NATIONAL INSTITUTE OF OPEN SCHOOLING

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

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku NATIONAL INSTITUTE OF OPEN SCHOOLING 2017&18 ds izos'k ds fy, vkosnu iQkWeZ rFkk vkosnu iQkWeZ Hkjus gsrq vko';d funsZ'k Application Form for Admission 2017–18 and Important Instructions for filling the Form

Toll Free No. : 1800 180 9393

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku National Institute of Open Schooling fo|k/kue~ loZ/kua iz/kkue~

2017&18 ds izos'k ds fy, vkosnu iQkWeZ rFkk vkosnu iQkWeZ Hkjus gsrq vko';d funsZ'k Application Form for Admission 2017–18 and Important Instructions for filling the Form tks f'k{kkFkhZ ,vkbZ (vè;;u dsUnz)@{ks=kh; dsUnz ds ekè;e ls vkWu&ykbu izos'k ysuk pkgrs gSa os uhps fn, x, funsZ'kksa ds vuqlkj iQkWeZ esa viuk fooj.k tSls uke] firk dk uke] irk vkfn Hkjdj vkWu&ykbu iathdj.k ds fy, vè;;u dsUnz@{ks=kh; dsUnz dks ns nsa %

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

lkekU; funsZ'k %

General Instructions:

1.

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

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.

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

2.

One Application Form for admission has been given at the end of this prospectus.

3.

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

3.

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

4.

ewy iQkWeZ ij gLrk{kj djsa vkSj ikliksVZ vkdkj dk iQksVksxzkiQ fpidk,¡A iQkWeZ ds lkFk lR;kfir dkxtkr layXu djsa vkSj iQksVks izfr;ksa ij yxh iQksVksxzkiQksa dks iz/kukpk;Z@leUo;d vFkok jktif=kr vf/dkjh@rglhynkj@ftyk/h'k ls lR;kfir djk,¡A

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-

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 ewy iQkWeZ] iQksVksxkz iQ vkSj gLrk{kj djds Bhd ls Hkjdj vLFkk;h izo's k&iQkWeZ ,oa jlhn ds lkFk ,vkbZ (vè;;u dsna )z ij tek djkuk gSA

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-cumReceipt.

6-

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

6.

Writing should be legible. Any cutting should be attested.

vU; funsZ'k %

Other Instructions:

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

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

1-

f'k{kkFkhZ dk uke % vki viuk uke vaxzsth ds cM+s o.kks± esa fy[ksaA izR;sd o.kZ ,d vyx dkWye esa fy[kk tk,xk_ tSlk fd uhps mnkgj.k esa fn;k x;k gS] ftlesa uke] eè; uke vkSj dqy uke ds chp 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

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

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

You should mention your name as already recorded in your previous school or Board certificate.

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

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

K A M A L

C H A N D E R

J O S H I

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

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- vfHkHkkod@la L Fkk dk uke % vukFk okys ekeys es a vfHkHkkod@laLFkk dk uke fy[ksaA

4.

Guardian's/Institution's Name : Write Guardian's/ Institution's name in case of Orphan.

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, eksckby uacj lfgr fy[ksaA Ñi;k izR;kf;r laLFkk ;k dksfpax lsaVj dk irk u nsaA

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- tUefrfFk % viuh tUefrfFk lgh fy[ksaA foojf.kdk dh rkfydk&3 ds vuqlkj tUefrfFk ls lacaf/r izek.k i=k dh lR;kfir izfr Hkh layXu djsaA mnkgj.k ds fy, ;fn vkidh tUefrfFk 17 vizSy 1986 gS rks mls fuEufyf[kr izdkj ls fy[kk tk,xkA

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

frfFk

0 4

eghuk

1 9 8 6

1

o"kZ

7

DATE

0

4

1 9 8

MONTH

YEAR

6

7.

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

7.

Gender: Write 1 for Male, 2 for Female and 3 for Third Gender in the box provided.

8.

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

8.

Category: Write 1 for General, 2 for SC, 3 for ST, 4 for ExServicemen and 5 for Handicapped, 6 for OBCs (Others Backward Classes) in the box provided.

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"B jksx 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

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.

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

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.

10d. vukFk

10a. Orphan Write 1 for Orphan, 2 for Institute for Orphan, 3 for Not Applicable.

11.

% vukFk ds fy, 1] vukFk laLFkku ds fy, 2 vkSj ykxw ugha ds fy, 3 fy[ksaA ikB~;Øe ftlds fy, vkosnu fd;k gS% fn, x, ckWDl esa ekè;fed ds fy, 1 vkSj mPprj ekè;fed ds fy, 2 fy[ksaA

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.

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 ds fy, 6 fy[ksaA

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] rsywxw ds fy, 5] xqtjkrh ds fy, 6] ey;kye ds fy, 7] mfM+;k ds fy, 8] rfey ekè;e ds fy, 9 fy[ksaA 13. ekr`Hkk"kk : fganh ds fy, 1] mnwZ ds fy, 2] vlfe;k@vlksfe;k ds fy, 3] caxkyh@caxyk ds fy, 4] cksMks ds fy, 5] Mksxjh ds fy, 6] xqtjkrh ds fy, 7] dUuM+ ds fy, 8] d'ehjh ds fy, 9] dksad.kh ds fy, 10] eSfFkyh ds fy, 11] ey;kye ds fy, 12] ef.kiqjh ds fy, 13] ejkBh ds fy, 14] usikyh ds fy, 15] mfM+;k ds fy, 16] iatkch ds fy, 17] laLÑr

12

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

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

for Punjabi, 18 for Sanskrit, 19 for Santhali, 20 for Sindhi, 21 for Tamil, 22 for Telugu, 23 for any other language.

14.

jk"Vªh;rk % fn, x, ckWDl esa Hkkjrh; ds fy, vU; ds fy, 2 fy[ksaA

vkSj fdlh

14.

Nationality: Write 1 for Indian and 2 for any other, in the box provided.

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 ds fy, 7- ;gwnh ds fy, 8 fy[ksaA

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.

vkidh iwoZ ;ksX;rk % fn, x, [kkus esa V, VI, VII, VIII, IX, vkxs dh ;ksX;rk fy[ksaA ;fn dksbZ iwoZ ;ksX;rk ugha gS rks bl [kkus esa N fy[ksaA

16.

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

17.

Father's Educational Qualification : Write 1 for No Education, 2 for upto Primary, 3 for upto Middle, 4 for upto Secondary and 5 for Graduate, 6 for Post Graduate.

18.

Mother's Educational Qualification : Write 1 for No Education, 2 for upto Primary, 3 for upto Middle, 4 for upto 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, 3 for Rural and 4 for Semi-rural in the box provided. Your Geographical Area : Write 1 for Hill Area, 2 for Remote Locality, 3 for Border Area, 4 for Tribal Area, 5 for Island, 6 for North-Eastern Region including Sikkim and 7 for Not Applicable, in the box provided.

16.

1

X, XI, XII rFkk

17.

firk dh 'kSf{kd ;ksX;rk : vf'kf{kr ds fy, 1] izkFkfed rd ds 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 rd ds 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, 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=k ds fy, 6 rFkk ykxw ugha gksus ij 7 fy[ksaA

20.

21a.

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

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

21b.

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

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

22.

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

22a.

vkfFkZd n`f"V ls fiNM+s oxZ (bZchlh) % bZchlh ds fy, 1 fy[ksa ftudh lHkh lzkrs ksa ls ikfjokfjd okf"kZd vk; 1-5 yk[k izfr o"kZ ls vf/kd ugha gksrh vkSj ykxw ugha ds fy, 2 fy[ksAa

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

23.

fo"k; p;u % foojf.kdk dh rkfydk esa ls pquh xbZ dksM la[;k fy[ksaA

23.

23a.

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

23a. Part or Dual Enrolment: Write 1 for yes or 2 for no. If you have opted for ‘yes’, please note that number of subjects will be restricted to 4 or less and no TOC is applicable.

24.

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

24.

1]

25.

1

esa fn, x, fo"k;ksa

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;fed ijh{kk ikl dh gS mldk dksM] foojf.kdk esa miyC/ ifjf'k"V&d ls ysaA 'kqYd dk Hkqxrku foojf.kdk dh rkfydk 4 vkSj 6 ds vuqlkj izos'k 'kqYd dk Hkqxrku lfpo] ,uvkbZvks,l ds

22.

25.

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

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

Details of Xth board examination: If you are seeking admission to the Senior Secondary Course, you should mention the following a)

the year when you have passed the Secondary Examination,

b)

the Roll Number of the Board,

c)

the code of the Board from where you have passed the Secondary Examination as given in the Appendix-A in the Prospectus.

Amount of Fee paid: The admission fee is to be paid as per 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;k tk,xkA dksbZ 'kqYd udn tek u djsaA

Secretary, NIOS payable at the concerned Regional Centre. No fee should be paid through cash.

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

a)

Write the amount of admission fee, additional subject fee, TOC fee and total fee paid

([k) cSad MªkÝV la[;k fy[ksa

b)

Write Bank Draft No.

(x) cSad MªkÝV dh frfFk fy[ksa

c)

Write date of Bank Draft,

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

d)

Write the name of Bank for issuing Bank Draft,

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

e)

Write the unique number of Bank Challan

26.

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

26.

Whether you are applying for Transfer of Credit (TOC): Write 1 for Yes and 2 for No.

27.

ØsfMV LFkkukarj.k ls lacaf/r cksMZ dk fooj.k% (d) ijh{kk dh ukekadu la[;k fy[ksa ftlds vk/kkj ij ØsfMV LFkkukarj.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 ds ifjf'k"V&d rFkk Hkkx 2.5 vkSj 2-6 esa ls fy[ksaA

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 AppendixA and section 2.5 & 2.6 of the Prospectus.

28.

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

28.

Details of TOC subjects: Please see section 2.5 & 2.6 and the Table-1 of the Prospectus.

29.

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

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.

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

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

vko';d lwpuk

IMPORTANT NOTE:

•

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

•

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.

•

iQksVks fpidkus ds fy, funsZ'k % f'k{kkfFkZ;ksa dks lykg nh tkrh 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,A iQksVks ij iQksVks f[kpokus dh frfFk] tUe frfFk o f'k{kkFkhZ dk uke fy[kk gksuk pkfg,A

•

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-

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:

34-

iQksVks fpidkus ls igys iQksVks ds ihNs f'k{kkFkhZ dk uke vkSj ,uvkbZvks,l iathdj.k la[;k fy[ksaA lqfuf'pr djsa fd iQksVks [kjkc u gqbZ gksA f'k{kkFkhZ lHkh iQkWeks± ij (4 lsa-eh- × 3 lsa-eh-) ikliksVZ vkdkj dh iQksVks fpidk,aA {ks=kh; dsanz vkSj vè;;u dsanz ds fy, fu/kZfjr iQksVksifz r;ksa ij yxk, x, iQksVks fuEufyf[kr esa ls fdlh ,d ls lR;kfir djok,¡ % (d) ([k) (x) (?k) (M-)

,uvkbZvks,l vè;;u dsUnz ds leUo;d ekU;rk izkIr fo|ky;@egkfo|ky; ds iz/kukpk;Z ftyk eftLVªsV jktif=kr vf/dkjh rglhynkj

(a) (b) (c) (d) (e)

Co-ordinator of NIOS Study Centre Principal of recognised School/College District Magistrate Gazetted Officer Tehsildar

fo"k; dksM@Subject Codes ekè;fed ijh{kk@Secondary Examination

mPprj ekè;fed ijh{kk@Senior Secondary Examination

Ø-la-

dksM

fo"k;

Ø-la- dksM fo"k;

S.No.

Code

Subject

S.No.

1.

201

fgUnh@Hindi

lewg d@Group A

2.

202

vaxzsth@English

1.

301

2.

302

3.

306

4.

309

5.

307

6.

303

7.

304

8.

305

9.

310

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. 12.

228 231

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

vlfe;k@Assamese usikyh@Nepali

Examination of these subjects will be held on same day and same time.

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

23.

216

x`g foKku@Home Science

24.

222

euksfoKku/Psychology

25.

223

Hkkjrh; laLÑfr ,oa fojklr

13.

C o d e Subject

fgUnh@Hindi vaxzsth@English mnwZ@Urdu laLÑr@Sanskrit xqtjkrh@Gujarati ckaXyk@Bengali rfey@Tamil vksfM+;k@Odia iatkch@Punjabi

lewg [k@Group B 1.

3 11

2.

316

3.

318

4.

319

5.

321

6.

328

7.

332

8.

336

9.

312

10. 315 11. 339

xf.kr@Mathematics Hkwxksy@Geography vFkZ'kkL=k@Economics okf.kT;@Commerce/Business Studies x`g foKku@Home Science euksfoKku@Psychology fp=kdyk@Painting MkWVk ,aVªh vkWijs'kUl@Data Entry Operations

Studies

HkkSfrdh@Physics bfrgkl@History iqLrdky; vkSj lwpuk foKku@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@

26.

224

ys[kkadu@Accountancy

27.

225

fp=kdyk@Painting

19. 331

MkWVk ,aVªh vkWijs'kUl@Data Entry Operations

20. 333

Computer Science

229

Examination of these subjects will be held on same day and same time.

lewg x@Group C

Indian Culture and Heritage

28.

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

lekt'kkL=k@Sociology i;kZoj.k foKku@ Environmental Science

bu fo"k;ksa dh ijh{kk ,d gh fnu vkSj ,d gh le; vk;ksftr dh tk,xhA Examination of these subjects will be held on same day and same time.

bu fo"k;ksa dh ijh{kk ,d gh fnu vkSj ,d gh le; vk;ksftr dh tk,xhA Examination of these subjects will be held on same day and same time.

bu fo"k;ksa dh ijh{kk ,d gh fnu vkSj ,d gh le; vk;ksftr dh tk,xhA Examination of these subjects will be held on same day and same time.

bu fo"k;ksa dh ijh{kk ,d gh fnu vkSj ,d gh le; vk;ksftr dh tk,xhA Examination of these subjects will be 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 {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 y[kgjk Hkou] eaq'khxat jksM] ljouiqqj&227405] vesBh (m-iz-) bZesy% [email protected]

mÙkj izn's k

vesBh vkSj xkSjhxat

3- csaxyq:

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

4- Hkksiky

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz ekul Hkou] ';keyk fgy] Hkksiky&462002] eè; izn's k iQksu% 0755-2661842, 2660331; iSQDl % 2661842 bZ&esy% [email protected]

5- Hkqcus'oj

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

6- paMhx<+

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz okbZ,elh, dkWEiySDl lsDVj&11lh] paMhx<+-160011 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 ysMh fofyaxVu dSEil] dkejktj lykbZ] fVªiyhdsu] psUubZ&600005 iQksu% 044-28442237(iQSDl) 044&28442239 bZ&esy% [email protected]

8- nsgjknwu

9- fnYyh

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz ve`r Iyktk fc¯YMx] fu;j caxkyh dksBh pkSd] eksB jksoyk jksM] ih-vks- vtkiqj dyk¡] nsgjknwu&248001 iQksu% 0135-2532566, 2532592 iQSDl% 0135-2629166 bZ&esy% [email protected] jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz ,&31] baLVhV~;w'kuy ,fj;k] ,u-,p-&24] lsDVj&62] uks,Mk (m-iz-) iQksu % (dk) 0120-2404914-15, iSQDl % 0120-2404916, bZ&esy% [email protected]

eè; izn's k

mM+hlk

gfj;k.kk (xqM+xkao] iQjhnkckn vkSj >Ttj ftyksa dks NksM+dj)] iatkc] tEew vkSj d'ehj vkSj paMhx<+

rfeyukMq] ikafMpsjh

mÙkjk[kaM] esjB] ckxir] lgkjuiqj rFkk eqtiQ~iQjuxj] eqjknkckn] rFkk ts-ih- uxj (vejksgk) vkSj mÙkj izns'k ds ftys

jk"Vªh; jkt/kuh {ks=k fnYyh rFkk blds m-iz- ,oa gfj;k.kk ds utnhdh ftys ftuesa 'kkfey gSa xkSre cq¼ uxj (uks,Mk rFkk xzsVj uks,Mk)] xkft+;kckn] xqMx+ k¡o] iQjhnkckn rFkk >TtjA

10- /eZ'kkyk

11- xka/huxj

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz nwljk ry] pkewaMk dkWEIysDl (vk;dj foHkkx ds ikl) njh jksM+] /eZ'kkyk] ftyk dkaxM+k] fgekpy izns'k&176057 iQksu %(dk) 001892-222251, bZ&esy: [email protected] jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz eYVh 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; dsUnz VhplZ xsLV gkml] l;kjh] xaxVksd&bZLV flfDde&737102 bZ&esy: [email protected]

13- xqokgkVh

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz vle izdk'ku cksMZ dk Hkou] (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 Mk;jsDVjsV vkWiQ ,tqd's kuy fjlpZ ,oa Vsªfuax osQEil (Mh-bZ-vkj-Vh-) ysFkqe[keZ] f'kyk¡x] es?kky;k&7930011 bZ&esy % [email protected]

fgekpy izn's k

xqtjkr

ukxkySaM] v#.kkpy izns'k] vle] ef.kiqj] es?kky;] fetksje vkSj f=kiqjk

es?kky;k

14- gSnjkckn

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz iv ry] JhÑ".k nsojk;] rsyxq w Hkk"kk fuy;e] VªLV ua- 4&4&8] 2] lqYrku cktkj] gSnjkckn&500095 iQksu % 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] jktLFkku djksyh xkMZu ds lkeus] U;w lkaxusj jksM] lksMkyk] t;iqj (jktLFkku) &302019 iQksu % (dk) 0141-2292818, 2290057, (iQSDl) 2292819 bZ&esy% [email protected]

rsyxa kuk

mi {ks=kh; dsUnz] dksVk nwljk ry] 2&ih,&1] foKku uxj esu jksM] dksVk&324005 bZ&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 iukefiYyh uxj] dksph- 682036 iQksu % (dk) 0484-2310032, 4035540 (T/F) 0484-2310033 bZ&esy% [email protected]

17- dksydkrk

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz] 10@1@,p] Mk;eaM gkjcj jksM] dksydkrk-700 027 (if'peh caxky) iQksu % (dk) 033-24797714; iSQDl % 033-24797707 bZ&esy% [email protected] mi&{ks=kh; lsy iksVZ Cys;j funs'kky; esa izk
osQjy

flfDde] if'peh caxky vkSj vaMeku o fudksckj }hilewg

iksVZ Cys;j

18- iVuk

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku {ks=kh; dsUnz] yfyr Hkou] xzkmaM Ýyksj] tokgj yky usg: ekxZ] csyh jksM] iVuk - 800001] fcgkj iQksu % (O) 0612-2545051, 0612-2545470 bZ&esy% [email protected]

fcgkj

mi{ks=kh; osQUnz% njHkaxk eks- [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] 128@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 bZ&esy% [email protected]

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 {ks=kh; dsUnz] Ldwyh f'k{kk] Nk=kkokl ifjlj, vej 'kghn Bkdqj fo'oukFk] 'kkgnso ftyk Ldwy] ftyk Ldwy ifj"kn] jkaph bZ&esy% [email protected]

22- fo'kk[kkiV~Vue

jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku] {ks=kh; osQUnz ik¡poka ry] ch&CykWd] oh;wMh, dkWEIysDl] flfjiqje] fo'kk[kkiV~Vue] vka/z izn's k iQksu % (dk) 0891-2564584 (iQSDl) 0891-2792713 bZ&esy% [email protected]

egkjk"Vª] xksok] neu vkSj nho

>kj[kaM

vka/z izn's k

National Institute of Open Schooling List of the Regional Centres of NIOS

Name of the Region

Address of the Regional Centre

1. ALLAHABAD

National Institute of Open Schooling Regional Centre 19/17, Kasturba Gandhi Marg, Kachahari Road Allahabad - 211002 (Uttar Pradesh) Ph.: (O) 0532-2548154 (Fax) 0532-2548149 e-mail: [email protected]

2. AMETHI

National Institute of Open Schooling Regional Centre

Jurisdiction

Uttar Pradesh

Amethi & Gauriganj

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 Email: [email protected] 4. BHOPAL

5. BHUBANESHWAR

6. CHANDIGARH

7. CHENNAI

8. DEHRADUN

National Institute of Open Schooling Regional Centre Manas Bhawan, Shyamla Hills, Bhopal - 462002 (M.P.) Ph.: 0755-2661842, 2660331 Fax : 0755-2661842 e-mail: [email protected] National Institute of Open Schooling Regional Centre ELTI Campus Maitrivihar, Chandrashekhar Pur, Bhubaneswar-751023 Ph. No. 0674-2302688 Email.: [email protected] Website: htpp://rcbbsr.nios.ac.in National Institute of Open Schooling Regional Centre YMCA Complex, Sector-11C, Chandigarh-160 001 Ph.:(O) 0172-2744915, 3950979 Fax : 0172-2744952 e-mail: [email protected] National Institute of Open Schooling Regional Centre Lady Willington Campus, Kamrajar Salai, Triplicane, Chennai-600005, Tamilnadu Ph. no. 044-28442237 Fax: 044-28442239 e-mail: [email protected] National Institute of Open Schooling Regional Centre Amrit Plaza Building, Near Bengali Kothi Chowk Moth Rowala Road, P.O. Ajapur Kalan, Dehradun - 248001 Ph.: (O) 0135- 2532566; 2532592; Fax : 0135-2629166 e-mail: [email protected]

Madhya Pradesh

Odisha

Haryana (Excluding gurgaon, Faridabad & Jhajjar) Punjab, Jammu & Kashmir and Chandigarh

Tamil Nadu, Pondicherry

Uttrakhand, Meerut, Bagpat Saharanpur , Muzaffar Nagar, Moradabad and J.P. Nagar (Amroha) districts of U.P.

9. DELHI

National Institute of Open Schooling Regional Centre A-31, Institutional Area, NH-24, Sector-62, NOIDA- 201309 Distt. - Gautam Buddha Nagar (U.P.) Ph: (O) 0120-2404914-15, Fax : 0120-2404916 e-mail: [email protected]

NCT of Delhi and bordering Distts. of NCT in Uttar Pradesh and Haryana comprising of Distts. of Gautam Buddh Nagar (Noida and Greater Noida), Ghaziabad, Gurgaon Faridabad and Jhajjar.

10. DHARAMSHALA

National Institute of Open Schooling Regional Centre 2nd Floor, Chamunda Complex, (Near Income Tax Office) Dari Road, Dharamshala, Distt. Kangra-176057, Himachal Pradesh, Ph. (O) 001892-222251 e-mail: [email protected]

Himachal Pradesh

Name of the Region

Address of the Regional Centre

Jurisdiction

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 Email: [email protected] 12. GANGTOK

13. GUWAHATI

National Institute of Open Schooling Regional Centre Teacher’s Guest House, Syari Gangtok - East Sikkim-737102 email: [email protected]

National Institute of Open Schooling Regional Centre Building of Assam Publication Board, (Near Assam Board of Secondary Education) Ist Floor, Bamunimaidan, Guwahati-781021 (Assam) Ph. (O): 0361-2650541, 2651201 (Fax) 0361-2650542 e-mail: [email protected] NIOS Cell Shillong Directorate of Educational Research & Training Campus (DERT), Laithumkhram Shillong, Meghalaya-793011 e-mail: [email protected]

14. HYDERABAD

15. JAIPUR

National Institute of Open Schooling Regional Centre 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

National Institute of Open Schooling 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 e-mail: [email protected]

Sikkim and Bordering Dist. of West Bengal Comprising of Distt. Silliguri and Darjling

Nagaland, Arunachal Pradesh, Assam, Manipur, Mizoram and Tripura

Meghalaya

Telangana

Rajasthan

Sub Regional Centre Kota 2nd Floor, 2-PA-1, Vigyan Nagar Main Road, Kota-324005 E-mail : [email protected] Ph. No. 09889128555

16. KOCHI

National Institute of Open Schooling Regional Centre 6th Floor, Kerala State Housing Board Building, Panampilly Nagar, Kochi-682036 Ph.: 0484-2310032, 4035540 (T/F) 0484-2310033 e-mail: [email protected]

17. KOLKATA

National Institute of Open Schooling Regional Centre 10/1/H, Diamond Harbour Road, Kolkata-700 027 (W.B.) Ph.: (O) 033-24797714, Fax : 033-24797707 e-mail: [email protected] NIOS CELL PORT BLAIR Adult Education in the Directorate A&N Administration Shiksha Sadan A&N Island, Port Blair

Kerala

West Bengal (Excluding Silliguri and Darjling) and Andaman and Nicobar Island

Port Blair

Name of the Region 18. PATNA

Address of the Regional Centre National Institute of Open Schooling Regional Centre Lalit Bhawan, Ground Floor, Jawahar Lal Nehru Marg, Bailey Road, Patna - 800001 (Bihar) Ph.: (O) 0612-2545051, 0612-2545470 e-mail: [email protected]

Jurisdiction Bihar

SUB-REGIONAL CENTRE DARBHANGA Moh- Khan Chowk Near Main Khan Chowk PO Lal Bagh Distt. Darbhanga-846004 Phone : 0627-2250628 19. PUNE

20. RAIPUR

National Institute of Open Schooling Regional Centre C/o Indian Institute of Education Campus, 128/2 JP Naik Road, Sriniketan Society, (Near Solaris Club) Kothrud, Pune-411029 (Maharashtra) Ph. (O) 020-25444667, 25439763 (Fax) 020-25456496 e-mail: [email protected] National Institute of Open Schooling Regional Centre B.T.I Ground, DIET Campus, Shankar Nagar Ph: (O) 0771-2442147, 2442167 Raipur-492001, Chhatisgarh e-mail: [email protected]

21. RANCHI

National Institute of Open Schooling Regional Centre Schooling, Hostel Premises, Amar Shahid Thakur Vishavanath Shahdev Zila School, Zilla School Parishad, Ranchi Phone No.: 0651-2217030; Fax: 0651-2217060 e-mail: [email protected]

22. VISAKAPATNAM

National Institute of Open Schooling Regional Centre 5th Floor, B Block, VUDA Complex, Siripuram, Visakapatanam, Andhra Pradesh Ph.: 0891-2564584, E-mail : [email protected]

Maharashtra, Goa and Daman & Diu

Chhatisgarh

Jharkhand

Andhra Pradesh