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ANDAL GIRLS F. P SCHOOL
STUDENTS ADDMISSION FROM
Name of the School :
U-DISE Code :
Student Code :
A. Basic Information:
1. Name :
2. DOB * :
3. Birth Regn. No:
4. Gender* : MALE FEMALE TRANSGENDER (Give in the box)
5. Social Category*:
6. Religion :
7. Mother Tongue*:
8. Nationality* :
9. Aadhaar No. :
10. Blood Group :
11. Health ID :
12. Identification Mark: _________________________________________________________________________________
B. Educational Information:
1. Academic Year* : (2020-21)
2. Admission No* :
3. Admission Date*:
4. Present Class* :
5. Present Section* :
6. Present Roll No* :
7. Present Stream :
8. Previous Class* :
9. Previous Section*:
10. Previous Roll No:
11. Previous Stream:
12. Medium* :
13. If studying in class 1, status of previous year : ____________________________________________
14. No. of days child attended school :
C. Contact Information:
1. Address : __________________________________________________________________________________
2. Habitation or Locality* : __________________________________________________________________________________
3. District* : __________________________________________________________________________________
4. Block/Municipality* : __________________________________________________________________________________
5. Panchayat : __________________________________________________________________________________
6. Post Office* : __________________________________________________________________________________
7. Police Station* : __________________________________________________________________________________
8. Pin Code* :
9. Contact No. :
10. Email : __________________________________________________________________________________
D. Guardian’s Details:
1. Father's Name : ______________________________________________________________________________
2. Mother's Name : ______________________________________________________________________________
3. Guardian's Name* : ______________________________________________________________________________
4. Relationship(with Guardian)*: ______________________________________________________________________________
5. Annual Family Income : ______________________________________________________________________________
6. Guardian's Qualification : ________________________________________________________________________