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PLACID VIDYA VIHAR
SENIOR SECONDARY SCHOOL
(CBSE AFF.No.930183, AN ISO 9001:2008 CERTIFIED INSTITUTION)
Chethipuzha, Kurisummoodu P.O., Changanasserry, Kottayam, Kerala - 686 104
Tel : 0481-2721980, 2722037 , Fax : 0481-2722124
Email : [email protected], URL : www.kristujyoti.org
REGISTRATION FORM 2015-16
Appl. No.
(To be filled by the applicant)
STUDIED IN CLASS X
SSLC / ICSE / CBSE /OTHER
PVV/ADM/01
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GROUP CHOSEN
1st Choice
:
2nd Choice
:
3rd Choice
:
1. Name of the Candidate :…………………………………………………………………………..…………..
(in Block Letters)
2. Date of Birth
:
………….…..………..………..
3.
Sex
: ……..………..………..……
4. Caste
:
………….…..………..………..
5.
Religion : ……..………..………..………
6. SC/ST/OBC/OEC
:
………….…..………..…………………………………………………………...
7. Mother Tongue
:
………….…..………..………..
8. Nationality : ……..………..………..………
9. Name of the Institution last attended : ……………….……..…………………………………………………………
10. Name of the qualifying exam with Roll. No. & Year :………. ………..…………………………………..…………
11. Annual Income of the Family : …….…..………..……………………………………………………………….
12. Aadhar Number :…………………………………………………………………………………………………
13 Address with Pin Code
Permanent
Present
14. Telephone Number with STD Code (Parent / Local Guardian)
Residential
Mobile
Contact Person
15. Father’s Name
:
………….…..………..………..
16. Mother’s Name
: ………….…..………..………..
Father’s Office Address (if any)
Phone :
E-mail
Occupation : ………………………………..
Occupation : ………………………………..
Mother’s Office Address (if any)
Phone :
17. Name of Local Guardian and Address with Pin Code
Phone :
Mobile :
18. Whether the student needs boarding : YES / NO
19. Whether the student needs entrance coaching : YES/NO , if yes : Medical / ENGG.
20. Marks [ Enter if result announced ]
SUBJECT
CBSE
ICSE
SSLC
% OF MARKS
ENGLISH
PHY
BASIC SCIENCE
CHE
BIO
MATHEMATICS
SOCIAL SCEINCE
GROUPS
STREAM I – PCMB : English, Physics, Chemistry, Mathematics , Biology
STREAM II – PCMC : English, Physics, Chemistry, Mathematics, Computer
STREAM III – COM 1 : English, Business Studies, Accountancy, Economics, Informatics Practices
STREAM IV
- COM 2: English, Business Studies, Accountancy, Economics, Mathematics
I undertake to state that the information furnished above is true to the best of my knowledge.
Date : ……………………
Place : ……………………
Signature of the Applicant
Signature of the Parent / Guardian
Documents to be submitted Along with the application.
a). Students from CBSE Syllabus - Copy of the SA1 Report Book .
Students from Other Syllabus - Copy of the 2nd Term Report Card .
b). Copy of the birth certificate.
c). Copy of the Aadhar Card .
Incorrect and Incomplete Applications will be rejected.
FOR OFFICE USE ONLY
Date of Admission
:
…………………………………………………………………………..
The child was accompanied by
:
Father /Mother/Guardian/………………………………..…………….
Remarks
:
…….…….…….…….…….…….…….…….…….…….…….…….……
Group admitted
:
…….…….…….…….…….…….…….…….…….…….…….…….……
Admn. No.
Signature of the Principal
Signature of the Superintendent
REV: 01
KRISTU JYOTI GROUP OF CMI EDUCATIONAL INSTITUTIONS
KRISTU JYOTI HIGHER SECONDARY SCHOOL[STATE] ,PLACID VIDYA VIHAR SR.SEC.SCHOOL[CBSE],
KRISTU JYOTI VIDYA NIKETAN [ICSE], KRISTU JYOTI KINDERGARTEN,KRISTU JYOTI COLLEGE
Chethipuzha, Krisummoodu P.O, Changanassery, Kerala – 686104. Tel : 0481 – 2722037, 2721937
Fax : 0481-2722124 , E-mail :[email protected], www.kristujyoti.com
CALL LETTER
Application No :
To,
________________________________________
________________________________________
________________________________________
You are advised to appear for an APTITUDE TEST as per the schedule given below.
Date
:
01.04.2015
Reporting time
:
9.30 am
Exam Time
:
10 am – 12 pm
Venue
:
PLACID VIDYA VIHAR SR.SEC.SCHOOL, CHETHIPUZHA
This call letter must be submitted to the office along with the application form.
The candidate must bring ballpoint pen & the CALL LETTER
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GENERAL INSTRUCTIONS
1. Candidates are allowed to submit only one application form. Multiple applications of a
candidate are liable to be rejected.
2. The name in the application form must be the same as registered in Class X
3. The fee must be submitted through Demand Draft in favour of Dr.Placid Educational
Trust payable at Chethipuzha for Rs.400/-. Applicant's name & contact Number to be
written at the back side of the Demand Draft. Avoid stapling of Demand Draft to the
application form, instead use clips.
CBSE Syllabus
Registration for Class XI
Last date for the submission of filled in
application forms
Aptitude test
Aptitude test result
Registration Fee
Admission to Class XI
2nd Dec. 2014
27th March 2015
1st Apr.2015
10th Apr., 2015
Rs.400/13,14,15 April, 2015
4. The following documents must be submitted along with the Confirmation Page
a. Copy of the SA-1 report book of Class X ( CBSE) or Copy of the 2nd Term
examination mark list of class X ( Other Syllabus )
b. Copy of the Birth Certificate
c. Self addressed stamped cover
d. Demand Draft
5. The Confirmation Page and other documents must reach the office by registered/speed
post to the Principal Placid Vidya Vihar Sr.Sec. School, Kurisummoodu
P.O,Chethipuzha, Changanasserry ,Kerala -686104 on or before 1st April 2015.
COURSES OFFERED
STREAM I PCMB ENGLISH + PHYSICS+ CHEMISTRY+MATHEMATICS +BIOLOGY
STREAM II PCMC ENGLISH + PHYSICS + CHEMISTRY + MATHEMATICS + COMPUTER SCIENCE
STREAM III COM 1
ENGLISH+ACCOUNTACNY+BUSINESS STUDIES+ECONOMICS+INFORMATIC
PRACTICES
STREAM IV COM 2 ENGLISH+BUSINESS STUDIES+ACCOUNTANCY+ ECONOMICS+
MATHEMATICS
CRITERIA FOR ADMISSION
6.
SCIENCE STREAM - Minimum 85 % marks / A grade in the qualifying examination and Satisfactory
performance in the Aptitude Test and Personal Interview
COMMERCE STREAM - Minimum 75% marks/ B1 grade
performance in the Aptitude Test and Personal Interview
in the qualifying examination and Satisfactory
APTITUDE TEST
1. The science stream candidates will be selected on the basic of Board examination marks
of Science , Mathematics and marks obtained in the objective type aptitude test conducted
by the school based on the syllabus they have learned in Std X.
2. The subjects for the tests are Physics, Chemistry, Mathematics & Biology for Stream I
(PCMB) and Physics , Chemistry, Mathematics & Mental Ability for Stream II
( PCMC).
3. A Candidate has to answer a total of 90 objective type questions. Each correct answer
carries 4 marks , 1 mark will be deducted for each wrong answer . Distribution of questions
for science stream is Mathematics -25 , Physics – 25, Chemistry -25 and Biology / Mental
ability 15.
4. The candidates to the Commerce Stream will be selected on the basic of Board
examination marks and marks obtained in the aptitude test based on the lessons they
have learned in Std X. The subjects for the tests are Mathematics, Social Studies,
English and General awareness in Commerce
5. Students opting Commerce with maths will have to score a minimum of 60% marks in
Mathematics of the Aptitude Test.
6. The examination will be held from 2pm to 4 pm at Placid Vidya Vihar Sr.Sec.School,
Chethipuzha. Students are requested to report at the venue 30 minutes before the
commencement of the examination. Students late by more than 15 minutes after the
commencement of the examination will not be permitted to enter the examination hall. Call
letters must be produced at the time of the test.
7. The decision of Entrance Committee will be final and binding.
APTITUDE TEST RESULT
Result of the Aptitude test will be published on 10th April 2015. Selected Candidates must
submit the internet copy of the mark list of the board exam to the school office , on the same
day of the publication of result
Short listed candidates will have to appear for an interview before the Principal on a specified
day. At the time of interview the candidate must be accompanied by his/her parents with the
documents listed below.
a) Attested copy of the mark list of the qualifying examination. b) Transfer Certificate in
original .
b) Conduct certificate obtained from the institution last attended.
UNIFORM [CBSE]
Boys : Check Shirt with black stripes, black trousers, black school belt , black shoe and
black socks
Girls :
White shirt , Over coat with black stripes, black midi, tights, black half
shoe and black socks. Hair plaited on two sides with black bands.
Boys & Girls – Special Uniform for Wednesday ( One Pair )
BOYS’ AND GIRLS’ HOSTEL
The school accommodates boys in Vidya Jyoti Boarding House situated in the school
premises. The CMI Fathers will be in charge of the boys’ hostel.
The school accommodates only Sr.Sec.Section girls in the hostel managed by the Kristu
Jyoti Group . Students are not permitted to stay anywhere else other than the official hostels
authorized by the school.