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DATA COLLECTION FORM FOR BANGALAR UCHCHASHIKSHA PORTAL
* Indicates required question
Email
*
Your email
Do you have Banglar Shiksha Student ID
*
Yes
No
Banglar Shiksha Student ID (If yes)
Your answer
Student First Name
*
Your answer
Student Middle Name
Your answer
Student Last Name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Gender
*
MALE
FEMALE
Other
Category
*
UNRESERVED
SC
ST
OBC-A
OBC-B
Religion
*
HINDUISM
ISLAM
CHRISTIANITY
BUDDHISM
JAINISM
PARSI
JEWS
OTHERS
Country of Origin
*
Your answer
Mobile No.
*
Your answer
Father's Name
*
Your answer
Father's Mobile No
*
Your answer
Father's Profession
*
Your answer
Father's Educational Qualification
*
Below Secondary
Secondary
Higher Secondary
Graduate
Post Graduate
M.Phil
Ph.D.
Others
Mother’s Name
*
Your answer
Mother’s Mobile No
*
Your answer
Mother’s Profession
*
Your answer
Mother’s Educational Qualification
*
Below Secondary
Secondary
Higher Secondary
Graduate
Post Graduate
M.Phil
Ph.D.
Others
Guardian’s Name
*
Your answer
Relationship with Guardian
*
Your answer
Guardian’s Mobile No.
*
Your answer
P.O.
*
Your answer
COUNTRY
*
Your answer
State
*
Your answer
District
*
Your answer
P.S.
*
Your answer
PIN
*
Your answer
Registration No.
*
Your answer
Department
*
Your answer
Program Level
*
UG
PG
DIPLOMA
CERTIFICATE
M.PHIL
PH.D
OTHERS
Program Category
*
B.A.
M.A.
M.Sc
M.Com
L.L.M.
BLIS
MLIS
Admitted In Category
*
UNRESERVED
SC
ST
OBC-A
OBC-B
Admission Academic Session
*
Your answer
Pursuing Semester
*
Semester-1
Semester-3
Whether applied for SVMCM for the present course
*
Yes
No
Applied Academic Year
*
Your answer
SVMCM ID
*
Your answer
Application Type
Fresh
Renewal
Clear selection
Date of application
MM
/
DD
/
YYYY
Date of recommending the application
MM
/
DD
/
YYYY
Whether scholarship has been approved
Yes
No
In Process
Clear selection
Whether applied for K3 for the present course
*
Yes
No
Applied Academic Year
*
Your answer
K3 ID
*
Your answer
Application Type
Fresh
Renewal
Clear selection
Date of application
MM
/
DD
/
YYYY
Date of recommending the application
MM
/
DD
/
YYYY
Whether scholarship has been approved
Yes
No
In Process
Clear selection
Whether applied for Aikyasree for the present course
*
Yes
No
Applied Academic Year
*
Your answer
Aikyasree ID
*
Your answer
Application Type
Fresh
Renewal
Clear selection
Date of application
MM
/
DD
/
YYYY
Date of recommending the application
MM
/
DD
/
YYYY
Whether scholarship has been approved
Yes
No
In Process
Clear selection
Whether applied for OASIS for the present course
*
Yes
No
Applied Academic Year
*
Your answer
OASIS ID
*
Your answer
Application Type
Fresh
Renewal
Clear selection
Date of application
MM
/
DD
/
YYYY
Date of recommending the application
MM
/
DD
/
YYYY
Whether scholarship has been approved
Yes
No
In Process
Clear selection
Whether applied for other Scholarship for the present course
*
Yes
No
Name of the Scholarship
*
Your answer
Applied Academic Year
*
Your answer
Scholarship Id
*
Your answer
Application Type
Fresh
Renewal
Clear selection
Date of application
MM
/
DD
/
YYYY
Date of recommending the application
MM
/
DD
/
YYYY
Whether scholarship has been approved
Yes
No
In Process
Clear selection
Whether applied for West Bengal Student Credit Card ID for the present course
*
Yes
No
Student Credit Card ID (If yes)
Your answer
Aadhaar No.
*
Your answer
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