ODISHA ADARSHA VIDYALAYA SANGATHAN
COMMON APPLICATION FORM FOR BRIDGE COURSE (CLASS XI)
(SCIENCE/COMMERCE)
ACADEMIC SESSION – 2025-26
OAV:
, Block:
, District:
Stream:
(Science/Commerce)
1. Name of the Student
Paste Recent
Passport Size
Colour Photo
2. Name of the Father
3. Name of the Mother
4. Date of Birth: Day
Month
Year
5. Age (as on 01.04.2024)
6. Gender
Mother Tongue
7. Religion
Nationality
Caste
(SC/ST/GEN/OBC)
(Attach Self attested photocopy of caste certificate, if any)
8. Person with Disability: (Yes/No)
Category
(HI/VI/OH)
(Attach Self attested photocopy of Disability certificate, if any)
9. Aadhaar No of:
Student
(Attach Self Attested Photocopy of Aadhaar card)
Father
(Attach Self Attested Photocopy of Aadhaar card)
Mother
(Attach Self Attested Photocopy of Aadhaar card)
10. Permanent Address:
At
Po
Block
Ps
Dist.
Pin
At
Po
Block
Ps
Dist.
Pin
11. Present Address for correspondence:
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12. Contact Phone No of Father
, Mother
13. WhatsApp Mobile No. of Parents
14. Email Id
15. Subject Combinations available in the Vidyalaya
Science:
(i) Mathematics (041)
(ii) Physics (042)
(iii) Chemistry (043)
(iv) Biology (044)
(v) English Core (301)
(vi) Physical Education (048) / Information Technology (802)
Commerce:
16.
(i) Economics (030)
(ii) Business Studies (054)
(iii) Accountancy (055)
(iv) English Core (301)
(v) Physical Education (048) / Information Technology (802)
Subjects Opted for Selected Stream
(i)
(ii)
(iii)
(iv)
(v)
(vi)
ACADEMIC DETAILS
17. Name & address of the school from which 10th APPEARED
18. Whether the school is Govt./Private
19. Name of the Board:
(CBSE/ICSE/BSE)
20. Roll No of class X Board Exam
Appearing Year
Declaration By The Parents
I.
We do hereby certify that the above information is correct to the best of our knowledge and belief. If any
information is found fake/forged, the admission of our child may stand cancelled.
II.
We do undertake that, our child and we shall abide by the rules and regulations laid down by the Vidyalaya
as well as Odisha Adarsha Vidyalaya Sangathan (OAVS), Bhubaneswar from time to time.
III.
We certify that, we are the bonafide Parents/Guardian of the child.
Signature of the Student
Signature of the Parents
Date
Date
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