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Students Information

The document is a student information form that collects personal details such as name, date of birth, nationality, and contact information. It also includes sections for parents' information, academic history, and extra-curricular activities. Additionally, it gathers data on physical challenges, marital status, and family income.

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crazyjannx
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0% found this document useful (0 votes)
6 views2 pages

Students Information

The document is a student information form that collects personal details such as name, date of birth, nationality, and contact information. It also includes sections for parents' information, academic history, and extra-curricular activities. Additionally, it gathers data on physical challenges, marital status, and family income.

Uploaded by

crazyjannx
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STUDENTS INFORMATION

1. Namne of theStudent:

2. Name inTamil :

3. Register number :
4. Date of Birth

S. State: T.N,or Other State:

6. Nationality
7. Blood Group :

8. Religion :
9. Community : OC BCH| BCM BCC MBC SC ST DNC
Caste (Sub Set) :
10, Residential Address :

11. Are you Physically Challenged : YES /NO

12. Are you Staying in Hostel


13. Mobile number

14. Email (Personal)

15. Aadhar number

16. Bank Details : Alcno: IFSC Code :

Name of the bank:

17. Marital Status : Married Unmarried

18. Date of Admission

19. Whether studied in: Govt Govt Aided Private

20. Name of the School Last Studied:


with Address
21. Higher Secondary Marks : Percentage:
22. Language Taken in +2:

23. Extra-Curricular Activities: Sports NCC NSSOthers


24. Sports (Free Seat) :

25. University free Seat


26. First Generation Leamer : YES/NO

27. UMIS number :

28. EMIS number :

PARENTS' INFORMATION

30. Father's Name


31. Father's Name in Tamil :

32. Father's Occupation : Income :

33. Father's Office Address

34. Father's Mobile number Father's EmailID:


35. Mother's Name :

36.Mother's Occupation Income:

37.Mother's Mobile number : Mother's Email ID:


38. No. of Siblings :
39.Guardian Name Guardian Relationship:
40.Guardian Occupation : Guardian Mobile number:

41.Guardian Email ID : Annual Family Income:

Signature: Family Photograph

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