94713 95503
Email – admission.rkmvd@gmail.com, Website – www.rkmvdeoghar.org

Please Fill out the form in Google Chrome browser (Preferably).

1. Examination Centre: Deoghar

Screening Test will be conducted only in Ramakrishna Mission Vidyapith, Deoghar

2. Candidate Details :

2.1 Name of Candidate *As Registered for Class 10 Board Exam Click the above Check box

First Name *

Middle Name

Last Name

2.2. A) Upload Candidate's Recent Passport sized Photograph *

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1. Resolution: Lesser than 150 x 200 pixels, 2. File size: lesser than 150 kb, 3. File should be either in .jpeg or in .png format

2.2. B) Upload Candidate's Signature *

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1. Resolution: Lesser than 450 x 150 pixels, 2. File size: lesser than 150 kb, 3. File should be either in .jpeg or in .png format

2.2. C) Upload Candidate's character certificate issued by the School last attended in the prescribed format (Write Primary Email ID & Primary Mobile No. on it) *

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1. Write Primary Email Id and Primary Mobile number on the document and scan in .pdf format only, 2. File Size should be Lesser than 300kb

2.3 Aadhaar No./ Aadhaar Enrolment No. *Photocopy of Aadhaar Card/ Aadhaar Enrolment No. is to be attached

2.4 Upload Aadhaar Card/ Aadhaar Enrolment acknowledgement receipt *

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1. Document should be in .pdf format only; 2. File Size should be Lesser than 300kb

2.5. A) Primary E-mail Address *This E-mail ID will be used for all FUTURE CORRESPONDENCES. So, enter the E-mail ID properly.

2.5. B) Re-enter Primary Email Address *Confirm the E-mail ID that you have entered in 2.5. A)

2.6. A) Primary Mobile Number *This Mobile Number itself will be used for FUTURE CORRESPONDENCES if necessary. So, enter the Mobile Number properly. It may even be Father's or Mother's.

2.6. B) Re-enter Primary Mobile Number *Confirm the 10-Digit Contact Number that you have entered in 2.6. A)

2.7 Date of Birth (English calendar): dd/mm/yyyy *

2.8 Nationality: *INDIANClick the above Check box

2.9 Religion *Select your Religion

2.10 Category *

2.11. A) Name of the candidate’s current School *

2.11. B) Name of the Board to which it is affiliated *

2.12. A) Name of any known person ever admitted to Vidyapith

2.12. B) Year of Admission of that person

2.12. C) Relationship of the Candidate with that person

3. Guardian's Details :

3.1. A) Father's Name *

3.1. B) Father's OccupationGive details

3.1. C) Father's Place of Stay

3.1. D) Father's Annual Income

INR

3.1 E) Father's Email AddressEnter the E-mail ID correctly. Make sure this Email ID is Active.

3.1. F) Father's Mobile NumberEnter 10-Digit Number Correctly.

3.2. A) Mother's Name *

3.2. B) Mother's OccupationGive details

3.2. C) Mother's Place of Stay

3.2. D) Mother's Annual Income

INR

3.2 E) Mother's Email AddressEnter the E-mail ID correctly. Make sure this Email ID is Active.

3.2. F) Mother's Mobile NumberEnter 10-Digit Number Correctly.

3.3 Guardian's Name (Only if Father is not the Guardian)Mention "N/A" if Not Applicable

4. Postal Address :

4.1 Address *Please enter Street, Apartment etc in Address Line 1

4.2 District *Enter Name of the District

4.3 City / PO *Enter name of the City / Post Office

4.4 PIN Code *Enter the 6-digit PIN Code Correctly

4.5 State / Union Territory *Please select your State / UT from the drop-down list

4.6 Contact Number *Enter your 10-digit Contact Number Correctly

5. Permanent Address :

5.0 Permanent Address *Please select the correct option from the drop-down list

5.1 Address *Please enter Street, Apartment etc in Address Line 1

5.2 District *Enter Name of the District

5.3 City / PO *Enter name of the City / Post Office

5.4 PIN Code *Enter the 6-digit PIN Code Correctly

5.5 State / Union Territory *Please select your State / UT from the drop-down list

5.6 Contact Number *Enter 10-Digit Number Correctly. Incorrect Contact number may lead to unnecessary trouble at your end.

6. Academic Details :

6.1. A) Subject Combination: 1st Preference *Note : Choice of subjects offered by students is not final. Allotment will be done as per vacancy/availability of seats during Admission Interview.

6.1. B) Subject Combination: 2nd Preference *Please choose the subject combination other than that of 1st Preference.

6.1. C) Subject Combination: 3rd PreferencePlease choose the subject combination other than that of 1st and 2nd Preference.

6.2 Preferred Compulsory Tutorial *I. MEDICALII. ENGINEERING

7. Family Members' Details

7.1 No. of family members living in the house *

7.2 No. of Brother(s)

7.3 No. of Sister(s)

7.4 At what no. is the candidate among his siblings

Self Declaration by the Guardian *I hereby declare that the details furnished above are TRUE and CORRECT to the best of my knowledge and belief and I bear all the responsibility and consequences if found otherwise by the authority at any instance. I have also gone through the prospectus thoroughly and agree to all academic, disciplinary, financial, spiritual and other relevant clauses/terms and conditions pertaining to my ward and myself as written therein. I shall be responsible for the expenses and conduct of my ward/son. If I withdraw my ward/son of my own after admission, the deposits made thereon shall be treated as non-refundable. In case of any breach of discipline or neglect of studies, the decision of the Secretary and Principal will be final and binding on me. I also agree that all legal matters are under the jurisdiction of Deoghar court only.Click the above Check box

Note Down this UNIQUE SECRET NUMBER (USN) in a Paper after complete fill out of the above FORM and KEEP it with YOU for all Future referenceNote Down USN just before submission and Keep it with you for Future reference

Ramakrishna Mission Vidyapith Ramakrishna Nagar, PO: Vidyapith, Deoghar, Jharkhand 814112 Phone: 87970 66678 / 94713 95502 / 94713 95503 Email – admission.rkmvd@gmail.com, Website – www.rkmvdeoghar.org

Please Fill out the form in Google Chrome browser (Preferably).

1. Examination Centre: Deoghar

Screening Test will be conducted only in Ramakrishna Mission Vidyapith, Deoghar

2. Candidate Details :

3. Guardian's Details :

4. Postal Address :

5. Permanent Address :

6. Academic Details :

7. Family Members' Details

After Submitting, DO NOT close the Browser until you see the SUBMISSION SUCCESSFUL message.

Ramakrishna Mission Vidyapith
Ramakrishna Nagar, PO: Vidyapith, Deoghar, Jharkhand 814112
Phone: 87970 66678 / 94713 95502 / 94713 95503
Email – admission.rkmvd@gmail.com, Website – www.rkmvdeoghar.org