PANDA INTERNATIONAL SCHOOL
NEAR KAPILA ENCLAVE, CHIRA CHAS, BOKARO (JH)
Information for Registration in XI (2025 – 2026)
Admission No. -___________ Date of Admission ___________________ Section - _______
Roll - _______________
Name of the Candidate
Mother’s Name
Father’s Name
Address
Date of Birth (DD/MM/YYYY) _________________________________
Gender Male Female
Caste Gen S.C S.T. OBC
Religion - _____________________________________
Handicapped N.A Blind Deaf Dyslexic
Subject 1 (Compulsory Language) _________________________________
Subject 2 _________________________________
Subject 3 _________________________________
Subject 4 _________________________________
Subject 5 _________________________________
Subject 6 (Additional) _________________________________
Annual Income of Mother & Father (Numeric) _________________________________
Details of Sec./Equivalent Exam Passed:- Roll No.______________ Year ________
Exam:-_____________ __Board _________
Contact No. - _________________________________
Email – id ________________________________
Aadhar No. ________________________________
Only Child of the Parents Yes No
Candidate’s Signature Parent’s Signature Class Teacher’s Signature
___________________ __________________ _____________________
Form Checked and Attested by ___________________________________________
