JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
INFO REQUIRED TO GENERATE UDISE CODE 9-12 CLASS
To Generate Udise No of Student This Information Must Be Filled in SSAGujrat Portal So Please Provide Correct Details)
* Indicates required question
Email
*
Your email
Do You have already UDISE No or Your Entry is done in some other school where you previously studied and admitted in this school afterwards if Yes( Do Not fill this form and inform your class teacher about the UDISE No
*
Your answer
ClassName
*
1
2
3
4
5
6
7
8
9
10
11
12
StudentName
*
Your answer
Father's Name
*
Your answer
Mother's Name
*
Your answer
Cast (Gen, SC, / ST etc)
*
GEN
SC
ST
OBC
DateofBirth
*
MM
/
DD
/
YYYY
District
*
2422-SURAT
BLOCK
*
242215-SMC CORP. SURAT
CLUSTER
*
2422150035-CRC-35-AAS PAS NAGAR
VILLAGE
*
242215004-PIPLOD
SCHOOL
*
24221500405-KENDRIYA VIDYALAYA NO 1
CLASS
*
9
10
11
12
SECTION
*
A
B
C
1 ADM NO
*
Your answer
2 Student Name (As per School Record)
*
Your answer
3 FATHER'S NAME (As per School Record)
*
Your answer
4 MOTHER'S NAME(As per School Record)
*
Your answer
5 SURNAME
*
Your answer
6 HABITATION (For this school it is URBAN)
*
RURAL
URBAN
7 TO BE FILLED BY SCHOOL ----- AADHAR UNIQUE CODE (UDISE NO) You Are Requested to Write only 0 (Zero)
*
Your answer
8 MOTHER TOUNGE
*
GUJRATI
HINDI
ENGLISH
OTHER
9 DATE OF BIRTH (Select from calender)
*
MM
/
DD
/
YYYY
10 Date of Admission (if You Have Write it other wise select Ist April of year of admission)
MM
/
DD
/
YYYY
11 Gender (Kumar / Kanya) / Gender Cast
Kumar
Kanya
Clear selection
12 Social Cast
*
Gen
SC
ST
OBC
13 Peta Cast (Gen / Eco. Backward)
*
Gen
Economic Backward
14 Aadhar No or UID By Govt of india (12 Digit)
*
Your answer
15 Religion
*
Hindu
Muslim
Sikh
Christian
Parsi
Buddhist
Jain
Other
16 BPL (Below Poverty Line)
*
YES
NO
17 DEPRIVED GROUP
*
YES
NO
18 CURRENT CLASS
*
1
2
3
4
5
6
7
8
9
10
11
12
19 SECTION
*
A
B
C
20 LAST YEAR'S CLASS & SECTION
*
Choose
1-A
1-B
1-C
2-A
2-B
2-C
3-A
3-B
3-C
4-A
4-B
4-C
5-A
5-B
5-C
6-A
6-B
6-C
7-A
7-B
7-C
8-A
8-B
8-C
9-A
9-B
9-C
10-A
10-B
10-C
11-A
11-B
11-C
12-A
12-B
12-C
21 TOTAL ATTENDANCE LAST YEAR
*
Your answer
22 MEDIUM OF INSTRUCTION
*
HINDI
ENGLISH
GUJRATI
23 DIVYANG (Disabled )
*
YES
NO
24 HAVING DISABLED CERTIFICATE
*
YES
NO
NA
25A HELP PROVIDED TO Divyang (Cycle / Char / etc.)
*
YES
NO
NA
25B HELP PROVIDED TO Divyang (Brail Books etc.)
*
YES
NO
NA
26 Free Books Provided
*
NA
27 How Many Uniforms Provided
*
NA
28 Free Transport
*
NA
29 Free Reservation
*
NA
30 Free food
*
NA
31 Free Hostel Facility
*
NA
32 Free cycle
*
NA
33 Special Education under STP
*
NA
34 Is child homeless
*
Yes
No
35 Bank account No of Student or Parent (Write NA if you do not want to give)
*
Your answer
36 Name of Account Holder
Your answer
37 Name of the Bank
Your answer
38 Branch of the Bank or Branch Code
Your answer
39 IFSC Code of the Bank
Your answer
40 Appeared in Previous class Exam
*
YES
NO
NA
41 passed in Las Class
*
YES
NO
42 PASS % SCORED IN LAST CLASS (Upto 2 Decimal Places like i.e. 99.99 or 59.00)
*
Your answer
43 Stream (Arts / Sci / comm) for 11-12
*
Science
Commerce
Arts
NA
44 Trade in 11 / 12 Class
*
NA
45 IRON & FOLIC ACID
*
YES
NO
NA
46 DE-WORMING TABLETS
*
YES
NO
NA
47 VITAMIN A TABLETS
*
YES
NO
NA
48 MOBILE NO OF PARENT
*
Your answer
49 email id of student / parents (only one)
*
Your answer
50 status of Child for (Previous Session)
*
This School
Other School
Drop Outs
51 Reason for New Entry(Select Previous Entry Not Done if You are never alloted UDISE No in any school)
*
Previous Entry Not Done
RTE
Other State
CWSP
If You are Divyang Please Write type of disability (other wise NA)
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
