NATIONAL INSTITUTE OF OPEN SCHOOLING · S U S H I L C H A N D E J O S H I vki viuk uke fiNys fo|ky;...

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkkuNATIONAL INSTITUTE OF OPEN SCHOOLING

2017&18 ds izos'k ds fy, vkosnu iQkWeZ rFkk vkosnu iQkWeZHkjus gsrq vko';d funsZ'k

Application Form for Admission 2017–18 andImportant Instructions for filling the Form

fo|k/kue~ loZ/kua iz/kkue~

Toll Free No. : 1800 180 9393

2017&18 ds izos'k ds fy, vkosnu iQkWeZ rFkk vkosnu iQkWeZ Hkjus gsrq vko';d funsZ'kApplication Form for Admission 2017–18 and Important Instructions for filling the Form

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkkuNational Institute of Open Schooling

Learners seeking Online admission through AI (StudyCentre)/Regional Centre may fill the particulars such asName, Father’s Name, Address etc. in the form and giveit to Study Centre/Regional Centre for On-line registrationas per instructions given below.

General Instructions:

1. Before filling up the application form, please ensure your

eligibility for admission as given in Table-3 in the

Prospectus. Otherwise the Application Form will be

cancelled and the fee paid by you will not be refunded.

Neither any intimation will be sent to you, nor any

correspondence will be entertained in this regard.

2. One Application Form for admission has been given at the

end of this prospectus.

3. Information in the admission form should be filled in English

only.

4. Please put your signature and paste a passport size

photograph on the original Application Form. Attach the

attested documents with Form and get the photographs

attested on the photocopies from Principal/Co-ordinator

or Gazatted Officer/Tehsildar/District Magistrate.

5. You should ensure that the particulars filled in the

Application Form are correct. Don't leave any column

blank in the Admission Form. You have to submit original

Form, photographs and signatures on the Form for

admission at the AI (Study Centre) along with the

duly filled in Provisional Admission Letter-cum-

Receipt.

6. Writing should be legible. Any cutting should be attested.

Other Instructions:

Your Reference Number: It will be given by the Regioanl Centre.

1. Name of Candidate: Write your name in block letters, in

English. Each letter should be written in a separate column,

as per specimen given below, leaving one space between

name, middle name and surname.

S U S H I L C H A N D E R J O S H I

You should mention your name as already recorded in your

previous school or Board certificate.

2 and 3. Father’s Name and Mother’s Name: Write your

father’s and mother’s names in block letters, in English

as per specimen given below. Do not write Shri, Smt., Mr.

or Mrs. before the name.

K A M A L C H A N D E R J O S H I

tks f'k{kkFkhZ ,vkbZ (vè;;u dsUnz)@{ks=kh; dsUnz ds ekè;e lsvkWu&ykbu izos'k ysuk pkgrs gSa os uhps fn, x, funsZ'kksa ds vuqlkjiQkWeZ esa viuk fooj.k tSls uke] firk dk uke] irk vkfn HkjdjvkWu&ykbu iathdj.k ds fy, vè;;u dsUnz@{ks=kh; dsUnz dks ns nsa %

lkekU; funsZ'k %

1. vkosnu iQkWeZ Hkjus ls igys] bl foojf.kdk esa rkfydk&3 esa nhxbZ ^izos'k ;ksX;rkvksa* ds ckjs esa i<+ ysa vkSj ;g lqfuf'prdj ysa fd vki ikB~;Øe esa izos'k ysus ds ;ksX; gSaA ugha rksvkids }kjk Hkjk x;k iQkWeZ jn~n dj fn;k tk,xk o vkids }kjknh xbZ iQhl ykSVkbZ ugha tk,xhA vkSj u gh bl laca/ esa dksbZi=kkpkj fd;k tk,xk vkSj dksbZ lwpuk Hkh ugha nh tk,xhA

2. foojf.kdk ds var esa izos'k gsrq ,d vkosnu&iQkWeZ gSA

3. izos'k iQkWeZ esa ekaxh xbZ lwpuk dks dsoy vaxzsth esa gh HkjsaA

4. ewy iQkWeZ ij gLrk{kj djsa vkSj ikliksVZ vkdkj dk iQksVksxzkiQfpidk,¡A iQkWeZ ds lkFk lR;kfir dkxtkr layXu djsa vkSj iQksVksizfr;ksa ij yxh iQksVksxzkiQksa dks iz/kukpk;Z@leUo;d vFkok jktif=krvf/dkjh@rglhynkj@ftyk/h'k ls lR;kfir djk,¡A

5- vki lqfuf'pr dj ysa fd izos'k iQkWeZ esa nh xbZ tkudkfj;k¡ lR;gksaA izos'k iQkWeZ dk dksbZ Hkh dkWye [kkyh u NksM+saA vkidks ewyiQkWeZ] iQksVksxzkiQ vkSj gLrk{kj djds Bhd ls Hkjdj vLFkk;hizos'k&iQkWeZ ,oa jlhn ds lkFk ,vkbZ (vè;;u dsanz) ij tek djkukgSA

6- fy[kkoV Li"V gksuh pkfg,A dksbZ dkV&Nk¡V gks rks mls lR;kfirdjsaA

vU; funsZ'k %

vkidh lanHkZ la[;k % ;g vkids {ks=kh; dk;kZy; }kjk fn;k tk;sxkA

1- f'k{kkFkhZ dk uke % vki viuk uke vaxzsth ds cM+s o.kks± esa fy[ksaAizR;sd o.kZ ,d vyx dkWye esa fy[kk tk,xk_ tSlk fd uhpsmnkgj.k esa fn;k x;k gS] ftlesa uke] eè; uke vkSj dqy uke dschp esa ,d&,d dkWye [kkyh NksM+k x;k gSA

S U S H I L C H A N D E R J O S H I

vki viuk uke fiNys fo|ky; ds fjdkMZ vFkok cksMZ dsizek.ki=k vuqlkj gh fy[ksaA

2 vkSj 3-ekrk&firk dk uke % vki vius ekrk vkSj firk dk ukevaxzsth ds cM+s o.kks± esa fy[ksa] tSlk fd uhps mnkgj.k esa fn;k x;kgSA uke ls igys Jh] Jherh] Jheku vkSj Jherht u fy[ksaA

K A M A L C H A N D E R J O S H I

fo|k/kue~ loZ/kua iz/kkue~

Your father’s and mother’s name should tally with your

previous records. This will be recorded in the Certificate.

No change will be permitted later on. The students

who don't want their father's/mother's name to be

printed on the certificate, kindly put cross ××××××

upto 15 boxes given for father's or mother's name.

4. Guardian's/Institution's Name : Write Guardian's/

Institution's name in case of Orphan.

5. Postal Address : Please write your complete address in

block letters in English with e-mail Id, telephone number

and the mobile number for SMS alerts. Attach proof of

residential address. Do not quote AI or any coaching centre

for address proof.

6. Date of Birth: Mention your Date of Birth correctly. Attach

the attested copies of documents as proof of date of birth

as per the Table-3 in the Prospectus. If, for example, your

Date of Birth is 17th April 1986, it should be written as

under.

1 7 0 4 1 9 8 6

DATE MONTH YEAR

7. Gender: Write 1 for Male, 2 for Female and 3 for Third

Gender in the box provided.

8. Category: Write 1 for General, 2 for SC, 3 for ST, 4 for Ex-

Servicemen and 5 for Handicapped, 6 for OBCs (Others

Backward Classes) in the box provided.

9. Disability: Write 1 for Locomotor Disability, 2 for Visually

Impaired, 3 for Hearing Impaired, 4 for Leprosy Cured, 5

for Mentally Retardation, 6 for Mental Illness, 7 for

Multiple Disabilities, 8 for Cerebral Palsy, 9 for Learning

Disabilities, 10 for Autism and 11 for Not Applicable, in

the box provided.

10. Disadvantaged Group: Write 1 for Street Children, 2 for

Working Children, 3 for Rural Women, 4 for Slum Dwellers

and 5 for Not applicable, in the box provided.

10a. Orphan Write 1 for Orphan, 2 for Institute for Orphan, 3

for Not Applicable.

11. Course Applied for: Write 1 for Secondary and 2 for Senior

Secondary in the box provided.

12. Medium of Study: (For Sr. Secondary): Write 1 for

Hindi , 2 for English, 3 for Urdu, 4 for Odia and 5 for

Bengali, 6 for Gujarati Medium in the box provided.

12a. (For Secondary): Write 1 for Hindi, 2 for English, 3 for

Urdu, 4 for Marathi, 5 for Telugu, 6 for Gujarati, 7 for

Malayalam, 8 for Odia, 9 for Tamil Medium in the box

provided.

13. Mother Tongue : Write 1 for Hindi, 2 for Urdu, 3 for

Assamese/Asomiya, 4 for Bengali/Bangla, 5 for Bodo, 6 for

Dogri, 7 for Gujarati, 8 for Kannada, 9 for Kashmiri, 10 for

Konkani, 11 for Maithili, 12 for Malayalam, 13 for

Manipuri, 14 for Marathi, 15 for Nepali, 16 for Odia, 17

vkids ekrk vkSj firk dk uke vkids fiNys fjdkWMZ ls esy [kkrkgksA ;g vkids izek.ki=k esa fy[kk tk;sxkA ckn esa blesa dksbZifjorZu ugha fd;k tk,xkA ;fn f'k{kkFkhZ izek.ki=k esa ekrk@firkdk uke ugha fy[kokuk pkgrs gSa rks fn, x, dkWye dks [kkyhu NksM+sa] muesa 15 dkWyeksa rd ××××××××× dk fu'kku yxk nsaA

4- vfHkHkkod@laLFkk dk uke % vukFk okys ekeys es avfHkHkkod@laLFkk dk uke fy[ksaA

5- i=k O;ogkj dk irk % Ñi;k viuk iwjk irk vaxzsth esa cM+s o.kks±esa bZesy vkbZMh] iQksu ua- vkSj ,l,e,l vyVZl ds fy, eksckbyuacj lfgr fy[ksaA Ñi;k izR;kf;r laLFkk ;k dksfpax lsaVj dk irku nsaA

6- tUefrfFk % viuh tUefrfFk lgh fy[ksaA foojf.kdk dh rkfydk&3ds vuqlkj tUefrfFk ls lacaf/r izek.k i=k dh lR;kfir izfr HkhlayXu djsaA mnkgj.k ds fy, ;fn vkidh tUefrfFk 17 vizSy1986 gS rks mls fuEufyf[kr izdkj ls fy[kk tk,xkA

1 7 0 4 1 9 8 6

frfFk eghuk o"kZ

7. fyax % fn, x, dkWye esa iq#"k ds fy, 1] efgyk ds fy, 2 vkSjrhljs tsaMj ds fy, 3 fy[ksaA

8. oxZ % fn, x, dkWye esa lkekU; ds fy, 1] vuqlwfpr tkfr dsfy, 2] vuqlwfpr tutkfr ds fy, 3] iwoZ lSfud ds fy, 4] vkSjv{ke ds fy, 5] vkschlh (vU; fiNM+s oxZ) ds fy, 6 fy[ksaA

9. v{kerk % fn, x, dkWye esa gkFk&iSj lacaf/r v{kerk ds fy,1] ns[kus esa v{kerk ds fy, 2] lquus esa v{kerk ds fy, 3] dq"Bjksx ls eqDr ds fy, 4] ekufld :i ls vfodflr ds fy, 5]ekufld jksx ls v{kerk ds fy, 6] vusd v{kerk ds fy, 7]efLr"d laca/kh i{kk?kkr ds fy, 8] lh[kus esa v{kerkvksa ds fy,9] vkWfVLe ds fy, 10 vkSj ykxw ugha ds fy, 11 fy[ksaA

10. oafpr oxZ % fn, x, dkWye esa iQqVikFk ij jgus okys cPpksa dsfy, 1] dkexkj cPpksa ds fy, 2] xzkeh.k efgyk ds fy, 3] >qXxhesa jgus okyksa ds fy, 4 rFkk ykxw ugha ds fy, 5 fy[ksaA

10d. vukFk % vukFk ds fy, 1] vukFk laLFkku ds fy, 2 vkSj ykxwugha ds fy, 3 fy[ksaA

11. ikB~;Øe ftlds fy, vkosnu fd;k gS% fn, x, ckWDl esaekè;fed ds fy, 1 vkSj mPprj ekè;fed ds fy, 2 fy[ksaA

12. vè;;u dk ekè;e % (mPprj ekè;fed) % fn, x,ckWDl esa fgUnh ds fy, 1 vaxzsth ds fy, 2, mnwZ ds fy, 3,

mfM+;k ds fy, 4 vkSj caxkyh ds fy, 5, xqtjkrh ekè;e dsfy, 6 fy[ksaA

12 d- (ekè;fed ds fy,) % fn, x, ckWDl esa fganh ekè;e ds fy,1] vaxzsth ds fy, 2] mnwZ ds fy, 3] ejkBh ds fy, 4] rsywxwds fy, 5] xqtjkrh ds fy, 6] ey;kye ds fy, 7] mfM+;k dsfy, 8] rfey ekè;e ds fy, 9 fy[ksaA

13. ekr`Hkk"kk : fganh ds fy, 1] mnwZ ds fy, 2] vlfe;k@vlksfe;kds fy, 3] caxkyh@caxyk ds fy, 4] cksMks ds fy, 5] Mksxjhds fy, 6] xqtjkrh ds fy, 7] dUuM+ ds fy, 8] d'ehjh dsfy, 9] dksad.kh ds fy, 10] eSfFkyh ds fy, 11] ey;kyeds fy, 12] ef.kiqjh ds fy, 13] ejkBh ds fy, 14] usikyhds fy, 15] mfM+;k ds fy, 16] iatkch ds fy, 17] laLÑr

ds fy, 18] laFkkyh ds fy, 19] flaèkh ds fy, 20] rfey dsfy, 21] rsyqxw ds fy, 22 rFkk dksbZ vU; Hkk"kk ds fy, 23

fy[ksaA

14. jk"Vªh;rk % fn, x, ckWDl esa Hkkjrh; ds fy, 1 vkSj fdlhvU; ds fy, 2 fy[ksaA

15. /eZ : fganw ds fy, 1] eqfLye ds fy, 2] bZlkbZ ds fy, 3]flD[k ds fy, 4] tSu ds fy, 5] ckS¼ ds fy, 6] ikjlh dsfy, 7- ;gwnh ds fy, 8 fy[ksaA

16. vkidh iwoZ ;ksX;rk % fn, x, [kkus esa V, VI, VII, VIII, IX,

X, XI, XII rFkk vkxs dh ;ksX;rk fy[ksaA ;fn dksbZ iwoZ ;ksX;rkugha gS rks bl [kkus esa N fy[ksaA

17. firk dh 'kSf{kd ;ksX;rk : vf'kf{kr ds fy, 1] izkFkfed rdds fy, 2] fefMy rd ds fy, 3] ekè;fed rd ds fy, 4]Lukrd ds fy, 5] LukrdksÙkj ds fy, 6 fy[ksaA

18. ekrk dh 'kSf{kd ;ksX;rk : vf'kf{kr ds fy, 1] izkFkfed rdds fy, 2] fefMy rd ds fy, 3] ekè;fed rd ds fy, 4]Lukrd ds fy, 5] LukrdksÙkj ds fy, 6 fy[ksaA

19. vki dgk¡ jgrs gSa% fn, x, ckWDl esa egkuxj (eaqcbZ]dksydkrk] psUubZ] fnYyh) ds fy, 1] vU; 'kgjksa ds fy, 2]xzkeh.k ds fy, 3 vkSj vèkZ xzkeh.k ds fy, 4 fy[ksaA

20. vkidk HkkSxksfyd {ks=k : fn, x, ckWDl esa igkM+h {ks=k ds fy,1] nwjnjkt+ {ks=k ds fy, 2] ckWMZj {ks=k ds fy, 3] vkfnoklh{ks=k ds fy, 4] Vkiw ds fy, 5] flfDde lfgr mÙkjiwohZ {ks=kds fy, 6 rFkk ykxw ugha gksus ij 7 fy[ksaA

21a. jkstxkj ds ckjs esa% fn, x, ckWDl esa jkstxkj izkIr ds fy,1 vkSj csjkstxkj ds fy, 2 fy[ksaA

21b. vU; ikB~; lgxkeh fØ;k,¡% fn, x, ckWDl esa yfyr dykds fy, 1] vfHku; dyk ds fy, 2] [ksy dwn ds fy, 3 rFkkvU; lkaLÑfrd fØ;kvksa ds fy, 4 HkjsaA

22. okf"kZd ikfjokfjd vk; : 50,000 rd ds fy, 1, 1, 00,000 rdds fy, 2, 1,50,000 rd ds fy, 3 rFkk 1,50,000 ls vf/d dsfy, 4 fy[ksaA

22a. vkfFkZd nf"V ls fiNM+s oxZ (bZchlh) % bZchlh ds fy, 1 fy[ksaftudh lHkh lzksrksa ls ikfjokfjd okf"kZd vk; 1-5 yk[k izfr o"kZls vf/kd ugha gksrh vkSj ykxw ugha ds fy, 2 fy[ksaA

23. fo"k; p;u % foojf.kdk dh rkfydk 1 esa fn, x, fo"k;ksaesa ls pquh xbZ dksM la[;k fy[ksaA

23a. vkaf'kd vFkok nksgjs ukekadu % gk¡ ds fy, 1 rFkk ugha dsfy, 2 fy[ksaA ;fn vkius ^gk¡* pquk gS] rks d`i;k uksV djsa fdvki fliQZ pkj ;k mlls de fo"k; pqu ldrs gSa vkSj blesaVhvkslh ykxw ugha gksxhA

24. nloha cksMZ dh ijh{kk dk fooj.k % vxj vki mPprjekè;fed ikB~;Øe esa izos'k ds bPNqd gSa rks fuEu tkudkfj;k¡vo'; nsaA

d) ekè;fed ijh{kk mÙkh.kZ djus dk o"kZ]

[k) ml cksMZ dk jksy uacj]

x) ml cksMZ dh dksM la[;k] tgk¡ ls vkius ekè;fedijh{kk ikl dh gS mldk dksM] foojf.kdk esa miyC/ifjf'k"V&d ls ysaA

25. 'kqYd dk Hkqxrku foojf.kdk dh rkfydk 4 vkSj 6 dsvuqlkj izos'k 'kqYd dk Hkqxrku lfpo] ,uvkbZvks,l ds

for Punjabi, 18 for Sanskrit, 19 for Santhali, 20 for Sindhi,

21 for Tamil, 22 for Telugu, 23 for any other language.

14. Nationality: Write 1 for Indian and 2 for any other, in thebox provided.

15. Religion : Write 1 for Hindu, 2 for Muslim, 3 for Christian,4 for Sikh, 5 for Jain, 6 for Budhist, 7 for Parsi, 8 for Jews.

16. Your previous qualification: Write V, VI, VII, VIII, IX,X, XI, XII and above in the column. If you have not gone tothe school write N in the box.

17. Father's Educational Qualification : Write 1 for NoEducation, 2 for upto Primary, 3 for upto Middle, 4 forupto Secondary and 5 for Graduate, 6 for Post Graduate.

18. Mother's Educational Qualification : Write 1 for NoEducation, 2 for upto Primary, 3 for upto Middle, 4 forupto Secondary and 5 for Graduate, 6 for Post Graduate.

19. Where do you live: Write 1 for Metropolitan City(Mumbai, Kolkata, Chennai, Delhi), 2 for other Cities, 3for Rural and 4 for Semi-rural in the box provided.

20. Your Geographical Area : Write 1 for Hill Area, 2 forRemote Locality, 3 for Border Area, 4 for Tribal Area, 5 forIsland, 6 for North-Eastern Region including Sikkim and 7for Not Applicable, in the box provided.

21a. Employment : Write 1 for Employed and 2 for Unemployedin the box provided.

21b. Extra Curricular Activities : Write 1 for Fine Arts, 2 forPerforming Arts, 3 for Sports and 4 for any other culturalactivities in the box provided.

22. Annual family income : Write 1 for upto Rs. 50,000, 2for upto Rs. 1, 00,000, 3 for upto Rs. 1,50,000 and 4 forAbove 1,50,000.

22a. Economically Backward Class (EBC) : Write 1 for EBCfor those whose family Annual income from all sourcesdoes not exceed Rs. 1.5 lakh per year. 2 for Not Applicable.

23. Subject choices: Write code No. of the subjects chosen asper the Table-1 in the Prospectus.

23a. Part or Dual Enrolment: Write 1 for yes or 2 for no. Ifyou have opted for ‘yes’, please note that number ofsubjects will be restricted to 4 or less and no TOC isapplicable.

24. Details of Xth board examination: If you are seekingadmission to the Senior Secondary Course, you shouldmention the following

a) the year when you have passed the SecondaryExamination,

b) the Roll Number of the Board,

c) the code of the Board from where you have passed theSecondary Examination as given in the Appendix-A inthe Prospectus.

25. Amount of Fee paid: The admission fee is to be paid asper Table 4 & 6 through Bank draft only in favour of the

i{k esa lacaf/r {ks=kh; dsUnz esa ns; cSad MªkÝV }kjk fd;ktk,xkA dksbZ 'kqYd udn tek u djsaA

(d) izos'k 'kqYd] ijh{kk 'kqYd] vfrfjDr fo"k; 'kqYd]Vhvkslh 'kqYd rFkk dqy 'kqYd dh jkf'k fy[ksa]

([k) cSad MªkÝV la[;k fy[ksa

(x) cSad MªkÝV dh frfFk fy[ksa

(?k) cSad MªkÝV tkjh djus okys cSad dk uke fy[ksa

(M-) cSad pkyku dh fo'ks"k la[;k fy[ksa

26. D;k vki ØsfMV LFkkukarj.k (Vhvkslh) ds fy, vkosnudj jgs gSa: gk¡ ds fy, 1 rFkk ugha ds fy, 2 fy[ksaA

27. ØsfMV LFkkukarj.k ls lacaf/r cksMZ dk fooj.k% (d)ijh{kk dh ukekadu la[;k fy[ksa ftlds vk/kkj ij ØsfMVLFkkukarj.k pkfg, ([k) fo"k;ksa dks ikl djus dk o"kZ fy[ksaA(x) ØsfMV LFkkukarj.k ds fy, cksMZ dk dksM foojf.kdk dsifjf'k"V&d rFkk Hkkx 2.5 vkSj 2-6 esa ls fy[ksaA

28. ØsfMV LFkkukarj.k ls lacaf/r fo"k;ksa dk fooj.k% Ñi;kfoojf.kdk esa miyC/ rkfydk&1 rFkk Hkkx 2-5 vkSj 2-6 ns[ksaA

29. izos'k dh iqf"V u gksus dh fLFkfr esa fu;ekuqlkj 'kqYd okilizkIr djus ds fy, Ñi;k [kkrk la[;k] cSad dk vkbZ,iQ,llhdksM vkSj cSad dk uke vkSj irk lacaèkh fooj.k nsaA

30. D;k vki ,uvkbZvks,l ds ekè;fed ikB~;Øe esa izos'kLoizek.ki=k ds vk/kkj ij ysuk pkgrs gSa % gk¡ ds fy, 1vkSj ykxw ugha ds fy, 2 fy[ksaA

vko';d lwpuk

••••• f'k{kkFkhZ ds gLrk{kj vkSj ekrk&firk@vfHkHkkod ds izfrgLrk{kj% f'k{kkFkhZ vkSj ekrk&firk@vfHkHkkod Ñi;k ?kks"k.kki=k ij fnukad lfgr izos'k ds fy, vkosnu iQkWeZ ds ihNs fn,x, dkWye ij gLrk{kj djsaA

••••• iQksVks fpidkus ds fy, funsZ'k % f'k{kkfFkZ;ksa dks lykg nhtkrh gS fd fuEufyf[kr funsZ'kksa dk l[rh ls ikyu djsa %

1- yxk;k x;k iQksVks N% ekg ls iqjkuk ugha gksuk pkfg,AiQksVks ij iQksVks f[kpokus dh frfFk] tUe frfFk of'k{kkFkhZ dk uke fy[kk gksuk pkfg,A

2- iQksVks fpidkus ls igys iQksVks ds ihNs f'k{kkFkhZ dk ukevkSj ,uvkbZvks,l iathdj.k la[;k fy[ksaA

3- lqfuf'pr djsa fd iQksVks [kjkc u gqbZ gksA

4- f'k{kkFkhZ lHkh iQkWeks± ij (4 lsa-eh- × 3 lsa-eh-) ikliksVZvkdkj dh iQksVks fpidk,aA {ks=kh; dsanz vkSj vè;;u dsanzds fy, fu/kZfjr iQksVksizfr;ksa ij yxk, x, iQksVks fuEufyf[kresa ls fdlh ,d ls lR;kfir djok,¡ %

(d) ,uvkbZvks,l vè;;u dsUnz ds leUo;d([k) ekU;rk izkIr fo|ky;@egkfo|ky; ds iz/kukpk;Z(x) ftyk eftLVªsV(?k) jktif=kr vf/dkjh(M-) rglhynkj

Secretary, NIOS payable at the concerned Regional Centre.

No fee should be paid through cash.

a) Write the amount of admission fee, additional subject

fee, TOC fee and total fee paid

b) Write Bank Draft No.

c) Write date of Bank Draft,

d) Write the name of Bank for issuing Bank Draft,

e) Write the unique number of Bank Challan

26. Whether you are applying for Transfer of Credit (TOC):

Write 1 for Yes and 2 for No.

27. Details for TOC Board: Write a) Enrolment No. of

examination for which TOC is required, b) Year of passing

the subjects, c) Code of the TOC Board as per Appendix-

A and section 2.5 & 2.6 of the Prospectus.

28. Details of TOC subjects: Please see section 2.5 & 2.6 and

the Table-1 of the Prospectus.

29. For claiming refund of fee in the event of not confirmation

of admission as per policy, please provide details of Account

Number, IFSC Code of the Bank and Name and address of

the Bank.

30. Whether you wish to get admission in the Secondary

Course of NIOS on the basis of Self Certificate : Write

1 for yes and 2 for Not Applicable

IMPORTANT NOTE:

••••• Signature of the learner and Counter Signature of

Parent/Guardian: Learner and Parent/Guardian are

requested to sign the Declaration with date as per column

provided on back of the Application Form for admission.

••••• Instructions for affixing Photograph: Candidates are

advised to strictly follow the following instructions:

1. Photograph affixed on the application should not be more

than six month old. Thedate on which photograph is

made along with Name of candidate Date of Birth and

Date should be reflected.

2. Write NIOS registration number and name of the candidate

on the back of the photo before it is being affixed.

3. Ensure that photograph is not deshaped.

4. Candidate should affix Passport size (4 cm × 3 cm)

photographs on all the Forms. Photograph affixed on the

photocopies for Regional Centre and the Study Centre

should be duly attested by any one of the following:

(a) Co-ordinator of NIOS Study Centre

(b) Principal of recognised School/College

(c) District Magistrate

(d) Gazetted Officer

(e) Tehsildar

ekè;fed ijh{kk@Secondary Examination

Ø-la- dksM fo"k;

S.No. Code Subject

1. 201 fgUnh@Hindi

2. 202 vaxzsth@English

3. 206 mnwZ@Urdu

4. 209 laLd`r@Sanskrit

5. 203 caxkyh@Bengali

6. 204 ejkBh@Marathi

7. 205 rsyqxw@Telugu

8. 207 xqtjkrh@Gujarati

9. 208 dUuM+@Kannada

10. 210 iatkch@Punjabi

11. 228 vlfe;k@Assamese

12. 231 usikyh@Nepali

13. 232 ey;kye@Malayalam

14. 233 vksfM+;k@Odia

15. 235 vjch@Arabic

16. 236 Qkjlh@Persian

17. 237 rfey@Tamil

18. 211 xf.kr@Mathematics

19. 212 foKku ,oa izkS|ksfxdh@Science & Technology

20. 213 lkekftd foKku@Social Science

21. 214 vFkZ'kkL=k@Economics

22. 215 okf.kT;@Business Studies

23. 216 x`g foKku@Home Science

24. 222 euksfoKku/Psychology

25. 223 Hkkjrh; laLÑfr ,oa fojklr

Indian Culture and Heritage

26. 224 ys[kkadu@Accountancy

27. 225 fp=kdyk@Painting

28. 229 MkWVk ,aVªh vkWijs'kUl@Data Entry Operations

mPprj ekè;fed ijh{kk@Senior Secondary Examination

Ø-la- dksM fo"k;

S.No. Code Subject

lewg d@Group A

1. 301 fgUnh@Hindi

2. 302 vaxzsth@English

3. 306 mnwZ@Urdu

4. 309 laLÑr@Sanskrit

5. 307 xqtjkrh@Gujarati

6. 303 ckaXyk@Bengali

7. 304 rfey@Tamil

8. 305 vksfM+;k@Odia

9. 310 iatkch@Punjabi

lewg [k@Group B

1. 311 xf.kr@Mathematics

2. 316 Hkwxksy@Geography

3. 318 vFkZ'kkL=k@Economics

4. 319 okf.kT;@Commerce/Business Studies

5. 321 x`g foKku@Home Science

6. 328 euksfoKku@Psychology

7. 332 fp=kdyk@Painting

8. 336 MkWVk ,aVªh vkWijs'kUl@Data Entry Operations

lewg x@Group C

9. 312 HkkSfrdh@Physics

10. 315 bfrgkl@History

11. 339 iqLrdky; vkSj lwpukfoKku@Library and

Information Sciences

lewg ?k@Group D

12. 313 jlk;u foKku@Chemistry

13. 317 jktuhfr foKku@Political Science

14. 335 tulapkj@Mass Communication

lewg M-@Group E

15. 314 tho foKku@Biology

16. 320 ys[kk'kkL=k@Accountacy

17. 338 dkuwu dk ifjp;@Introduction to Law

lewg p@Group F

18. 330 dEI;wVj foKku@Computer Science

19. 331 lekt'kkL=k@Sociology

20. 333 i;kZoj.k foKku@Environmental Science

fo"k; dksM@Subject Codes

bu fo"k;ksa dh ijh{kk

,d gh fnu vkSj

,d gh le;

vk;ksftr dh tk,xhAExamination of

these subjects

will be held on

same day and

same time.

bu fo"k;ksa dh ijh{kk ,d ghfnu vkSj ,d gh le;vk;ksftr dh tk,xhA

Examination of thesesubjects will be held on

same day and sametime.

bu fo"k;ksa dh ijh{kk ,dgh fnu vkSj ,d ghle; vk;ksftr dh

tk,xhAExamination of

these subjects willbe held on same day

and same time.

bu fo"k;ksa dh ijh{kk,d gh fnu vkSj ,d gh

le; vk;ksftr dhtk,xhA

Examination ofthese subjects will

be held on same dayand same time.

bu fo"k;ksa dh ijh{kk,d gh fnu vkSj ,d gh

le; vk;ksftr dhtk,xhA

Examination ofthese subjects will

be held on same dayand same time.

bu fo"k;ksa dh ijh{kk,d gh fnu vkSj ,dgh le; vk;ksftr dh

tk,xhAExamination of

these subjects willbe held on same

day and same time.

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku,uvkbZvks,l ds {ks=kh; dsUnzksa dh lwph

1- bykgkckn jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku mÙkj izns'k{ks=kh; dsUnz] 19/17, dLrwjck xkaèkh ekxZ] dpgjh jksM]bykgkckn-211002 (mÙkj izns'k)iQksu % (dk) 0532-2548154; iSQDl % 0532-2548149

bZ&esy% [email protected]

2- vesBh jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz vesBh vkSj xkSjhxaty[kgjk Hkou] eaq'khxat jksM] ljouiqqj&227405] vesBh (m-iz-)bZesy% [email protected]

3- csaxyq: jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz dukZVdfuns'kd dk;kZy; (O;kolkf;d f'k{kk)rhljh eafty] ih;wbZ Hkou] 18oka ØkWllsefit jksM] ekys'oje] casxyq:- 560012, dukZVdiQksu: 23464223 iQSDl% 23464222, bZesy% [email protected]

4- Hkksiky jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz eè; izns'kekul Hkou] ';keyk fgy] Hkksiky&462002] eè; izns'kiQksu% 0755-2661842, 2660331; iSQDl % 2661842


5- Hkqcus'oj jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; osQUnz mM+hlkbZ,yVhvkbZ] dSEil] eS=kh fogkj] panz'ks[kj iqj]Hkqous'oj & 751023iQksu% 0674-2302688, bZ&esy% [email protected]

6- paMhx<+ jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku gfj;k.kk (xqM+xkao] iQjhnkckn vkSj >Ttj ftyksa dks{ks=kh; dsUnz NksM+dj)] iatkc] tEew vkSj d'ehjokbZ,elh, dkWEiySDl lsDVj&11lh] paMhx<+-160011 vkSj paMhx<+iQksu % (dk) 0172-2744915, 3950979; iSQDl % 0172-2744952

bZ&esy% [email protected]; [email protected]

7- psUubZ jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; osQUnz rfeyukMq] ikafMpsjhysMh fofyaxVu dSEil] dkejktj lykbZ]fVªiyhdsu] psUubZ&600005iQksu% 044-28442237(iQSDl) 044&28442239bZ&esy% [email protected]

8- nsgjknwu jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz mÙkjk[kaM] esjB] ckxir]ve`r Iyktk fc¯YMx] fu;j caxkyh dksBh pkSd] lgkjuiqj rFkk eqtiQ~iQjuxj] eqjknkckn]eksB jksoyk jksM] ih-vks- vtkiqj dyk¡] nsgjknwu&248001 rFkk ts-ih- uxj (vejksgk) vkSjiQksu% 0135-2532566, 2532592 iQSDl% 0135-2629166 mÙkj izns'k ds ftysbZ&esy% [email protected]

9- fnYyh jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz jk"Vªh; jkt/kuh {ks=k fnYyh rFkk blds m-iz- ,oa,&31] baLVhV~;w'kuy ,fj;k] ,u-,p-&24] lsDVj&62] uks,Mk (m-iz-) gfj;k.kk ds utnhdh ftys ftuesa 'kkfey gSa xkSreiQksu % (dk) 0120-2404914-15, iSQDl % 0120-2404916, cq¼ uxj (uks,Mk rFkk xzsVj uks,Mk)] xkft+;kckn]bZ&esy% [email protected] xqM+xk¡o] iQjhnkckn rFkk >TtjA

10- /eZ'kkyk jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz fgekpy izns'knwljk ry] pkewaMk dkWEIysDl (vk;dj foHkkx ds ikl)njh jksM+] /eZ'kkyk] ftyk dkaxM+k] fgekpy izns'k&176057iQksu %(dk) 001892-222251, bZ&esy: [email protected]

11- xka/huxj jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz xqtjkreYVh LVksjh fcfYMax] Mh foax] lkroka ry]lsDVj&11] ifFkdk vkJe ds ikl] xka/huxj-382011,

iQksu : 079-23220410 iQSDl : 079-23220411

bZ&esy: [email protected]

12- xaxVksd jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnzVhplZ xsLV gkml] l;kjh] xaxVksd&bZLV flfDde&737102bZ&esy: [email protected]

13- xqokgkVh jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz ukxkySaM] v#.kkpy izns'k] vle] ef.kiqj]vle izdk'ku cksMZ dk Hkou] es?kky;] fetksje vkSj f=kiqjk(vle ekè;fed f'k{kk cksMZ ds ikl) izFke ry] ckequh eSnku]xqokgkVh-781021 (vklke)

iQksu % 0361-2650541 2340497; iSQDl % 0361-2650542

bZ&esy% [email protected]; [email protected]

,uvkbZvks,l lSy f'kyk¡x{ks=kh; dsUnz es?kky;kMk;jsDVjsV vkWiQ ,tqds'kuyfjlpZ ,oa Vsªfuax osQEil (Mh-bZ-vkj-Vh-)ysFkqe[keZ] f'kyk¡x] es?kky;k&7930011bZ&esy % [email protected]

14- gSnjkckn jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz rsyaxkukiv ry] JhÑ".k nsojk;] rsyqxw Hkk"kk fuy;e] VªLVua- 4&4&8] 2] lqYrku cktkj] gSnjkckn&500095iQksu % 040-24162859; iSQDl % 040-24060712

15- t;iqj jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz] Mh&11&12] :i fogkj dkWyksuh] eksgu ekxZ] jktLFkkudjksyh xkMZu ds lkeus] U;w lkaxusj jksM] lksMkyk] t;iqj (jktLFkku) &302019iQksu % (dk) 0141-2292818, 2290057, (iQSDl) 2292819


mi {ks=kh; dsUnz] dksVknwljk ry] 2&ih,&1] foKku uxj esu jksM] dksVk&324005bZ&esy % [email protected], iQksu % 09889128555

16- dksph jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz] 6oha eafty] dsjy LVsV gkmflax cksMZ fcfYMax osQjyiukefiYyh uxj] dksph- 682036

iQksu % (dk) 0484-2310032, 4035540 (T/F) 0484-2310033


17- dksydkrk jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz] 10@1@,p] Mk;eaM gkjcj jksM] flfDde] if'peh caxky vkSj vaMeku odksydkrk-700 027 (if'peh caxky) fudksckj }hilewgiQksu % (dk) 033-24797714; iSQDl % 033-24797707


mi&{ks=kh; lsy iksVZ Cys;j iksVZ Cys;jfuns'kky; esa izkS<+ f'k{kkvaMeku ,oa fudksckj iz'kklu f'k{kk lnuvaMeku ,oa fudksckj }hilewg] iksVZ Cys;j

18- iVuk jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz] fcgkjyfyr Hkou] xzkmaM Ýyksj] tokgj yky usg: ekxZ]csyh jksM] iVuk - 800001] fcgkjiQksu % (O) 0612-2545051, 0612-2545470


mi{ks=kh; osQUnz% njHkaxkeks- [kku pkSd] esu [kku pkSd ds ikl] iksLV yky ckx]ftyk njHkaxk&846004 (fcgkj)] iQksu % 0627-2250628

19- iq.ks jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz] }kjk Hkkjrh; f'k{kk laLFkku] egkjk"Vª] xksok] neu vkSj nho128@2 tsih ukbd jksM] Jh fuosQru lkslk;Vh (lksykfjl Dyc ds ikl)]dksFk:n] iq.ks - 411029 (egkjk"Vª)iQksu % (dk) 020-25444667, 25439763; iSQDl% 020-25444667


20- jk;iqj jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku{ks=kh; dsUnz] NÙkhlx<+ch-Vh-vkbZ] xzkmaM] MkbV ifjlj] 'kadj uxj]jk;iqj - 492001, NÙkhlx<+iQksu: (O) 0771-2442147, 2442167 bZ&esy% [email protected]

21- jkaph jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku >kj[kaM{ks=kh; dsUnz]Ldwyh f'k{kk] Nk=kkokl ifjlj, vej 'kghn Bkdqj fo'oukFk]'kkgnso ftyk Ldwy] ftyk Ldwy ifj"kn] jkaphbZ&esy% [email protected]

22- fo'kk[kkiV~Vue jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku]{ks=kh; osQUnz vka/z izns'kik¡poka ry] ch&CykWd] oh;wMh, dkWEIysDl]flfjiqje] fo'kk[kkiV~Vue] vka/z izns'kiQksu % (dk) 0891-2564584 (iQSDl) 0891-2792713


National Institute of Open Schooling

List of the Regional Centres of NIOS

Name of the Region Address of the Regional Centre Jurisdiction

1. ALLAHABAD National Institute of Open SchoolingRegional Centre Uttar Pradesh19/17, Kasturba Gandhi Marg, Kachahari RoadAllahabad - 211002 (Uttar Pradesh)Ph.: (O) 0532-2548154 (Fax) 0532-2548149e-mail: [email protected]

2. AMETHI National Institute of Open Schooling Amethi & GauriganjRegional Centre

Lakhara House, Munshiganj Road,

Sarvanpur-227405, Amethi, (Uttar Pradesh)

Email: [email protected]

3. BENGALURU National Institute of Open Schooling

Regional Centre Karnataka

Office of the Director (Vocational Education)

3rd Floor, PUE Bhawan, 18th Cross

Sampige Road, Malleswaram, Bengaluru - 560012,

Karnataka, Ph.: 23464223 Fax: 23464222


4. BHOPAL National Institute of Open SchoolingRegional Centre Madhya PradeshManas Bhawan, Shyamla Hills, Bhopal - 462002 (M.P.)Ph.: 0755-2661842, 2660331 Fax : 0755-2661842e-mail: [email protected]

5. BHUBANESHWAR National Institute of Open SchoolingRegional Centre OdishaELTI Campus Maitrivihar,Chandrashekhar Pur, Bhubaneswar-751023Ph. No. 0674-2302688Email.: [email protected] Website: htpp://rcbbsr.nios.ac.in

6. CHANDIGARH National Institute of Open SchoolingRegional Centre Haryana (Excluding gurgaon, FaridabadYMCA Complex, Sector-11C, Chandigarh-160 001 & Jhajjar) Punjab, Jammu & KashmirPh.:(O) 0172-2744915, 3950979 Fax : 0172-2744952 and Chandigarhe-mail: [email protected]

7. CHENNAI National Institute of Open SchoolingRegional Centre Tamil Nadu, PondicherryLady Willington Campus, Kamrajar Salai,Triplicane, Chennai-600005, TamilnaduPh. no. 044-28442237 Fax: 044-28442239e-mail: [email protected]

8. DEHRADUN National Institute of Open SchoolingRegional Centre Uttrakhand, Meerut, BagpatAmrit Plaza Building, Near Bengali Kothi Chowk Saharanpur , Muzaffar Nagar, Moradabad

Moth Rowala Road, P.O. Ajapur Kalan, Dehradun - 248001 and J.P. Nagar (Amroha) districts of U.P.

Ph.: (O) 0135- 2532566; 2532592; Fax : 0135-2629166e-mail: [email protected]

9. DELHI National Institute of Open Schooling NCT of Delhi and bordering Distts. ofRegional Centre NCT in Uttar Pradesh and Haryana comprisingA-31, Institutional Area, NH-24, of Distts. of Gautam Buddh Nagar (NoidaSector-62, NOIDA- 201309 and Greater Noida), Ghaziabad, GurgaonDistt. - Gautam Buddha Nagar (U.P.) Faridabad and Jhajjar.Ph: (O) 0120-2404914-15, Fax : 0120-2404916e-mail: [email protected]

10. DHARAMSHALA National Institute of Open Schooling Himachal PradeshRegional Centre2nd Floor, Chamunda Complex, (Near Income Tax Office)Dari Road, Dharamshala, Distt. Kangra-176057,Himachal Pradesh, Ph. (O) 001892-222251e-mail: [email protected]

11. GANDHI NAGAR National Institute of Open Schooling

Regional Centre Gujarat

Multi Storied Building, D Wing, 7th Floor,

Sector-11, Near Pathikaashram, Gandhinagar-3820011,

Gujarat, Ph.: 079-23220410, Fax: 079-23220411


12. GANGTOK National Institute of Open SchoolingRegional Centre Sikkim and Bordering Dist. of West BengalTeacher’s Guest House, Syari Comprising of Distt. Silliguri and DarjlingGangtok - East Sikkim-737102email: [email protected]

13. GUWAHATI National Institute of Open SchoolingRegional Centre Nagaland, Arunachal Pradesh,Building of Assam Publication Board, Assam, Manipur,(Near Assam Board of Secondary Education) Mizoram and TripuraIst Floor, Bamunimaidan, Guwahati-781021 (Assam)Ph. (O): 0361-2650541, 2651201 (Fax) 0361-2650542e-mail: [email protected]

NIOS Cell ShillongDirectorate of Educational Research

& Training Campus (DERT), Laithumkhram Meghalaya

Shillong, Meghalaya-793011

e-mail: [email protected]

14. HYDERABAD National Institute of Open SchoolingRegional Centre Telangana

IV Floor, Sri Krishna Devaraya,

Telugu Basha Nilayam, Trust, No 4-4-8, 2

Sultan Bazar, Hyderabad - 500095.

Ph.: (O) 040-24162859, Fax : 040-24060712

15. JAIPUR National Institute of Open Schooling Rajasthan

Regional Centre

D-11-12 Roop Vihar Colony, Mohan Marg,

Opp. Karoli Garden, New Sanganer Road,

Sodala, Jaipur ( Rajasthan) – 302019

Ph.: (O) 0141-2292818, 2290057 Fax.: 0141-2292819


Sub Regional Centre Kota2nd Floor, 2-PA-1, Vigyan Nagar Main Road, Kota-324005

E-mail : [email protected]

Ph. No. 09889128555

16. KOCHI National Institute of Open Schooling Kerala

Regional Centre

6th Floor, Kerala State Housing Board Building,

Panampilly Nagar, Kochi-682036

Ph.: 0484-2310032, 4035540 (T/F) 0484-2310033


17. KOLKATA National Institute of Open SchoolingRegional Centre West Bengal (Excluding Silliguri and Darjling)

10/1/H, Diamond Harbour Road, Kolkata-700 027 (W.B.) and Andaman and Nicobar Island

Ph.: (O) 033-24797714, Fax : 033-24797707


NIOS CELL PORT BLAIR Port Blair

Adult Education in the Directorate

A&N Administration Shiksha Sadan

A&N Island, Port Blair



18. PATNA National Institute of Open Schooling Bihar

Regional Centre

Lalit Bhawan, Ground Floor, Jawahar Lal Nehru Marg,

Bailey Road, Patna - 800001 (Bihar)

Ph.: (O) 0612-2545051, 0612-2545470


SUB-REGIONAL CENTRE DARBHANGAMoh- Khan Chowk

Near Main Khan Chowk

PO Lal Bagh

Distt. Darbhanga-846004

Phone : 0627-2250628

19. PUNE National Institute of Open SchoolingRegional Centre Maharashtra, Goa

C/o Indian Institute of Education Campus, and Daman & Diu

128/2 JP Naik Road, Sriniketan Society, (Near Solaris Club)

Kothrud, Pune-411029 (Maharashtra)

Ph. (O) 020-25444667, 25439763 (Fax) 020-25456496


20. RAIPUR National Institute of Open Schooling

Regional Centre Chhatisgarh

B.T.I Ground, DIET Campus, Shankar Nagar

Ph: (O) 0771-2442147, 2442167

Raipur-492001, Chhatisgarh


21. RANCHI National Institute of Open Schooling Jharkhand

Regional Centre

Schooling, Hostel Premises,

Amar Shahid Thakur Vishavanath

Shahdev Zila School, Zilla School Parishad, Ranchi

Phone No.: 0651-2217030; Fax: 0651-2217060


22. VISAKAPATNAM National Institute of Open Schooling

Regional Centre Andhra Pradesh

5th Floor, B Block,

VUDA Complex,

Siripuram, Visakapatanam, Andhra Pradesh

Ph.: 0891-2564584,

E-mail : [email protected]

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