UDISE DATA COLLECTION PROFORMA 2022-2023 XI , XII STUDENTS

1 Student's Name (as per School Record)

2 Gender
3 Date of Birth (DD/MM/YYYY)
4 Student Code/ID
5 Mother's Name
6 Father's Name
7 Guardian's Name
8 Aadhaar Number of Student
9 Name of Student as per/in Aadhaar Card
10 Address
11 Pincode
12 Mobile Number (of Student/ Parent/ Guardian)
Alternate Mobile Number (of Student/ Parent/
13
Guardian)
14 Contact email-id (of Student/Parent/Guardian)
15 Mother Tongue of the Student
16 Social Category
17 Minority Group
18 Whether BPL beneficiary
19 Whether Antyodaya Anna Yojana (AAY) beneficiary
20 Whether belongs to EWS / Disadvantaged Group
21 Whether CWSN
22 Type of Impairments
23 Indian Nationality
24 Is Child Identified as Out of School-Child
25 When the Child is mainstreamed
Enrolment Details
1 Admission Number in School
2 Admission Date (DD/ MM/ YYYY) in Present Class
3 Roll No
4 Academic Stream opted by student
Status of Student in Previous Academic Year Schooling
5
(2021-22)
Grade/Class Studied in the Previous/Last Academic
6
year (2021-22)
7 Admitted / Enrolled Under (Only for Pvt. Unaided)
In the previous class Studied - whether appeared for
8
examination
In the previous class Studied - result of the
9
examinations
10 Marks Obtained (in Percentage)
No. of days child attended school (in the previous
11
academic year)
Facility And Other Details of the Student
Facilities provided to the Student (for the year of filling
1
data)
2 Central Scholarship Received (Previous Academic year)
3 Code & Name of Scholarship
4 State Scholarship Received (Previous Academic year)
5 Other Scholarship Received (Previous Academic year)
6 Scholarship Amount
Facilities provided to Student in case of CWSN (for the
7
year of filling data)
Whether Student has been screened for Specific
8
Learning Disability (SLD)
9 SLD Type
Whether Student has been screened for Autism
10
Spectrum Disorder (ASD)?
Whether Student has been screened for Attention
11
Deficit Hyperactive Disorder (ADHD)?
12 Is the student involved in any extracurricular activity?
Has the Student been identified as a gifted / talented in
13
following
14 Whether provided mentors?
15 Whether the student participated in nurturance camps

Has the student appeared in State Level Competitions/

16
Olympiads/National level Competitions?
Does the Student participate in NCC/ NSS/ Scouts and
17
Guides?