STUDENT PROFILE

AFFIX
PASSPORT SIZE
PHOTO

Student details
1. Name of the Student

: ____________________________

2. Gender (Male, Female, Others)

: ____________________________

3. Class and Year

: ____________________________

4. Admission Number

: ____________________________

5. Date and year of admission

: ____________________________

6. Blood Group

:____________________________

7. Category

: ____________________________

8. Date Of Birth

: ____________________________

9. Aadhaar card number

:_____________________________

10.Parents E-Mail Id

:_____________________________

11.Mother tongue

:_____________________________

12.Language spoken at home by your child and yourself : ___________________

13.SC/ST/OBC/Gen

:_____________________________

14.Religion

: _____________________________

15.Whether differently abled

:______________________________

16.Nationality

:______________________________

17.Home town address

:______________________________

18.Siblings (If any)

:______________________________

19.Details of siblings studying in this KV:

S.No

Name of the student

20. Field of interest / Expertise of the child:

Class and section

a. ______________________________________________________
b. ______________________________________________________
c. ______________________________________________________
21. Ambition of the student: __________________________________________________
22. Does the child attend any skill enhancement classes: ____________________________
23. Special awards or recognitions attained by the student:
_________________________________________________________________________
_________________________________________________________________________
24. Whether a part of Cubs / Bulbuls - ________________________________________
25. Medical history (if any)
_________________________________________________________________________
_____________________________________________________________________
26. Allergies - such as any specific food, dust etc (if any please specify)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
27. Mode of student conveyance to school (Self/Parent/Auto/Cab/Van/Others)
a. Vehicle number: ___________________________________________________
b. Drivers name and contact number: ____________________________________

28. Whether the child stays

(With Mother alone/Father alone /Both Mother & Father /Grandparents/Grandparents

and Parents/Guardian)

Parent details

29.Fathers name

:________________________

Mothers name :_________________________

30.Qualification

:________________________

Qualification

:_________________________

31.Age

:________________________

Age

:_________________________

32.Occupation

:________________________

Occupation

:_________________________

33.Work place

: _______________________

Work place

: ________________________

34.Basic Pay

:________________________

Basic Pay

:_________________________

35.SC/ST/OBC/Gen :________________________

SC/ST/OBC/Gen :______________________

36.Office Address

Office Address:_________________________

:________________________

_______________________________________

___________________________________

______________________________________

___________________________________

37.Permanent address:_______________________

Permanent Address:______________________

_______________________________________

___________________________________

_______________________________________

___________________________________

38.Local Address:___________________________

Local Address:__________________________

_______________________________________

___________________________________

_______________________________________

___________________________________

39.Contact No

:________________________

Contact No

: _____________________

40.Blood Group

:________________________

Blood Group

: _____________________

Field of interest

: _____________________

41.Field of interest :________________________

42. Whether single issue (Yes/No)

: ____________________

43. Whether they have only girl child (Yes/No)

: ____________________

44.Any other point you would like to mention about the childs behavior:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
To be filled by the Class Teacher
45.Portfolio held by the student
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
46.Participation in co-curricular and sports activity and position (if any)
S.No

Name of the competition

Position held

Remarks:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

AFFIX FAMILY PHOTO

SIGNATURE OF THE FATHER

SIGNATURE OF THE MOTHER

SIGNATURE OF THE CLASS TEACHER

SIGNATURE OF THE HEAD MISTRESS

SIGNATURE OF PRINCIPAL