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Name of the School :

U-DISE Code :

Student’s DCF

Basic Information:

Name* :   ____________________________________________________________________

DOB * :

Gender* :      MALE       FEMALE                 TRANSGENDER

Social Category*: 5.   Religion :    

Mother Tongue*:   7.  Nationality* :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Aadhaar No. :

Blood Group :

Identification Mark:    _________________________________________________________________________________

Educational Information:

Academic Year*: 2.   Admission No* :     

Admission Date*:

Present Class*  : 5. Present Section :         6. Present Stream*    :      7. Present Roll No*   :

Previous Class*:              9. Previous Section:             10. Previous Stream*:             11. Previous Roll No*:

Medium* :  

If studying in class 1, status of previous year : ____________________________________________

No. of days child attended school        : 

Contact Information:

Address* : __________________________________________________________________________________

Habitation or Locality*: __________________________________________________________________________________

District* : __________________________________________________________________________________

Block* : __________________________________________________________________________________

Panchayat : __________________________________________________________________________________

Post Office* : __________________________________________________________________________________

Police Station* : __________________________________________________________________________________

Pin Code* : 

 

 

 

 

 

 

 

 

 

 

 

 

Contact No.                      :

Email : __________________________________________________________________________________

Guardian’s Information:

Father's Name : ________________________________________________________________________________

Mother's Name : ________________________________________________________________________________

Guardian's Name* : ________________________________________________________________________________

Relationship* : ________________________________________________________________________________

Annual Family Income : ________________________________________________________________________________

Guardian's Qualification: ________________________________________________________________________________

* Social Category: 1. GENERAL, 2. OBC, 3. SC, 4. ST, 5. MINORITY 

 

Guardian’s Contact Information:

Address* : ________________________________________________________________________________

Habitation or Locality*  : ________________________________________________________________________________

District* : ________________________________________________________________________________

Block* : ________________________________________________________________________________

Panchayat : ________________________________________________________________________________

Post Office* : ________________________________________________________________________________

Police Station* : ________________________________________________________________________________

 

 

 

 

 

 

 

Pin Code* :

 

 

 

 

 

 

 

 

 

 

 

     9.    Contact No. :

     10.  Email : ____________________________________________________________

Other Information:

BPL Status    : 2. BPL No. :

Children with special need: 4.  Disability type:

Facilities: 

Disadvantaged Group          : 2.  Getting free education as per RTE Act: 

Whether the child is Homeless: 4.  No of Uniform Sets Received    :

Complete set of free books       : 6.  Free Transport facilities    :

Free Shoe          : 8.  Free Escort Facility    :

Free Exercise Book          : 10.  Free Hostel facility    :

Special Training Facility          : 12.  Free Bicycle    :     

CWSN Facility Received          :  

Bank Details:

Bank Name : ______________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Branch Code               :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IFSC :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Number               :

 

I.    For the Students of grades IX to XII who have opted for Vocational Courses:

Trade/Sector :    

Job Role :

Completed NSQF Level :

Employment/Placement Status:

 

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