CENTRAL BOARD OF SECONDARY EDUCATION, DELHI ,h-q T{cql

ffiq qrtqFo. frEil etd, ffi Senior School Certificate Examination ( Class Xll )
{fiftq( w^a qERde qfre+r (meil q[l_d-dt) To be filled in by the candidafe as per Admit Card
I

q-fteneff q-ieT-q, d ei-gvm ut ftrd mn {J.rd .il-d d *.TEt frprF{ t qi r

Write and darken the appropriate circle as applicable. t

ftqq 5u5;cc13 x lt
I
I
I *qfteflefi 6r qrq qB srext { Candidate's Name in CApITAL letters 3r5trqro Roll No. I r
I
tt
lr
r I
frsq 6ts Subject Code :
e eeeoeo o
I
I
3l
qQen or ftq gq frE
/
tl
I
leo@@@@@@@@@@@@@@
q@
I
& Dete
ll

I
19 @@ @ @ @@@ @ @@@ @ @@@@ @@ @ @ o@a@a@ @ I
l@ @@@ o @@ o @@ o@ @ @@ o @o@o@ @
Dey
@ o@ooo@ o r
of the Exeminetion :

s-flr ti
.DI qrqq I
r lq q q E Eq @ @o@ @@ @@ @ o@ o@ @ @ @ @ o@@@@@ @ I
Medium of enswering the paper : 19 9@ @ @ @ @ @ @@@@ @@@@@ @@ @@ O @ @@o@o@ o I
gv=r rt;r d uw ffi
I
lE9 gQ @O @ oo@
@ @ @o@ o@o@ @o o @ @@@@@@ @ I
ots 6) svfq Code Number
I
l9 @ @ @ @ @ @ @ @ @ @ @ @@ @@ @ @@ @ @@ o ooooo@ o I
I
o
,

Write code No. as written on l@ @ @ @ @ @ @@@@ @ @ @@@ @@@@@@ @ @@@@@@ @l I

lhe top of the question paper :

r
I
laaocoooo oeo o cooeooo eoc @ @@@@o@ @l I
st-t-gfuor (dD o1 rrcqr
e o o e ee o eo oocec@ooco
la a Q @@@@ @ @ I
l3rFdRffi I
l@ @ @ @ @ @ @@ @@ @ @ @@@@@@@ @@ @ I
I
no . of supplementrry rnswer -book(s) used I
I
laa c ooe eocc o oeoo ooeeec e As perAdmit Card I r
l@ @ @ @ @ @ @@@@ @ @@@@@@@@@ @ @ r d< r{qi I
ffiffirrqfuil:d/c-S Specimen copy I
I
lq q @ @ @ @ @ @ @ @ @ @ @ @@@ @@@ @ @ @
I@ @ @ @ @ @ @ @ @ @ @ @ @@@ @@@@@@ @
frv-q 6i=
Subject Code de Centre No. I
I
Person with Benchmark Disabilities ; yes / No I
iq9 @o@ @ @@ @@ @@@@@@c@@ @@@ I
I
I
@@@@@@@@@@@@@@@@@@@@@@
@ @ @ @ @ @ @ @ @ @ @@ @ @ @@ @@@ @@ @l
coc oocoeo I
I
@@@ @@@@@@
I eO @O@O OO OOO OOO@OoOOO@@r oo@ @o@oo@ I
ffo-drrrdr 61 o-Is ( si$ qr d 3qsn ) I I e e e e e e o e o e c e c o o e cec co ol @@@ @@ @ @@@ I
Code of Disability ( As per the admit card I @ @ @ e@e @ @ oe @ @ @@o oo@@ @ @ ol
lt

) I
@@@ @o@@@o I
I I @ @ @ @ @ @ @ @ o @ e @ @ @ @ @ @@c cc cl @@@ @@ @@@@ I
I
I
I
r @ @ @ @ @ @ @ @@ @ @ @ @@ @ @@@ @ @@ @l ooo o oooo o I
I
Q A A A @ @ @ @ @ @ @ @ @ @@ @ @ o@ @@ @l
I

@@@ @@@@@@, I
x I
I
eoo oe o e o ce o e co eocoe oo ol @@@ @@@o@@l I
Eqr +s-{ -
ftfu6 BrtErer .ar.rrqr.rfi : d / q-€f @@ @@@@@@ @@@@@@ @@@@@@@@l o@ @@@o@@l I
I I
I
\ilhether writer provided
: Yes / No School No. as per admit card :
frq-q Subject: i
frilrf,q HEin +flI risr qe frqr.rqT t
q!-q
EIEtf{ E d vcdq q arq rrq X
3i-J-nqr-6 (cl-.* q)
drdt{t iDI ;IH , | - crore- - Lrkhs
|
lf Msually clrallenged, narne of softnvare us"O ,l c) Rotl No . (in words) : - Thousands
I

*g+ qri fr
w G{eN ftnlt ilq d r.i"6 qrq d #q 16 tsril. ft-fi uys t r qR qfienff o-r
qr,l zz 3rerti {f orfufi t, d d-{d ctq d cefi 22 G{&R
O fut r
Father's/Guardian's Name
f,ach letter be written in one box and one box be left blank between each part
name. In case Candidate,s Name exceeds 22letters, write first 22 letters.
ofthe '
c)
:

I
qfr&ileff d rwrerq Signature of Candidate :
I

{s YB crq qfteil?ff grtr qt rrg qq"f fuq-{"r of qrq zF-{ .r$ t fr f

All the particulars filled in by the candidate on this page have been verified

o-rqfdq Bqq)q d ftq

Space for office use

g-rqr frd of a-q.F sidc.

 { o,- i si + -.= <- -: . r ':Es"*.?E
=
i=a € E'-u :*=:
EEEEgEE=?EEE EE=ctEeEEE:ncEHfi,E
a
e
$
eEEiE
E E
'e g EEEi'=E;
I f E re3q:;E i r n i EEEE EE E E =E g *E,EEH
eee.*,eEEE -+ EE;Efri
o
+J
(E
p
t,tr
o
(E
EEE;=.EsB E! B=
as?iEEH
o
+a $Efr$EE6i E =E E .CE EE:EB; EeageeagEIEtEEaigEtEEEtiEiE,
o
tr
o
+J
o
J
L
+,
o
E

AoOOeOecGgs9eOGOeoeo
N(osf rr) (ot\

E;EEV
Specimens*W
copy F r
f
FEEE
FFts.FE

EE€E* g
E

E
S=
€ ers E ,e
E vEEEE-EEE EE

*l
EI
pl G€E''EE'EEE E- FF
EE

€l
H
* *E EI-IEEEEEE E-EE EgE Ei EE

EEEEEEEFE EEEEEEE EEEEE EEEEEEEEEEEEEEEEE

Gl 6+ n \o t--