JHARKHAND ACADEMIC COUNCIL, RANCHI
STUDENT INFORMATION SHEET FOR Madhyama (sanskrit) REGN., session 2024-25 & EXAMINATION year 2025
(Duly filled in form is to be submitted to the Institution by the Student for Online Registration)
(For regular/Private Candidate only)
(To be filled using black ball point pen only)
Code & Name of Institution :
1. Name of the Student :
2. Father’s Name :
3. Mother’s Name :
4. Gender : Male / female / transgender
5. Religion : hinduism / islam / sikhism / chiristianity / others
6. Student Aadhar No. :
7. E-Vidya Vahini Student ID :
8. Date of Birth : date month year
9. Nationality : indian / others
10. Divyang : ** none / blindness / low vision / Dwarfism / locomotor / thalassemia / **
11. Caste : general / sc / st / bc-1 / bc-2 / ews
12. Area : rural / urban
13. Communication Address :
14. State :
15. District :
16. Block :
17. Pin Code :
18. Student Contact No. :
19. Email ID :
20. Medium of Examination : hindi / english / sanskrit
21. Category Choice : Regular / private
22. Section :
23. Class Roll Number : (Write 0000 if you do not have a Class Roll Number)
24. Subject offered :
a) Compulsory - 1 : sanskritpratham patra (vyakaran)
b) Compulsory - 2 : sanskritdwitiyapatra(sahitya)
c) Compulsory - 3 : sanskrit tritiya patra (Ved, jyotish, darshan)
d) Compulsory - 4 : chaturthapatra (rashtrabhasa hindi)
e) Compulsory - 5 : panchampatra (social science)
f ) Compulsory - 6 : shashthapatra (english)
Optional :
Additional :
Space for Student’s Photograph Space for Student’s Signature
Signature of Father / Mother
(For Institution use only)
System Generated UID No. : ___________________________________ Entered By : ___________________________________
Note :
1. For column No. 4. 5. 9, 10, 11, 12, 20 & 21 you are required to tick the applicable one.
2. For faculty-wise applicable subject combination kindly contact your Institution.
3. Photograph to be pasted should not be more than 3 months old. Photograph & Signature should not exceed the box area.
4. Submission of document is mandatory to the Institution Head in case of the following :
a) If you are a Divyang student-submit copy of Certificate issued by the Government/Local Authority.
a) If you belong to Caste other than “general” - submit copy of Certificate issued by the Government / Local Authority.
5. Get printed copy of your checklist from school and look at your details very carefully. Inform HM immediately if there is any mistake.
6. No correction will be allowed once exam form is submitted online.
**Divyang Category List :
1. Hearing Impairement 2. Cerebral Palsy
3. Intellectual Disability 4. Haemophilia
5. Speech Disability 6. Autism Spectrum Disorder
7. Muscular Dystrophy 8. Sickle Cell Disease
9. Mental Illness 10. Multiple Disability including Deaf, Blindness
11. Chronic Neurological condition 12. Acid Attack Victim
13. Specific Learning Disability 14. Leprosy cured person
15. Multiple Sclerosis 16. Parkinson’s disease.
