CBSE (2022-23)

Name of the Student :

CLASS –
Roll no.-
1.Gender :

2. Date of Birth :

3.Mother's name :

4. Father's name :

5. Guardian's name :

6. Aadhar number of student :

7.Name of student as per/in *Aadhar card* :

8. Residential Address :

9. Pincode :

10. Mobile number (of parent/student/guardian) :

11. Alternate number ( of student/parent/guardian) :

12. Contact email id (of student / parent /guardian) :

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Enrolment details:-
1. Admission number in school :

2. Admission date in present class :

3. Roll no :

4 . Academic stream opted by student :

5. Status of student in previous academic schooling (2021-2022) :

6. Grade/ class studied in previous/last academic year (2021-2022) :

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Facility and other details of the student :-

1. Facilities provided to the student( for the year of filling data ) :

2. Central Scholarship :

3. Code and name of scholarship :

4. State scholarship :

5. Other scholarship :

6. Scholarship amount :

7. facilities provided to student in case of CWSN ( for the year of filling data) :

8. Whether student has been screened for specific learning disability (SLD) :

9. SLD TYPE :

10. Mother tongue of the student :

11. Social category :

12. Minority group :

13. Whether BPL beneficiary :

14. Whether AAY beneficiary :

15. Whether belongs to EWS/disadvantaged group :

16. Whether CWSN :

17. Type of impairments :

18.Indian nationality :

19.Is child identified as Out-of-school child :

20. When the child is mainstreamed :

21. Admitted / enrolled under (only for Pvt.unaided) :

22. In the previous class studied - whether appeared for examination :

23. In the previous class studied- results of examination :

24. Marks obtained (in percentage ) :

25. No. Of days child attended the school ( in previous academic year) :

26. Whether student has been screened for autism spectrum disorder (ASD)? :

27. Whether student has been screened for attention deficit hyperactive disorder (ADHD)?

28. Is the student involved in any extracurricular activity? :-

29. Has the student been identified as a gifted / talented in following :

- Whether provided mentors :

- Whether the student participated in nurturance camps :
- Has the student appeared in state level competitions/ : Olympiads/ National level
competitions?
- Does the student participate in NCC/NSS/ scouts and guides ? :-

NOTE
 Fill the information according to the given format
 Take print out and submit positively by tomorrow