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Stranded Students Form
Details of Chakma Students from Mizoram stranded in other states/UT.
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* Indicates required question
Name
*
Enter Full Name
Your answer
Mobile No
*
Enter your contact number
Your answer
Gender
*
Enter your gender
Choose
Male
Female
Native Village
*
Enter the name of your Native Village
Your answer
Native District
*
Native District
Choose
Lawngtlai
Lunglei
Mamit
Aizawl
Champai
Kolasib
Saiha
Serchhip
Aadhaar No
Enter your Aadhaar No.
Your answer
Voter ID
If you have a Voter ID Enter the Voter ID.
Your answer
Bank Account
*
Enter your bank account no,
Your answer
IFSC
*
Enter your bank account IFSC Code
Your answer
Family Details
Enter your family details.
Father's Name
*
Enter the full name of your father
Your answer
Father's Occupation
*
Enter the occupation of your father
Govt. Service
Pvt. Service
Farmer
Business
N.A. / Deceased
Other:
Father's Service Designation
*
Write the post/designation of your father if in service. Otherwise write N.A.
Your answer
Mother's Name
*
Enter the full name of your mother
Your answer
Mother's Occupation
*
Enter the occupation of your mother
Govt. Service
Pvt. Service
Farmer
Business
N.A. / Deceased
Other:
Mother's Service Designation
*
Write the post/designation of your mother if in service. Otherwise write N.A.
Your answer
Annual Income of Family
*
Annual Income of the family (Income of Father + Mother + other Earning Members).
Your answer
School / Institution Details
Details of your institution or school.
Institution
*
Name of your School / Institution
Your answer
Class
*
Select your class
Choose
Pre-Primary (Kindergarten)
Primary (Class 1 - 5)
Middle (Class 6-8)
Secondary (Class 9-10)
Higher Secondary (Class 11-12)
Graduation
Post Graduation
Coaching Student
Institution State
*
Address of your School / Institution : State / UT
Choose
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Institution District
*
Address of your School / Institution : District
Your answer
Institution City
*
Address of your School / Institution : Village/Town/City
Your answer
Stranded Location
Please enter the location where you are currently stranded
Stranded State
*
State where you are stranded right now.
Choose
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Stranded District
*
District where you are stranded now.
Your answer
Stranded City
*
Village/Town/City where you are currently stranded
Your answer
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