(To be left blank. To be filled by the Office of Principal, JNV)

JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST 2015-16
LATERAL ENTRY – CLASS IX
APPLICATION FORM
Passport
size
photogra
ph of the
individual
attested
Roll No.
(To be left blank. To be filled by the Office of Principal, JNV)
1.
Name of the Candidate
(in block letters)
2.
Father’s name
(in block letters)
3.
Mother’s Name
(in block letters)
4.
Name of the Guardian
(in case Father/Mother is not guardian)
5.
Relationship with Guardian
6.
Nationality of the Candidate
7.
Present Postal Address :
…………………………………………………………………………………….
…………………………………………………………………………………….
…………………………………………………………………………………….
Tel :_
STD Code
8.
Mobile No._
Tick ( √ ) the appropriate Box :
(a)
(c)
9.
/
Number
(a)
Sex
Boy
Girl
(b) Category Gen.
Marital Status :
Married
SC
ST
OBC
Unmarried
Date of Birth (in figures)
Date
Month
Year
Date of Birth (in words)………………………………………………………
(b)
10.
Identification Mark…………………………………………………………..
Name of the school where candidate was studying his/her class VIII during 2014-2015
:
……………………………………..…………………………………………………
(b)
Whether recognized
(Tick appropriate)
Yes/No
11.
Medium through which candidate is studying in Class VIII :
Hindi
English
12.
CERTIFICATE BY CANDIDATE/GUARDIAN
Certified that the information given above is true to the best of my knowledge and belief. In case any of the information given above
is found incorrect, I will abide by the decision of the Samiti.
Signature of Father / Guardian (With date)
13.
Signature of Candidate (With date)
Certified by the Head of the School where candidate has studied in Class -VIII
during 2014-15 :
This is certified that Master/Ms……………………………………………………
S/o, D/o Shri…..............................................................................................
….was studying in the School since
……………………………………………………
and
he/she has passed /appeared for his/her Class VIII examination from this school.
As per school record his/her date of birth is……………………… …...(in figures)
…………………………………………………………………………(in words)
He/She
belongs
to
SC/ST/Other
is……………………………….
category
and
his/her
caste
This is also certified that entries made by the applicant in the application form
are correct as per school record.
Date :…………………………….
Signature of the Head of School
(with Official Stamp)
JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST- 2015-16
LATERAL ENTRY – CLASS IX
ADMIT CARD
Day & Date of Examination
th
Sunday 7 June 2015
Roll No.
Time 10.00 Hrs.
(Candidates to report 30 Minutes before)
Venue :
Passport size
photograph of
the candidate
duly attested by
head of the
school where
Jawahar Navodaya Vidyalaya
………………………………………….
………………………………………….
(1)
(2)
(3)
Name of the candidate………………………………………………………
Father’s Name………………………………………………………………
Date of Birth………………………………………………………………..
………………………………………………………………………(Words)
……………………………………….(Figures)
(4)
Category : (Encircle appropriate)
(i) Boy / Girl
Signature of the candidate in the
presence of HM/Principal of the school
where the candidate is studying in
her/her class VIII during 2014-15.
(ii) Gen. / SC / ST / OBC
To be left blank for obtaining signature
of the candidate in the presence of
Center Supdt. /Invigilator on the day of
exam.
------------------------------------------------------------------------------------------------------------------------------ ACKNOWLEDGEMENT
Receipt No.
Received application form from Master/Ms.
D/o Sh.
Student of
S/o
School for admission
in Jawahar Navodaya Vidyalaya Selection Test Lateral Entry – IX, 2015-16.
PRINCIPAL
J.N.V.
Distt.
State
NAVODAYA VIDYALAYA SAMITI
(MINISTRY OF HRD, GOVT. OF INDIA)
REGION
ENTRANCE TEST FOR ADMISSION TO THE IX CLASS AGAINST VACANT
SEATS DURING 2015-16
As envisaged in National Policy of Education (NEP), 1986, Govt. of India has set up coeducational residential institutions named Jawahar Navodaya Vidyalayas in 34 States/UTs
excluding Tamil Nadu. At present, 598 such Vidyalayas have been sanctioned in the
country.
The main objective of these Vidyalayas is to provide quality modern education to the children
predominantly from rural areas. Though the admission into these Vidyalayas is at VI class, it
is intended to fill vacant seats with a lateral entry test at IX Class level.
Applications are invited for admission to Class IX of Jawahar Navodaya Vidyalayas of
the District, against the vacant seats, which are likely to be available during the
academic year 2015-16. The admission is through an All India Test to be conducted on
th
Sunday, 7 June 2015 at 10.00 hrs. in Jawahar Navodaya Vidyalaya of the district
concerned. The medium of test is English/Hindi.
Eligibility:
a)
Only those candidates who have studied in class VIII during the Academic
Session
2014-15 in one of the Govt./Govt. recognized schools of the district where the
Jawahar Navodaya Vidyalaya is functioning and where admission is sought.
b)
c)
after
d)
Candidate appearing for the selection test must pass Class VIII in the academic
session 2014-15 from a Govt./Govt. recognized school in the district where he/she
is seeking admission.
Candidates seeking admission must not have been born before 01.05.1999 and
30.04.2003. This will apply to candidates of all categories including those
belonging to SC/ST.
Navodaya Vidyalaya Samiti reserves the right to refer any candidate to a MEDICAL
BOARD for confirmation of the age of the candidate in case a doubt arises about the
age certificate produced by the candidate before the admission is given.
Nature of the Selection Test
Sl.No.
01.
02.
03.
04.
Subject
English
Hindi
Maths
Science
TOTAL
Marks
15
15
35
35
100 Marks
The test will be objective/descriptive type with 03 hours duration without any break.
Centre for the examination will be Jawahar Navodaya Vidyalaya of the concerned district.
How to Apply
The Prospectus-cum-Application form containing detailed instructions can be obtained free of
cost from the Office of Principal, Jawahar Navodaya Vidyalaya and office of District and Block
Education Officers of the District. Application forms can also be downloaded from our Office
website http://www.navodaya.nic.in. Neatly typed and Xeroxed copy of the applications
also can be used for applying.
Application forms filled in all respect are to be submitted to the office of Principal, Jawahar
th
Navodaya Vidyalaya of the concerned district by Friday the 15
May 2015 either
through Registered Post or in person.
`