CBSE J N V RESULT SHEET FOR SELECTION TEST FOR …jnvnabarangpur.nic.in/2012/JNV-RES-JULY2017.pdf · 12 01 01 g00119 pranati bhakta girl sc urban 25/07/06 13 02 01 g00577 esha das

CBSE J N V RESULT SHEET FOR SELECTION TEST FOR ADMISSION IN CLASS VI SESSION 2017-2018 DATE : 23.06.2017 PAGE NO : 1

STATE : 18 ODISHA DISTRICT : 17 NABRANGPUR

SNO BLOCK CENTRE ROLL NAME SEX CATEGORY AREA D.O.B

CODE CODE NUMBER

------------------------------------------------------------------------------------------------------------------------------------

*** URBAN DISABLE SEAT ***

01 03 01 I01126 SWASTIK BEHERA BOY GEN RURAL 15/09/07

02 04 01 J01548 DHANIRAM GOUDA BOY OBC RURAL 25/05/05

03 03 01 K01201 BIJU HARIJAN BOY SC RURAL 17/07/06

NO. OF CANIDATES : 3

*** URBAN OPEN SEAT ***

04 02 01 A00404 TARINI PRASAD PATNAIK BOY GEN URBAN 01/02/06

05 02 01 B00431 RUPESH PARIDA BOY OBC URBAN 22/04/06

06 02 01 C00458 GOURAV HALDAR BOY SC URBAN 05/06/05

07 02 01 C00465 PRAMIT BAROI BOY SC URBAN 16/02/06

08 02 01 F00565 SWATAHA PRABHA SAHU GIRL OBC URBAN 08/08/06

09 02 01 H00615 PRIYA DARSANI MAJHI GIRL ST URBAN 15/07/05

10 02 01 H00618 ANJALI ZENIFER BARLA GIRL ST URBAN 11/07/06


*** URBAN SC SEAT ***

11 02 01 C00455 ANIRBAN BISWAS BOY SC URBAN 20/12/05

12 01 01 G00119 PRANATI BHAKTA GIRL SC URBAN 25/07/06

13 02 01 G00577 ESHA DAS GIRL SC URBAN 08/02/06


*** URBAN ST SEAT ***

14 02 01 D00501 JITENDRA MAJHI BOY ST URBAN 24/09/04

15 02 01 D00502 ROHIT KUMAR GOND BOY ST URBAN 29/11/05

16 02 01 D00504 MOHANISH KUMAR HALBA BOY ST URBAN 24/03/07

17 02 01 D00514 BIBHUTI BHUSAN MAJHI BOY ST URBAN 30/09/06

18 02 01 D00518 TULARAM BHATRA BOY ST URBAN 05/11/06

19 02 01 H00622 GEETANJALI GOND GIRL ST URBAN 27/03/06

20 02 01 H00632 TEJASWINI BHATRA GIRL ST URBAN 20/03/07


*** RURAL OPEN SEAT ***

21 03 01 I01120 Y SIDDHARTH BOY GEN RURAL 09/10/06

22 05 01 I01702 KUMANDANA MEHETA BOY GEN RURAL 05/01/05

23 05 01 I01705 NITISH KUMAR THAKUR BOY GEN RURAL 09/09/06

24 10 01 I03511 OMVEER TRIPATHY BOY GEN RURAL 12/03/06

25 01 01 J00151 PITABAS BISSOYI BOY OBC RURAL 12/04/06




CODE CODE NUMBER

------------------------------------------------------------------------------------------------------------------------------------

*** RURAL OPEN SEAT ***

26 01 01 J00152 ASUTOSH SAHU BOY OBC RURAL 16/11/06

27 05 01 J01734 SRUTIPRAJNA DAS BOY OBC RURAL 20/01/07

28 10 01 J03530 RANJEET KUMAR BISOI BOY OBC RURAL 06/07/06

29 02 01 K00710 SURAJ MANDAL BOY SC RURAL 24/11/05

30 06 01 K02055 TUSHAR RANJAN NAYAK BOY SC RURAL 20/11/06

31 07 01 K02367 SAHIL SUTAR BOY SC RURAL 12/12/06

32 09 01 K03040 KOUSIK SIKDAR BOY SC RURAL 02/04/05

33 02 01 L00756 TRIPATI MAJHI BOY ST RURAL 10/03/07

34 02 01 L00768 RAMESH BHATRA BOY ST RURAL 02/11/05

35 02 01 L00783 ANANTA MANDINGI BOY ST RURAL 07/02/06

36 04 01 L01613 NRUTYA PUJARI BOY ST RURAL 14/12/05

37 06 01 L02140 BISHAM BHATRA BOY ST RURAL 05/02/06

38 01 01 M00242 AMRITA AKANKSHYA GIRL GEN RURAL 09/03/07

39 04 01 M01629 NIBEDITA PATTANAYAK GIRL GEN RURAL 24/04/07

40 07 01 M02658 GAYATRI SUBHASMITA MOHANTY GIRL GEN RURAL 22/01/07

41 08 01 M02810 TEJASWAINI SWAIN GIRL GEN RURAL 20/03/07

42 09 01 M03242 SANDHYARANI PANDA GIRL GEN RURAL 22/08/06

43 09 01 M03244 EPSITA TRIPATHY GIRL GEN RURAL 18/09/06

44 03 01 N01102 FRANCISCA GARADA GIRL OBC RURAL 16/04/07

45 04 01 N01645 BABITA BISI GIRL OBC RURAL 23/01/07

46 06 01 N02178 PAYAL BISWAL GIRL OBC RURAL 19/10/06

47 07 01 N02523 BISWARUPA NAYAK GIRL OBC RURAL 22/06/06

48 08 01 N02829 ALVI PATRA GIRL OBC RURAL 09/06/06

49 01 01 P00281 REWA SUNDI GIRL ST RURAL 16/12/06

50 03 02 P01406 PRIYANKA MAJHI GIRL ST RURAL 20/04/06


*** RURAL SC SEAT ***

51 03 02 K01419 SUMIT BEHERA BOY SC RURAL 23/08/07

52 07 01 K02369 SAJAN GAIN BOY SC RURAL 10/08/06

53 09 01 K02999 KAILASH MRUDHA BOY SC RURAL 15/06/05

54 09 01 K03035 TUFANSARDAR BOY SC RURAL 28/09/05




CODE CODE NUMBER

------------------------------------------------------------------------------------------------------------------------------------

*** RURAL SC SEAT ***

55 09 01 K03039 DIBYENDU MONDAL BOY SC RURAL 10/01/05

56 09 01 K03041 BITTU MONDAL BOY SC RURAL 06/10/04

57 09 01 K03042 AMLAN MONDAL BOY SC RURAL 03/09/05

58 09 01 O03291 MANISA MALLICK GIRL SC RURAL 03/06/06

59 09 02 O03315 ROJEE BISWAS GIRL SC RURAL 13/06/06


*** RURAL ST SEAT ***

60 02 02 L00852 SUKADEB GOND BOY ST RURAL 20/04/06

61 03 01 L01239 BIKASH HEMBRAM BOY ST RURAL 24/04/06

62 03 01 L01259 ANSUMAN NAYAK BOY ST RURAL 20/05/06

63 04 01 L01600 DALESWAR NAYAK BOY ST RURAL 12/02/06

64 06 01 L02082 KHIROD KUMAR NAYAK BOY ST RURAL 26/09/05

65 06 01 L02139 PRAHALLAD BHATRA BOY ST RURAL 02/02/06

66 07 01 L02445 BHAGATRAM BHATRA BOY ST RURAL 07/01/05

67 07 01 L02457 MAHENDRA BHATRA BOY ST RURAL 02/04/06

68 08 01 L02768 RAJENDRA BHATRA BOY ST RURAL 12/05/06

69 09 01 L03054 NALINDRA GOND BOY ST RURAL 01/03/05

70 09 01 L03062 CHANDHAN GOND BOY ST RURAL 08/04/05

71 09 01 L03065 SUSANTA GOND BOY ST RURAL 28/03/06

72 09 01 L03087 RABINDRA GOND BOY ST RURAL 22/03/06

73 09 01 L03117 KESIDHAR GOND BOY ST RURAL 18/02/06

74 09 01 L03172 ROHAN DHURUA BOY ST RURAL 23/05/05

75 09 01 L03176 MALAY RANJAN BISHI BOY ST RURAL 12/03/06

76 03 02 P01393 RASMIPRIYA BEHERA GIRL ST RURAL 13/11/06

77 05 02 P01957 MANJULA MAJHI GIRL ST RURAL 06/06/06

78 06 01 P02213 HEMADEI SANTA GIRL ST RURAL 05/11/06

79 09 02 P03344 PUNAM NETAM GIRL ST RURAL 10/08/06

80 09 02 P03409 KADAMBINI GOND GIRL ST RURAL 10/06/06


1

JAWAHAR NAVODAYA VIDYALAYA AT/PO:KHATIGUDA,DIST.NABARANGPUR,ODISHA,PIN-764085

An Autonomous Organization under Ministry of Human Resource Development

Department of School Education & Literacy, Government of India Ph.No.06858-224361(Office),E-mail : [email protected] & [email protected]

Web-site : www.jnvnabarangpur.nic.in, CBSE Affl.No.1540021 & Sch.No.53017

Ref. F.No.2-1/JNV/KTG/NBPR(O)/2017-18/ Dated: 28th June, 2017

BY REGD. POST WITH ACK. DUE

To

____________________________,

____________________________,

____________________________.

Sub:- Provisional selection of candidate for admission into class-VI for the academic year 2017-18 in Jawahar

Navodaya Vidyalaya – Regarding.

Sir,

I am glad to inform you that on the basis of selection Test for admission to Jawahar Navodaya

Vidyalaya conducted by CBSE, New Delhi held on 08.01.2017, your son/daughter Master/Kumari

______________________________ Roll No.: ____________ has been provisionally selected for admission

into Class VI of JNV, Khatiguda, Dist. Nabarangpur, Odisha for the academic year, 2017-18. His/Her admission

will be finalized subject to the fulfillment of conditions and submission of documents as required by Navodaya

Vidyalaya Samiti, Noida.

Therefore, you are requested to report this Vidyalaya along with your son/daughter on

07.07.2017 (Sl.No.01 to 40 of Result Sheet)/08.07.2017(Sl.No.41 to 80 of Result Sheet) at 10.00 A.M. with the

following enclosed proformas duly filled.

Annexure – I : Bio-data form certified by Head of the School

from where class Vth

is completed

Annexure – II : Urban/Rural Area Certificate of the

school in which class Vth

is completed

Annexure – III : Medical Certificate

Annexure – IV : Residence Certificate by Parent

Annexure – V : Residence Certificate issued by Tahasildar

Annexure – VI : Affidavit by the Parent on Rs.10/- Non - Judicial stamp

paper duly attested by notary.

Besides the above, you are also required to submit the following documents for verification.

1. The caste certificate issued by the competent authority (in case of SC/ST/OBC Candidates

only).

2. The disability certificate issued by the competent authority (in case of PH/VI/HI

Candidates only)

3. Adhar Card

4. Ration Card issued by Competent Authority.

5. Govt. Recognition Certificate of the institution in case of Private School.

After verification of the above documents submitted by you, a decision will be taken regarding final

admission of your ward and the same will be intimated to you separately. Admission will be cancelled for

submission of false information, documents and records and also action shall be initiated as per the rule.

Please note that the TRANSFER CERTIFICATE of the candidate has to be submitted only after verification of the

above documents and confirmation of your ward's final admission.

Thanking you,

Yours faithfully,

PRINCIPAL

Navodaya Vidyalaya Samiti

Noida

NOTICE

Select list of students for admission to Class VI through JNVST-2017 has been

released. The following activities may be taken up by the parents/guardians

after selection of students for admission to Jawahar Navodaya Vidyalaya:

01 Select list may be downloaded from the website.

02 Formats for the submission of details may be downloaded

03 Filled in formats are to be submitted to the Principal of JNV concerned.

04 Certificates from the competent authority in respect of Rural, OBC, SC, ST

and Disability are to be submitted to the JNV for verification of

documents / eligibility to confirm admission to Class VI.

It is informed that admission will be given only to the selected candidates after

due verification of the documents. Parents are advised not to take TC from

previous school until the admission is confirmed. Admission to JNVs is done free

of cost. No fee is to be paid to school authority for admission to Class VI. The

parents/students are required to approach directly to the Principal of the

concerned JNV.

For any complaints in the process of admission, E-mail may be sent to

[email protected]

mailto:[email protected]

(To be filled in by the Parent/Guardian of the Candidate with the help of the

Headmaster/mistress of the School from where the candidate passed Class V

Examination)

1. Name of the Candidate:_______________________________

Aadhar Number:_______________________________________

2. Sex

3. (a) Category

(b) Caste : ______________________________

4. Date of Birth

In Words :_______________________________________________

5. Father’s Name : ______________________________________________

6. Mother’s Name : ______________________________________________

7. Name of the Guardian and

relationship with him/her , if applicable : ________________________________________

8. School(s) from where the candidate passed Class III,IV and V. C L A S S E S

III IV V

(A) (i) Month & Year of Joining

(ii) Month & Year of Passing

(B) (i) Name of the School

(ii) Is It a recognized school? (YES/NO)

(C) Name of the Village or Town in which t

school is located.

(D) Name of the Block

(E) Name of the District

(F) Location of the School Indicate

RURAL/URBAN

(Separate certificate is to be obtained if the candidate had studied classes III, IV & V in

different schools)

PHOTO

of student

Male Female TG

Gen OBC SC ST

Date Month Year

CERTIFICATE

(BY PARENT/GUARDIAN OF THE CONCERNED CANDIDATE)

Certified that the information given above is true to the best of my knowledge

and belief. In case, any part of the information furnished by me is found incorrect, the

admission of my child/ward may be cancelled. I am ready to produce the relevant

certificates issued by Competent Authorities as and when asked for.

_____________________________

Signature of PARENT/GUARDIAN

Entries verified, certified and found correct.

__________________________________________

Signature of the HEADMASTER/HEADMISTRESS

Name : ____________________________________

Desgn.: ____________________________________ School Seal :

NOTE FOR THE HEAD OF THE SCHOOL:

Dear Sir/Madam,

The above mentioned information is required for admission of the

candidate in the Jawahar Navodaya Vidyalaya, District -------------------. You are

therefore requested kindly to check and verify personally all the entries from the

school records and issue the certificate given below:-

Principal

JNV --------------------------

CERTIFICATE BY THE HEAD OF THE SCHOOL

Certified that the information given above is found correct as per our school

records. It is also certified that Master/Kumari _________________________________ was

admitted in this Shool in Class _____________ on ________________ (date) and passed

Class _________________ on __________________ (date).

___________________________

Signature of the Head of Institution

last studied with School Seal

Date : _____________

UNDERTAKING BY THE PARENT/ GUARDIAN

Certified that the information given in the application form for admission into Class VI in

Jawahar Navodaya Vidyalaya, District:__________ for the academic year 2017-18 for my ward is true

to the best of my knowledge and belief. In case any part of the information furnished by me is found

incorrect, admission of my ward may be cancelled at any time. I am ready to produce relevant

certificates issued by the competent authority to your office when asked in support of my original

application entries

_______________________

Signature of the parent/Guardian

Address of parent/guardian:

Name:______________________

H.No:_______________________

Street _______________________

Village_______________________

Mandal/Block_______________________

Pin Code:_____________________

STD Code:______ Phone No___________

Mobile No:__________________________

UNDERTAKING

I, _______________________(Father/ Mother/ Guardian) of Kumari/Master

___________________________ who got selected for admission into Class VI in Jawahar Navodaya

Vidyalaya, …………….District hereby give an undertaking that I am ready to pay Rs.200.00 (Rupees Two

hundred only) per month or revised amount or as charged by the Navodaya Vidyalaya Samiti, Noida

from Class IX to XII.

___________________

Signature of the parent/Guardian

Note: This is not applicable to SC/ST categories and all girl students and the parents whose

Income is below poverty line.

UNDERTAKING FOR MIGRATION

(TO BE FILLED BY PARENT IN PRESENCE OF PRINCIPAL, JNV)

I,______________________________ Father/Mother/Guardian of Kumari/Master

_________________________________ who got selected for admission in Class VI in JNV,

District_____________ hereby give an undertaking that I understand that, for promotion of National

Integration and as per the scheme at JNVs, 30% of the students of class IX from one JNV have to

migrate to another JNV from non-Hindi speaking area to Hindi speaking area and vice-versa and I

agree to abide by the rules of NVS in this regard.

_________________________________

Signature of the parent/guardian

Full name:______________________

Address:_______________________

______________________________

______________________________

Mobile No:_____________________

Land line with STD code:___________

JAWAHAR NAVODAYA VIDYALAYA: DISTRICT:_________________________

MEDICAL FITNESS CERTIFICATE

01. Name of the candidate :___________________________________

02. Father’s name :___________________________________

03. Address :___________________________________

____________________________________

____________________________________

04. Date of birth ___________________________________

05. Height ____________________________________

06. Weight ____________________________________

07. Abdomen ____________________________________

08. Chest ____________________________________

09. Vision LEFT _______ RIGHT ________

10 Ears ____________________________________

11. Throat ____________________________________

12. Locomotor system ____________________________________

13. State of vaccination ____________________________________

14. Skin ____________________________________

15 Blood Group __________

16 Dental Hygiene __________

17. Remarks of Medical Officer : Recommended/not recommended for

admission/Recommended to C.M.O for

Verification if any.

____________________________________

CIVIL SURGEON

PHOTO OF THE

STUDENT

DISABILITY CERTIFICATE

If the candidate is selected under disabled quota he/she should bring the

certificate issued by the competent authority.

COMMUNITY CERTIFICATE

Community certificate in the prescribed format from the competent authority is

to be submitted by the candidate, wherever necessary.

RURAL CERTIFICATE

(To be issued by the Revenue Officer of concerned Block)

This is to certify that Master/Kumari ___________________________

Son/daughter of Shri _________________________________ studied classes III,

IV & V In ____________________________(Name of the school) of

block________________________________ and the school is located in the

village __________ which belongs to RURAL AREA of

District;_____________,State:________________________.

(Signature of the Revenue Officer)

Block:______________________________

District._____________________________

Office Seal:

Dated:_________________________

2

ANNEXURE-II

RURAL /URBAN AREA CERTIFICATE

Certified that _______________________________ School in which Chi/Kum.

________________________________ son/daughter of ______________________

_______________________________ has studied classes from ___________

to_____________ is located in RURAL/URBAN AREA AS PER 2011 CENSUS.

Place:

TAHASILDAR NAME:

OFFICE SEAL Date: NOTE: If the student studied classes III, IV and V in different Schools, Rural/Urban Area certificates in the above proforma should be enclosed for each school separately.

3

ANNEXURE – IV

RESIDENCE CERTIFICATE

(To be furnished by the father/mother of the qualified children at the time of admission

to JNV)

As per Jawahar Navodaya Vidyalaya, Khatiguda, Dist. Nabarangpur, Odisha letter No.

___________________________, dated _________________ my ward Mast./Kum.

_________________________ has qualified the entrance examination for admission to Class –

VI at JNV, Khatiguda, Dist. Nabarangpur, State-Odisha during the session 2017-2017.

I am residing along with my son/daughter (whose name is mentioned above) at following

address since______________________ (mention years or date)

Village : _____________________

Town : _____________________

District : _____________________

State : _____________________

Pin Code : _____________________

Certified that the information furnished by me is true and no fact has been concealed.

Place: Signature of Father/Mother

Date: Full Name

Address House No.

Street Name:

Village:

Block:

District: PIN:

ANNEXURE – V CERTIFICATE

(To be filled up by the District Authorities and issued under the signature of

SDM/Tahasildar to the parents of the child selected for admission to Class – VI in JNVs

through JNVST)

This is to certify that the above information furnished by

Shri/Smt. _____________________________________________ father/mother of Master/Kum.

_________________________________ a candidate selected for admission to Class – VI in JNV,

Khatiguda, District: Nabarangpur has been verified from the records and is found correct. The

area where residence is located falls under _______________ (rural/urban) area of District.

Round Seal

Signature of SDM/Tahasildar

Name :

Official Seal :

4

ANNEXURE – VI

AFFIDAVIT (An affidavit to be furnished by parents on Rs.10/- Stamp paper duly attested by notary at the time of admission of Class – VI in JNVs through JNVST) I, _________________________________(Name of the Father/ Mother) , Age

________ Years, father/mother of Mast./ Kum. ________________________________

____________ Resident of Village _______________ Mandal___________ Dist.

_________________ solemnly declare and affirm as under:

a. My son/daughter is a student of _______________________ (name and complete

address of the Institution) located in ____________ which is a rural/urban area in

Nabarangpur District in Odisha State since __________________ (date or years).

He / She has passed Class –V from this Institution during the session

_________________(academic year)

b. My son/daughter is residing with me at following address which is located in the

urban/rural area of Nabarangpur District.

Door No. : _______________________

Village : _______________________

Post : _______________________

Block : _______________________

District : _______________________

Post : _______________________

Verified on this the _________ day ___________2018 at _________

that the contents of above affidavit are true to best of my knowledge and belief based on

record and believed by me to be true.

Place: Signature

Date: (DEPONENT)

(Father or Mother)

Name:

Sworned before me at _________ (place) on _____________ (date)

(NOTARY)

With official seal, address and Notary Registration/Renewal particulars

5

ANNEXURE-1

ADMISSION BIO-DATA FORM

JAWAHAR NAVODAYA VIDYALAYA, KHATIGUDA, DIST. NABARANGPUR, ODISHA

Admission Number :

Date :

Category :

Area :

House Allotted :

01. Name of Pupil in Full

(in block letter) :

02. Date of Birth in Christian Era

a) In figures :

b) In Words :

03. Nationality and state in which

the pupil belongs to :INDIAN-ODISHA

04. Religion :

05. Caste & Category :

06. Whether living with parent

or guardian :

07. a) Father’s Name :

b) Qualification :

c) Occupation :

d) Annual Income : Rs.

e) Full Address with phone no. :

08. a) Mother’s Name :

b) Qualification :

c) Occupation :


09. a) Name of Guardian :

b) Qualification :

c) Occupation :


e) Full Address :

6

10. Class last studied, name of school

last attended, whether qualified

for promotion :

11. Whether Transfer Certificate/

Record Sheet enclosed :

12. Class which to admission sought : VI CLASS

13. Mother tongue of the Pupil :

14. Protection from small fox,

whether vaccinated or small for :

15. Personal Marks of Identification

1)

2)

16. Family composition(No. of

brothers, sisters) :

17. Literacy level of parents/

Brothers/Sisters :

-------------------------------------------------------------------------------

Name Age Qualification

-------------------------------------------------------------------------------

1) Father

2) Mother

3) Brothers:

1)

2)

3)

4) Sisters:

1)

2)

3)

-------------------------------------------------------------------------------

18. Particulars of brothers/sisters studying in JNV in which class

presently studying

-------------------------------------------------------------------------------

Name Relationship Class

-------------------------------------------------------------------------------

i)

ii)

iii)

-------------------------------------------------------------------------------

19. Distance from School studied in Class V to JNV, Khatiguda in K.Ms.

20. Distance from Native Place (Home Town) to JNV, Khatiguda in K.Ms.

21. Adhar Card Number of CANDIDATE:

22. Place of Birth of the candidate :

7

DECLARATION OF THE PARENT/GUARDIAN:

I declare that the above particulars are correct to the best of my knowledge and belief and that

the pupil has not attended any school besides these mentioned above.

Place: Khatiguda, Signature of Parent/Guardian

Date:

Signature of pupil as signed

in admission form (Specimen Signature)

Name and addresses of two persons other than parents (kith & kin) who may visit the Vidyalaya

to meet the student.

1) Name and address 2) Name and address

Relationship with student relationship with student

Signature of parent/ guardian

TO BE FILLED IN BY SCHOOL:

Orders of the Principal regarding admission and signature of the Principal with date.

Admitted into VI class

Principal:

Date:

8

U N D E R T A K I N G

I, Shri _____________________________________________ Father of

Master ___________________________________________ who is admitted in

JNV, Khatiguda, Dist. Nabarangpur, Odisha in Class –VI during 2017-2017 do

hereby accept to pay Rs.200/- (Rupees two hundred only) per month towards fee

(Which will be enhanced to Rs.300/- gradually) to JNV, Khatiguda from IX Class

onwards of my child as per the recommendations of the Expenditure Reforms

Commission constituted by the Ministry of Human Resource and Development,

Govt. of India and Navodaya Vidyalaya Samiti, Noida vide order No.10-

41/2001/NVS(Acad.), dated 07-05-2003 of the Joint Director(Acad.), NVS, Noida

all the students from Class-IX and above (Excluding S.C., S.T., Girls and students

whose families are below poverty line.

Place: Khatiguda signature of Parent :

Date: Name : Address :

Countersigned

PRINCIPAL

JAWAHAR NAVODAYA VIDYALAYA, KHATIGUDA, DIST. NABARANGPUR, ODISHA

9

JAWAHAR NAVODAYA VIDYALAYA, KHATIGUDA,

DIST. NABARANGPUR, ODISHA

UNDERTAKING BY THE PARENT/GUARDIAN

I, Shri ______________________________________________

father of Master/ Kumari ______________________________________

do hereby undertake that, my son/daughter/ward will not leave the

Vidyalaya campus or House without the permission of the HMs/ Principal.

If, my son/daughter/ward leaves/absconds from the Vidyalaya campus

without prior permission of the HM/Principal, the Vidyalaya administration

will not be held responsible for any lapse.

Further, I hereby declare that, my son/daughter/ward will continue

his/her study in this JNV, Khatiguda from class VI to XII and I will not

apply for T.C. in any time of his/her study period as per the rules laid down

by the Navodaya Vidyalaya Samiti, Noida.

Signature………………………………………

Name…………………………………………..

Address………………………………………..

Place……………………….

Date………………………..

10

RECOGNITION CERTIFICATE

This is to certify that (School Name)

______________________________, Vill; _________________,

Block :_______________________ Dist. Nabarangpur (Odisha)

is recognized with State Government of Odisha.

BLOCK EDUCATION OFFICER(BLOCK) NAME :____________________

DIST. NABARANGPUR (O)

11

12

Documents

CBSE J N V RESULT SHEET FOR SELECTION TEST FOR …jnvnabarangpur.nic.in/2012/JNV-RES-JULY2017.pdf · 12 01 01 g00119 pranati bhakta girl sc urban 25/07/06 13 02 01 g00577 esha das