NARAYANPUR JR.
HIGH SCHOOL
ADMISSION FORM
Student’s DCF FORM - S
Name of the School :
U-DISE Code : Affix Passport
Student Code : size
photograph
A. Basic Information:
1. Name : FIRST MIDDLE LAST
2. DOB * : D D M M Y Y Y Y 3. Birth Regn. No:
4. Gender* : MALE FEMALE TRANSGENDER (Give in the box)
5. Social Category*: 6. Religion :
7. Mother Tongue*: 8. Nationality* :
9. Aadhaar No. :
10. Blood Group : 11. Health ID :
12. Identification Mark: _________________________________________________________________________________
B. Educational Information:
1. Academic Year* : (20XX-XX) 2. Admission No* :
3. Admission Date*: D D M M Y Y Y Y
4. Present Class* : 5. Present Section* : 6. Present Roll No* : 7. Present Stream :
8. Previous Class* : 9. Previous Section*: 10. Previous Roll No: 11. Previous Stream:
12. Medium* :
13. If studying in class 1, status of previous year : ____________________________________________
14. No. of days child attended school :
C. Contact Information:
1. Address : __________________________________________________________________________________
2. Habitation or Locality* : __________________________________________________________________________________
3. District* : __________________________________________________________________________________
4. Block/Municipality* : __________________________________________________________________________________
5. Panchayat : __________________________________________________________________________________
6. Post Office* : __________________________________________________________________________________
7. Police Station* : __________________________________________________________________________________
8. Pin Code* :
9. Contact No. : +91
10. Email : __________________________________________________________________________________
D. Guardian’s Details:
1. Father's Name : ______________________________________________________________________________
2. Mother's Name : ______________________________________________________________________________
3. Guardian's Name* : ______________________________________________________________________________
4. Relationship(with Guardian)*: ______________________________________________________________________________
5. Annual Family Income : ______________________________________________________________________________
6. Guardian's Qualification : ______________________________________________________________________________
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E. Guardian’s Contact Information:
1. Address : ________________________________________________________________________________
2. Habitation or Locality* : ________________________________________________________________________________
3. District* : ________________________________________________________________________________
4. Block/ Municipality* : ________________________________________________________________________________
5. Panchayat : ________________________________________________________________________________
6. Post Office* : ________________________________________________________________________________
7. Police Station* : ________________________________________________________________________________
8. Pin Code* :
9. Contact No.* : +91
10. Email : ____________________________________________________________
F. Other Information:
1. BPL Status : YES / NO , If Yes, 2. BPL No. :
3. Children with special need: YES / NO , If Yes, 4. Type of Disability:
G. Facilities:
1. Disadvantaged Group : YES / NO 2. Getting free education as per RTE Act: YES / NO/NA
3. Whether the child is Homeless: 4. No of Uniform Sets Received :
5. Complete set of free books : 6. Free Transport facilities : YES / NO
7. Free Escort Facility : YES / NO 8. Free Hostel facility : YES / NO
9. Hostel Type : 10. Hostel Schemes :
11. Special Training Facility : YES / NO 12. Remarks :
13. CWSN Facility Received : 14. Free Bicycle : YES / NO
15. Free Shoe : YES / NO 16. Free Exercise Book : YES / NO
H. Bank Details:
1. Bank Name : _______________________________________________________________
2. Branch Code :
3. IFSC :
4. Account Number :
I. For the Students of grades IX to XII who have opted for Vocational Courses:
1. Trade/Sector :
2. Job Role :
3. Completed NSQF Level : YES / NO
4. Employment/Placement Status : YES / NO
5. Salary Offered :
___________________________________ ___________________________________
Approved by Compiled by
Compiled on: / /
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