Student Details
1. Name of the Pupil in full
(As given the Birth Certificate)
2. Date of Birth
3. (a)Nationality
(b)State to which the pupil belongs
4. Aadhaar No. of the Pupil
5. Religion
6. Gender
7. (a) Community
(b)Sub-Caste
8. Residential Address
9. (a) Father's/Guardian's Name
(As given in the Child"s Birth Certificate)
(b) Qualification
(c) Occupation
(d) Office Address
(e) Telephone(Office)
(f) Mobile Number
(g) E-mail Id
(h) Annual Income
10. (a) Mother's Name/Guardian's Name
(As given in the Child"s Birth Certificate)
(b) Qualification
(c) Occupation
(d) Office Address
(e) Telephone(Office)
(f) Mobile Number
(g) E-mail Id
(h) Annual Income
11. Indicate whether Father/Mother is employed in if ICF, Shop No.
12. (a) Father's Aadhaar Number
(b) Mother's Aadhaar Number
13. Languages Offered
(a)Second Language
(b)Third Language
14. Mother Tongue
15. (a) Name and place of the School last attended
(b)Medium of Instruction in the school last attended
(c) Second Language
(d) Recognised by (Board)
(e) EMIS Number
(f) Class last studied
(g) Whether qualified for promotion
(h)% of marks obtained in the last exam Month & Year
(i)Month
(j)Year
16. Class to which admission is sought

17. Siblings (Brother/Sister Studying/Studied in this School)
(a) Siblings 1
Name, Standard
and Year
(b) Siblings 2
Name, Standard
and Year
18. Health Information & Identification
(a) Height in cms
(b) Weight in kgs
(c) Blood Group
(d) Serious Illness
TB, Malaria, Typhoid,
Small Fox, Allergic to,
Any other
(e) Physically Handicapped
affecing normal activities
like sports and games
(f) Proficiency in
extra-curricular activities
if any
19. Identification Mark: