Page - 1/1

Code & Name of Institution :

1 Category :

2 Registration Session :

3 Registration Number :

4 Name of the Student :

5 Date of Birth : (Date) (Month) (Year)

6 Mother's Name :

7 Father's Name :

8 Faculty :

9

System Generated UID No. : Entered By :

Note :1 In column no. 1 to 8 details to be filled / ticked should match exactly with the one appearing in your Registration Card.

2 In column no 9 fill details (as applicable).

3 Photograph to be pasted should not be more than 3 months old. Photograph & Signature should not exceed the box area.

4 Change of any details is not allowed. For modification in details please contact the Council.

5 Submission of copy of Registration Card whose details is mentioned above is mandatory.6 Get printed copy of your checklist from school and look at your details very carefully. Inform HM immediately if there is any mistake.7 No correction will be allowed once exam form is submitted online.

Seal & Signature of the Institution Head

or Principal

(for Institution use only)

Space for Student's Photograph Space for Student's Signature

Signature of Father / Mother

2019-2021

Consent for swapping of between Optional Subject & Additional Subject in order to pass the examination, in case of failure to obtain the

requisite pass mark in one of the Optional Subject .

YES (Swap the same) / NO (Do not swap)Para applicable if faculty opted is COMMERCE or SCIENCE and that to if a

language subject has been opted for as Additional in Registration.

- 1

JHARKHAND ACADEMIC COUNCIL, RANCHISTUDENT INFORMATION SHEET FOR INTERMEDIATE EXAMINATION, 2021.

(Duly filled in form is to be submitted to the Institution by the Student for Online Data Submission)(To be filled using black ball point pen only) (For REGULAR / PRIVATE Candidate only)

9

REGULAR / PRIVATE

--

/ 2018-2020

ARTS / COMMERCE / SCIENCE

Page - 1/2

Code & Name of Institution :

1 Category :

2 Registration Session :

3 Registration Number :

4 Last Intermediate Examination Passed / Failed / Appeared Details :

Roll Code Roll Number Year

5 Name of the Student :

6 Date of Birth : (Date) (Month) (Year)

7 Mother's Name :

8 Father's Name :

9 Student Aadhar Number :

10 Communication Address:

11 State :

12 PIN No :

13 Contact (Mobile) No. :

14 E-mail ID :

15 Faculty :

16 Appearing in :

17 Subjects offered : (opted subject will have to be same as previous Intermediate Examination)

Para applicable for ARTS faculty :

Core :

Matri Bhasa : {will be applicable if opted CORE Subject is Hindi-B(HNB)}

Elective :

Optional - 1 :

Optional - 2 :

Optional - 3 :

Additional :

2 0

JHARKHAND ACADEMIC COUNCIL, RANCHISTUDENT INFORMATION SHEET FOR INTERMEDIATE EXAMINATION, 2021.

(Duly filled in form is to be submitted to the Institution by the Student for Online Exam Form Submission)(To be filled using black ball point pen only) (For EX-REGULAR Candidate only)

2018-2020

- - -

/ 2017-2019 / 2016-2018

/ COMMERCE / SCIENCE

EX-REGULAR

ALL SUBJECTS / IMPROVEMENT / QUALIFYING

ARTS

Para applicable for COMMERCE faculty :

Core :

Matri Bhasa : {will be applicable if opted CORE Subject is Hindi-B(HNB)}

Compulsory - 1 : ACCOUNTANCY ( ACT ) ( Strike out the subject; if the same is not applicable )

Compulsory - 2 : BUSINESS STUDIES ( BST ) ( Strike out the subject; if the same is not applicable )

Optional - 1 :

Optional - 2 :

Additional :

Para applicable for SCIENCE faculty :

Core :

Matri Bhasa : {will be applicable if opted CORE Subject is Hindi-B(HNB)}

Compulsory - 1 : PHYSICS ( PHY ) ( Strike out the subject; if the same is not applicable )

Compulsory - 2 : CHEMISTRY ( CHE ) ( Strike out the subject; if the same is not applicable )

Optional - 1 :

Optional - 2 :

Additional :

System Generated UID No. : Entered By :

Note :1 Ex-regular Candidates who have appeared and passed in Examination Year 2019 can only appear as "IMPROVEMENT/QUALIFYING".

2 Candidate appearing as "IMPROVEMENT" can apply in one / multiple / all the subjects.

3 Candidate appearing as "QUALIFYING" can apply in additional subject only.

4 In column no. 1 to 8 details to be filled / ticked should match exactly with the one appearing in your Registration/Admission Card.

5 In column no 9 to 17 fill details (as applicable).

6 Photograph to be pasted should not be more than 3 months old. Photograph & Signature should not exceed the box area.

7 Change of any details is not allowed. For modification in details please contact the Council.

8 Submission of copy of Registration Card / Admission Card of Class XII Examination whose details is mentioned above is mandatory.9 Get printed copy of your checklist from school and look at your details very carefully. Inform HM immediately if there is any mistake.

10 No correction will be allowed once exam form is submitted online.

Seal & Signature of the Institution Head

or Principal

Signature of Father / Mother

(for Institution use only)

Space for Student's Photograph Space for Student's Signature

Para applicable only if a language subject has been selected as Additional

Subject by a candidate appearing in All Subjects.

Para applicable only if a language subject has been selected as Additional

Subject by a candidate appearing in All Subjects.

YES (Swap the same) / NO (Do not swap)

Consent for swapping of between Optional Subject & Additional Subject in order to pass the examination, in case of failure to obtain the

requisite pass mark in one of the Optional Subject .

YES (Swap the same) / NO (Do not swap)

Consent for swapping of between Optional Subject & Additional Subject in order to pass the examination, in case of failure to obtain the

requisite pass mark in one of the Optional Subject .

( Information Sheet for Ex-Regular Candidate only )

Page : 1/2

Code & Name of Institution :

1 Category :

2 Registration Session : / / / / / /

/

3 Registration Number :

4 Last Intermediate Examination Passed / Failed / Appeared Details :

Roll Code Roll Number Year

5 Name of the Student :

6 Date of Birth : (Date) (Month) (Year)

7 Gender :

8 Divyang :

9 Caste :

10 Religion :

11 Nationality :

12 Student Aadhar Number :

13 Area :

14 Mother's Name :

15 Father's Name :

16 Communication Address:

17 State :

18 PIN No :

19 Contact (Mobile) No. :

20 E-mail ID :

21 Medium of Examination:

22 Faculty :

23 Appearing :

2009-2011

JHARKHAND ACADEMIC COUNCIL, RANCHISTUDENT INFORMATION SHEET FOR INTERMEDIATE EXAMINATION, 2021.

(Duly filled in form is to be submitted to the Institution by the Student for Online Data Submission) (To be filled using black ball point pen only) ( For RE-REGISTRATION Candidate Only )

2015-2017 2014-2016 2013-2015 2012-2014 2011-20132016-2018

RE-REGISTRATION

- -

02

-

2010-2012

MALE / FEMALE

ORTHOPEDIC

/

/ DUMB / SPASTIC / NONE / BLIND / DEAF

GENERAL / SC / ST / BC-1 / BC-2

/ CHRISTIANITY / OTHERS

INDIAN / OTHERS

HINDUISM / ISLAM / SIKHISM

RURAL / URBAN

/ URDU / ORIYA

SCIENCE

ALL SUBJECTS

ARTS / COMMERCE /

ENGLISH / HINDI / BENGALI

Page : 2/224 Subjects offered :Para applicable for ARTS faculty :

Core :

Matri Bhasa : {will be applicable if opted CORE Subject is Hindi-B(HNB)}

Elective :

Optional - 1 :

Optional - 2 :

Optional - 3 :

Additional :

Para applicable for COMMERCE faculty :Core :

Matri Bhasa : {will be applicable if opted CORE Subject is Hindi-B(HNB)}

Compulsory - 1 : ACCOUNTANCY ( ACT )

Compulsory - 2 : BUSINESS STUDIES ( BST )

Optional - 1 :

Optional - 2 :

Additional :

Para applicable for SCIENCE faculty :Core :

Matri Bhasa : {will be applicable if opted CORE Subject is Hindi-B(HNB)}

Compulsory - 1 : PHYSICS ( PHY )

Compulsory - 2 : CHEMISTRY ( CHE )

Optional - 1 :

Optional - 2 :

Additional :

System Generated UID No. : Entered By :

Note :1 For column no. 2, 7, 8, 9, 10, 11, 13, 21, 22 & 23 you are required to tick the applicable one.

2 For faculty-wise applicable subject combination kindly contact your institution.

3 Photograph to be pasted should not be more than 3 months old. Photograph & Signature should not exceed the box area.

4 Submission of copy of Registration Card / Admission Card of Class XII Examination whose details is mentioned above is mandatory.6 Get printed copy of your checklist from school and look at your details very carefully. Inform HM immediately if there is any mistake.7 No correction will be allowed once exam form is submitted online.

Seal & Signature of the Institution Head

or Principal

Space for Student's Photograph Space for Student's Signature

Signature of Father / Mother

(for Institution use only)

Consent for swapping of between Optional Subject & Additional Subject in order to pass the examination, in case of failure to obtain the

requisite pass mark in one of the Optional Subject .

YES (Swap the same) / NO (Do not swap)Para applicable only if a language subject has been selected as Additional

Subject by a candidate appearing in All Subjects.

Consent for swapping of between Optional Subject & Additional Subject in order to pass the examination, in case of failure to obtain the

requisite pass mark in one of the Optional Subject .

YES (Swap the same) / NO (Do not swap)Para applicable only if a language subject has been selected as Additional

Subject by a candidate appearing in All Subjects.

Fees Type

1 2 3 4 5 6 7 8 9

Form Fee Exam Fee P/C Fee M/S Fee Mig Fee Local Levy Misc. Fee Re-Reg Fee Late Fee

Rs. 80/- Rs. 200/- Rs. 90/- Rs. 90/- Rs. 90/- Rs. 250/- Rs. 30/- Rs. 280/- Rs. 300/-

1 Regular Girls Candidate 80 0 90 90 90 250 30 0 630 300 930

2 Private Girls Candidate 80 200 90 90 90 250 30 0 830 300 1,130

3 Ex-Regular Girls Candidate 80 200 0 90 0 250 30 0 650 300 950

4 Re-Registration Girls Candidate 80 200 90 90 90 250 30 280 1,110 300 1,410

5 Re-Registration Boys Candidate 80 200 90 90 90 250 30 280 1,110 300 1,410

6 Ex-Regular Boys Candidate 80 200 0 90 0 250 30 0 650 300 950

7 Private Boys Candidate 80 200 90 90 90 250 30 0 830 300 1,130

8Regular Boys Candidate (belonging to General

Caste) 80 200 90 90 90 250 30 0 830 300 1,130

9

Regular Boys Candidate (belonging to SC / ST /

BC-1 / BC-2 Caste) - Appearing from Permitted

Faculty.

80 0 90 90 90 250 30 0 630 300 930

10

Regular Boys Candidate (belonging to SC / ST /

BC-1 / BC-2 Caste) - Appearing from Non-

Permitted Faculty.

80 200 90 90 90 250 30 0 830 300 1,130

11

Ex-Regular Girls Candidate &

Ex-Regular Boys Candidate

( Regn Session = 2018-2020 or 2017-2019 )

80 100 90 90 90 250 30 0 730 300 1,030

12

Ex-Regular Girls Candidate &

Ex-Regular Boys Candidate

(Regn Session = 2016-2018)

80 100 90 90 90 250 30 280 1,010 300 1,310

13

Ex-Regular Girls Candidate &

Ex-Regular Boys Candidate

( Regn Session = 2018-2020 or 2017-2019 )

80 500 400 0 0 0 30 0 1,010 250 1,260

14

Ex-Regular Girls Candidate &

Ex-Regular Boys Candidate

( Regn Session = 2016-2018 )

80 500 400 0 0 0 30 280 1,290 250 1,540

(Permissi

on Fee)

As

Be

tte

rme

nt

JHARKHAND ACADEMIC COUNCIL, RANCHIA

s A

ll Su

bje

ct

Total Fees

(After start

of Late Fee)

Applicable Fees Structure for Annual Intermediate Examination, 2021

Total Fees

(Before start

of Late Fee)

Fees Type

Sl

NoCandidate Type

Ap

pe

arin

gA

s Q

ual

ifyi

ng