Name of the Student (*)
Date of Birth(*) Medium(*)
Class(*) Section(*)
Student Height(in cms)(*) Student Weight(in Kgs)(*)
Student Code(*) Adm.Date(*)
Academic Year(*) Roll No(*)
Status of student in Previous Academic Year of Schooling(*)
Admission Type(*)
First time admission

Repeat

Mother's Name(*)
Father's Name(*)
Guardian's Name(*)
Aadhaar No of Child(*)
Name of Student as Per Aadhaar(*)
Mother Tongue of the Child(*)
Social Category(*)
General

SC

ST

OBC-A

OBC-B
Religion(*)
Christian

Hindu

Muslim

Jain

Sikh

Buddhist

Parsi

Other

Whether BPL beneficiary(*)
Yes

No

Whether belongs to EWS / Disadvantaged Group(*)
Yes

No

Whether CWSN (Child with special need)(*)
Yes

No

Is this Child identified as Out-of-School-Child(*)
Yes

No

Facilities provided to the student(*)
Yes

No

Free Uniforms(*)
Yes

No

Free Transport facility(*)
Yes

No

Free Escort(*)
Yes

No

Free Hostel facility(*)
Yes

No

Free Bicycle(*)
Yes

No

Free Shoe(*)
Yes

No

Complete set of free books(*)
Yes

No

Free Exercise book (*)
Yes

No

Central Scholarship(*)
Yes

No

State Scholarship(*)
Yes

No

Scholarship Amount (per annum) if Yes , Amount(*)
Other Scholarship(*)
Yes

No

Nationality(*)
Birth Registration Number(*)
Identification Mark(*)
Blood Group(*)
A+

A-

B+

B-

AB+

AB-

O+

O-

Health ID(*)
Relationship with Guardian(*)
Father

Mother

Other

Annual Family Income(*)
0-50000

50001-120000

120001-250000

250001-500000

Above 500000

Guardian's Qualification(*)
Graduate

Below Graduate

Post Graduate

Whether child has been screened for Attention Deficit Hyperactive Disorder(*)
Yes

No

Is the student involved in any extracurricular activity(*)
Yes

No

Whether the student participated in nurturance camps(*)
Yes

No

Has the student appeared in State Level Competitions / Olympiads /National level Competitions (*)
Yes

No

Does the child participate in NCC/ NSS/ Scouts and Guides(*)
Yes

No

Getting free education as per RTE Act(*)
Yes

No

Whether the child is Homeless(*)
Yes

No

Special Training Facility provided(*)
Yes

No

Was the student provided with any exposure to Vocational activities(*)
Yes

No

Did the student undertake any vocational course(*)
Yes

No

Country(*) State(*)
Address(*)
Habitation or Locality(*)
District(*) Block/Munc/Corp(*)
Panchayat(*) Post Office(*)
Police Station(*) Pin Code(*)
Mobile Number (of Student/ Parent/ Guardian)(*)
Contact email-id (of Student/Parent/Guardian)(*)