Stranded Students Form
Details of Chakma Students from Mizoram stranded in other states/UT.
Sign in to Google to save your progress. Learn more
Name *
Enter Full Name
Mobile No *
Enter your contact number
Gender *
Enter your gender
Native Village *
Enter the name of your Native Village
Native District *
Native District
Aadhaar No
Enter your Aadhaar No.
Voter ID
If you have a Voter ID Enter the Voter ID.
Bank Account *
Enter your bank account no,
IFSC *
Enter your bank account IFSC Code
Family Details
Enter your family details.
Father's Name *
Enter the full name of your father
Father's Occupation *
Enter the occupation of your father
Father's Service Designation *
Write the post/designation of your father if in service. Otherwise write N.A.
Mother's Name *
Enter the full name of your mother
Mother's Occupation *
Enter the occupation of your mother
Mother's Service Designation   *
Write the post/designation of your mother if in service. Otherwise write N.A.
Annual Income of Family *
Annual Income of the family (Income of Father + Mother + other Earning Members).
School / Institution Details
Details of your institution or school.
Institution *
Name of your School / Institution
Class *
Select your class
Institution State *
Address of your School / Institution : State / UT
Institution District *
Address of your School / Institution : District
Institution City *
Address of your School / Institution : Village/Town/City
Stranded Location
Please enter the location where you are currently stranded
Stranded State *
State where you are stranded right now.
Stranded District *
District where you are stranded now.
Stranded City *
Village/Town/City where you are currently stranded
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report