Student Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Class
*
Play - Group
Pre-Nursery
Nursery
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Section
A
B
C
None
Father's whats app number
(For government updates only)
(###)
###
####
Mother's whats app number
(For government updates only)
(###)
###
####
Guradian's/ Single parent's/ Grand parent's
(For government updates only)
(###)
###
####
Category
*
General
SC
ST
OBC
Minority
*
Non Minority
Sikh
Christian
Buddhist
Parsi
Jain
Muslim
Whether family belongs to BPL?
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Whether family belongs to AAYL?
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Whether family belongs to EWS/Disadvantaged group?
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
IS CWSN? (CHILDREN WITH SPECIAL NEEDS)
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
CWSN TYPE (If the above field is YES then only give the type)
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Is Child Indian National ?
*
Is child taking class?
*
When the Child is mainstreamed? If out of school child value is Yes then only give the response.
ADMISSION DATE (DD-MM-YYYY)
*
MM
DD
YYYY
"PREVIOUS ACADEMIC YEAR SCHOOLING STATUS"
Studied at Current/Same School
Studied at other School
Anganwadi/ECCE Center
None/Not Studying
CLASS STUDIED IN PREVIOUS ACADEMIC YEAR
*
ADMITTED/ ENROLLED UNDER RTE/EWS?
*
None
Section 12 of the RTE
Persons with Disabilities (PwD)
Disadvantages Group
Others
Appeared for exam in previous class
RESULT FOR PREVIOUS EXAM
*
Promoted/Passed
Promoted/Passes with grace
Detained/Repeater/Not Passed
Promoted/Passed without Examination
MARKS % OF PREVIOUS EXAM
*
Received State Scholarship
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Received Central Scholarship
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Specific Learning Disability (SLD)
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Autism/Spectrum/Disorder
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Attention Deficit Hyperactive Disorder (ADHD)
*
Only mention, if you are in the possession of the certificate issued by concerned government authority.
Involved in extra curricular activity ?
*
Vocational Courses
*
