address:

8 C E R T I F I C A T E (TO BE FILLED UP BY THE DISTRICT AUTHORITIES AND ISSUED UNDER THE SIGNATURE OF TEHSILDAR TO THE PARENTS OF THE CHILD SELECTED FOR ADMISSION TO CLASS XI IN JNVS THROUGH LATERAL ENTRY) This is to certify that the above information furnished by Shri/Smt Father/Mother of Master/Kumari a candidate for admission to class XI in JNV, District has been verified from the records and is found to be correct. Signature of Tehsildar (With Seal)

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