e-Shikshakosh DCF for Student

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School UDISE*

School Name*

Class*

Section*

Admission Number*

Date of Admission*

Student Aadhar

Student Name*

Father’s Name*

Mother’s Name*

Date of Birth*

Gender*

Social Category*

Religion*

Mother Tongue*

Habitation or Locality*

Whether belongs to minority?*

Yes No

Whether belong to disadvantaged group?*

Yes No

Disability*

Communication Address

Permanent Address*

Previous School Information*

District*

Block*

Cluster/Complex resource center*

School*

Last year student's attendance*

Has he passed last year exam?*

Yes No

Total Mark Secured*

% Mark Secured*

If Class 9 to Class 12 then: (What is the trade/Sector?) *

Bank Details**

Account No

Account Holder Name

Bank Name

IFSC

Parent Details

Mobile Number (Student/ Parent)

Email Address (Student/ Parent)

Aadhaar No.

Whether income > 1.5 Lacs?

Yes No

Guardian Details

Name of Guardian

Mobile Number of Guardian

Relationship with Student

** Student Bank details is mandatory for classes 9 and onward.

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