IF. CBSE/ROIDDN/PA-EXAMI2OI8
Yours faithfully,
(Ran ber.Sffig h)
Regional Officer
Dt. 23/07/2018
**
IMPORTANT
**
The Principals
I
Head of Institutions
All the CBSE Affiliated Schools
Under CBSE, RO
—
Dehradun
SUB: Forwarding of various School Records format for maintaining uniformity in SRs — Reg.
Sir / Madam,
This is further to the communications
I
guidelines issued by this office requesting thereby, the
CBSE affiliated schools of this region for maintaining of School Records in conformity with the format of
SRs (school records) as appended in the CBSE Bye-Laws. However, it has been observed that the
schools have been using different format of School Records viz. — Admission Form, Admission
Withdrawal Register (AWR) and Transfer Certificate. It is an admitted fact that the School Records
happens to be a crucial document which is directly concerned with the future of the students and any
incomplete or incorrect documentation in the School Records may cause adverse affect to the interest of
the student. Similarly, non-uniformity in School Records may lead to skip in fields
I
categorical information
of mandatory nature.
Accordingly, this office has emphasized the schools to strictly follow the format of various School
Records as made available by this office, since these formats of SRs have been drafted keeping in view
the mandatory information which are required in the individual SRs in terms of various aspects, to
safeguard our affiliated institutions while occurrence of any issue for correction / change in student's
particular, etc. The format of the following School Records are again enclosed with this letter for
information and needful implementation by the schools with immediate effect:-
1.
Admission Form.
2.
Admission Withdrawal Register (AWR).
3.
Transfer Certificate.
4.
Format for correction in DoB (to be submitted mandatorily by the Principal for rectification in DoB
a/on gwith required SRs as per rules of the Board).
Further, a major variation has been found in the format of Academic Report Cards for Class-IX
and XI being used by individual schools. In this connection, kind attention of all the Principals
I
Head of
Institutions is hereby drawn to the
Circular No. Acad-14/2017 dt. 21/03/2017
with caption
Uniform
System of Assessment, Examination and Report Card for Classes VI to IX from Academic Year
2017-18 onwards',
wherein the schools were asked to follow the Report Card proforma for Classes VI to
IX as appended therein. Whereas, yet, some schools have been found using a dissimilar format.
Moreover, there is no uniformity in the assessment pattern. Besides, major variations have been noted in
the Internal Assessment and Report Card Formats for Class-XI since, a few schools are conducting
Internal Exams at a scale of 100 Marks in each subject wherein, some are conducting it at a scale of 75
I
90 / 150 Marks each subject in each term.
This inconsistency in marks range during Internal Examinations conducted by the school certainly
creates confusion and uncertainty amongst the schools as well as at this office end. Accordingly, the
schools are once again requested to follow the Uniform System of Assessment, Examination and Report
Card for Classes VI to IX as given in the aforesaid Circular. In addition to the above, Report Card
proforma for Internal Examination of Class-Xl is also being supplied with this letter which must be
invariably implemented by all the schools in toto, so as to maintain uniformity in Report Card and
assessment of academic performance of the students.
It is believed that implementation of these formats will undoubtedly maintain uniformity in the
School Records and will subsequently help in reducing correction / change cases and litigation matter
arising therewith.
t4Y(v
I
tEThT
Tñ?TfcII —
'
,
Ic-1, 99, qiiic ',
'Ic
-
1,
Isl
— 248001
Regional Office
- Dehradun, 99, Kaulagarh Road, Dehradun, Uttarakhand — 248001
Phone: 0135-2757744 / 0135-2757766. Fax : 0135-2757733
Email : [email protected]
, Website : www.cbse.nic.in
m
5T T—T
Photograph of the student
with Mother/Father jointly
HERE NAME OF THE INSTITUTION MAY BE GOT PRINTED WITH COMPLETE ADDRESS
oo/Sr.No
ADMISSION FORM
q
,
1il1Ti1T
Class in which admission is sought for
Session
1.
(a)n
1
Full name of the Child (in capital letters)•
(b) nii
cii.
Aadhar Card No.
(c) R1i/Sex:
/Male
Day
/Female
Month
2.
vis
fifl (af )/Date of Birth:
f/ln words
Year
Age of the student as on
31st
March:
Year
f9
Month
Day
3.
tT
1
ctf i/Blood Group of the child
4.
f1T 311'T
iim1
/31JT
i/31
/3Trf15 q
f/1cli4i/liftth
ci1
TT1ftT1
t?
WlN—tI
ev4
you belong to Gen./SC/ST/OBC/EWS/Disabled/S.G. Child attach certificate if applicable.
V)i
___
1I9v1
W1
3TOrt1
aTo l-
lulI1
OOO
31f
q
1q?QiiI
Gen. Cat.
SC
ST
OBC
EWS
Disabled
SG Child
5.
9!cil/fk1i T
r/
Details of parents:-
¶lT/flT ii eT/
Details of Mother/Father
idi/
Mother with Aadhar Card No.
liT/
Father with Aadhar Card No.
(i)
nI/
Name (in capital letters)
(ii)
ilziiT/NationaIity
ciciiiT/
Occupation
(iii)
nitii iir
9ir,
qT
'i1T
n/ Name of the
office & full address with Telephone No.
(iv)
tuf a!NT1tT qm
Full residential address with tele. no.
(v)
m1
1T/
Permanent Address
(vi)
aIPT/Annual Income
6.
1PT(i:
Name & Address of local guardian (if any)
7.
Name & Address of the previous school with Class
8.
fe
fTTZT
i1
t1t 'i
ft9T
lPT fTT
No. & date of T.C. issued by previous school with status of result:
9.
i fii firi ooro
*ii
Whether previous school was affiliated with CBSE: (Yes / No)
10.
If, the previous school was not affiliated with CBSE, specify name of the Board
11.
(a) ficf
itU tTftm
1
1/
Result of previous examinatiorn
(b)
fT/
Percentage
12.
f
ii
wii1a fw/Subjects proposed to offer:
1.
2
3
4
5
6
13.
Whether school has the approval of the Board to offer thus subject.
14.
TTTIT
I.iIc1uI
1i'1—P
i-i t?
Whether the transfer certificate is attached: YES/No
15.
ilcJ—PTT/Mother tougue
T PT/Home town
DECLARATION BY THE PARENTS
uir
r/5t
(f
r
I hereby declare that the above information furnished by me is correct to the best of my knowledge & belief, if any
information or document supplied by me found to be incorrect, I will be responsible for the same.
TTTPI * fmit
Tfl
ir/1/l
shall abide by the rules of the Vidyalaya.
lllT/Date
* e'ii'r/Signature of parents
FOR THE OFFICE USE ONLY
1.
Certified that I have checked the application form and the relevant papers are found in order.
i
mi%/Admission Incharge
2.
q,iiiicI * f
IILlfrc1 lci
tPT 5T
r ki
Please admit to Class
Section
after checking the relevant papers and
realise the dues.
1T/Date
itw/PRINClPAL
Admitted to Class
Section
Fee Receipt No
Dated
issued.
Details of amount received:
TOTAL
I
Name has been entered in the Class Attendance Register:
(V')
Yes
prrfTr
fiT
iId * l
11c1
WIIT
If IfJTE5T
T
5T
fflH
Il
IZfr
IU I
Certified that all the entries have been made in the Scholar's Register and the dues have been received.
(oo&ro)/
Registration No. of the student in Admission Withdrawal Register is
Vol
frfT/Date
ctiiiCi
ait/Office
Suptd.
Admission Fee
Tution Fee
Any other fee
Computer Fee
No
TT
11[c1
1T9
11R 1I1
1Tf
t
q,
ai-j'11ci Pbij
ilIc1I
I
Admission considered by the school is in accordance with the provisions of the Board
&
approved.
t1/Date
Sign. of Principal/Official Seal
HERE NAME OF THE INSTITUTION MAY BE GOT PRINTED WITH COMPLETE ADDRESS
Format
wITuT—r/TRANSFER CERTIFICATE
1E1lei4
t/School
No•
90/Book No•
ioTo/S.R. No
io/Admission
No
Affiliation
No•
Renewed upto
Status of school: Secondary/Sr. Secondary
Registration
No.
of the candidate (in case Class-IX to XIl)
1.
lmif
II
9TT/Name of the
Pupil
S
31151T
c1m
90/Adhar Card No.
2.
4-
iicll
r rpr/Mother's Name:
3fl1T ct'i
ro/Adhar Card No.
3.
fcii r 1TT/Father's Name:
311TR
9o/Adhar Card No.
4.
i'kcii/NationaIity
5
cj
1T1
Frt
-TT
t:
Whether the pupil belongs to SC/ST/OBC Category:
6.
iicpi
lfT/Date of birth according to the Admission Register(at /in figure)
(Tf i/In words)
7.
u 1krr
l5T
qr qfti1q
3
çç
uj *?:
Whether the student is failed
8.
s*c1lIc1
1f/Subject(s) offered
9.
au i&f 1rrf a rzrr r
Class in which the pupil last studied
10.
1t
tc
1
iei4/G
tj
f yRuIl9/School/Board Annual examination last taken with result
11.
flT 'dtf
T[
gcI-.jc
T
3Tt5r% *:
Whether qualified for promotion to the next higher class:
12.
q
-
j
fiifl
1iic
m
iI
r
rmr
1ii t:
Whether the pupil has paid all dues to the Vidyalaya
13.
Whether the pupil was in receipt of any fee concession, if so the nature of such concession
14.
zrr fkrrf
000
/i
t? lui
Whether the pupil is NCC Cadet/Boy Scout/Girl Guide (give details)
15.
1iic'i4
fT
* 91 cp
sij'1
t
Date on which pupils' name was struck off from the rolls of the Vidyalaya
16.
IiIei4 IT
T
ci
,
iui/Reason for leaving the Vidyalaya:
17.
3IQPT
fPii
cicp
q,
c
.j *isi
/ Total number of attendance till last dateS
18.
'1l1l
a!rRuT/ General conduct
19.
ct1
a
1uu1/Any other remarks:
20.
wiiui—
ql *
liT/ Date of issue of certificateS
lIcPc1/
Prepared by
icicici/Checked by
o iizii4/q
,
iifc.i i'1'
(Name
&
Designation)
(Name
&
Designation)
Sign. of Principal with Official Seal
t
tlN
II
i1TfT i ?
t
1/3TZTT
1iicT
afkfti
ii
iiffr ari
I
Note:
-
If,
this T.C.
is
issued by the officiating/Incharge Principal, in variably countersigned by the Manager.
--
FORMAT
Name of the School:-
Affiliation No
School Code
ADMISSION-WITH DRAWAL REG ISTER
as
ST
S.
N.
ffif
Date of
Admission
Name of
student
with
Aadhar
No.
Mother's
Name with
Aadhar No.
s5
Address
sltissjs
(zrf
a')
SilT iTIST
srarr'/
sT.
SiiSih1./
STIIT.
555T1
Class
as
fflfT /
9ffITt
asmi
iiccii ii
ft
.
51
.
51
.
Date of Birth /
DOB
Supporting
Documents
with No. &
Date
fl
h
SliT
TST
floieis
fITmit fTiilhii.IT
3ITZi1
I
Name of
the School
from
where the
student
has come
cmii
ftimil
St
lTSl
'cli
5111
Class in
which
previously
Studied
IIIT ii
1sccit
Conduct
wmimiif
i
5is1PifflT5
SliT
IT
Remarks
ccicl'lllSi
Father's Name
& Occupation
with Aadhar No.
STISTIS°I
WIlT
iifl
No. & date
of Iransfer
Certificate
issued
Sc1ISli(
Signature
of
Recipient
SlcllSl'i
Signature of
Principal
mcmlii
51511
i5lT
Name and
Address of
Guardian (if
any) with
Occupation
T./ei.li-Si
SC/SI!
OBC/
General
(IITszir'r)
Special
Category
of Child
(Disabled)
ssiiifl
Permanent
cicililcici
Office
'ii
-ii'flil
Residential
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
1
2
3
4
5
6
7
8
9
10
cl.
-c
ifk
1iii
ct1fl'i
—
lc.i
Central Borad Of Secondary Education, Regional Office - Dehradun
IE1Ie1q
kI tII ?tl 'lf
ft1
f
1L
ML
FORMAT FOR CORRECTION IN DATE OF BIRTH OF THE STUDENT SUBMITTED BY SCHOOL
1.
fij:
CANDIDATES NAME (In Block letter)
2.
1I1I 15T 91q
MOTHERS NAME (In Block letter)
3.
Iqol 5T 11
1
f
FATHERS NAME (In Block letter)
4.
jJ
cJjq t4
yrr
Candidates Roll No. and Year of Exam
5.
Iclicl1 T ITE
Name of the school
6.
fic1 fic
l5T ITF (1
c1I
t)
Previous School Name (If applicable)
7.
lcl
4
lhl
1iiT
rr
cf)
fM
t
Date of Admission & Class
8.
Ii N TO5O31TO l.1icui l
Candidates Enrolment Number as per
Admission & Withdrawal Register (AWR)
9.
Date of Birth as per:-
()
1liict
i
riT
(a)
Admission Form
()
ooiio
(b)
Recorded by School in
Admission & Withdrawal Register (AWR)
(Tr)
lu
I?i
ii
ii
to?to
(c)
Previous School T.C.
(zr)
ir
tf
rfir
si1icpj.)
p<i sn
i
-
i11T wjiuii
3TIT
i'1R1iT
(d)
Birth Certificate issued by
Registrar or Authority concern
()
i1ii
M41IUI(
ii'l1 cpj
m
f;;:rti5
(e)
Date of Birth Certificate No. & date of issue
&IT 9
LOC for Class IX Registration
151T 1O
c
LOC for Class X Board Exam
(ur)
zrrff
tc
Ilieij
i'i
t
Tf
pi1ci
3q'I-c1
PFT
(h)
Comments on account of Verification of particulars from
LOC for class IX Registration submitted by School.
()
1ii
ii
r iof
ir
cpi4qi 'dY'l'c1
9T 31TZIF
(i)
Status on account of Verification of particulars from
LOC for class X Registration submitted by School.
— 01 —
CBSE, RO—Dehradun
10. (p5)
T cuj
(a)
Details and nature of the mistake
() &jJ
I5T cpkul
c
(b)
Cause and stage of the mistake
(TI) Riei.i
ii
1i
t
m
i4'i
cpi4c
T ici'ui
Qrfr iii
(c)
Earlier action undertaken for its correction
by the school
11.
() 3Tf
* (
i
-
Il cpkul
(a)
Reasons for the mistake.
()
ci
i.iiiui
w
-iiui t
i
if
1ci)
1ii*
1ci'ui
cii'c'l
'gj:
(b)
Whether at the stage of transferring the details
from the Transfer Certificate and the
Withdraw Register
(TI) cti
*
(c)
Whether sending the list of
candidate to the Board
(ti)
c
•
L*1.
I'l *1clI'-ll
t3f
-ff9icie) t ji•It cpc'1 -j:
(d)
Whether at the stage of checking of
nominal rolls supplied by the C.B.S.E.
for verification.
12. fIeI4
I'I
1 1lc4I' ct)
ci
iicRi
I
1i
cl 5Tf
Tfi *:
What steps have been taken by the school to ensure
that such mistake(s) is/are not repeated?
13.
CI
,
cfl
cp4c
cNi
i4n
t
t-11
,
c:
What action has been taken
Against the erring official, explain
jj
cp)
fl4 /
fJ c
1?f
[—
General observation and recommendations by the Head of the school.
*1e1
4
.lcp
(Enclosure)
ITT
Signature of the Principal
lIzfl4 T TT
Name of the Principal
c
Rubber stamp
2.
— 02
—
School Logo
SCHOOL NAME
ADDRESS & CONTACT DETAILS
WEBSITE, SCHOOL CODE & AFFILIATION
NO.
ACADEMIC SESSION
-
REPORT CARD FORMAT FOR CLASS — Xl
Roll No.:
Student's Name
Mother's Name:
Father's
I
Guardian's Name
Class
I
Section
Admission No.
Date of Birth:
S
u
bj
ec
t
s
*
Full Marks
—
100 in each subject in each term,
Pass Marks
—
33% marks each in Practical
&
Theory
I
Project
Half Yearly
Final
Practical
Theory
Sub Total
Practical
Theory
Sub Total
Language 1
Subject 1
Subject 2
Subject 3
Subject 4
Addl. / 6th Subject, if any
Grand Total
Marks
Obtained / Total Marks
Grand Total
Marks
Obtained
I
Total
Marks
Term Result
Remarks
Signature: Class Teacher
-
Principal -
Parents -
' Final Result: Pass & Promoted to Class-XlI / Fail
(Sign. of Class Teacher)
(Sign. of Principal with
Seal)
* School must ensure valid Scheme of Studies and Subject Combination in conformity with the provisions and guidelines of the CBSE (enclosed).
A
No conditional promotion to be given to the students.
