Data for Samagam Portal Updation

Student’s Name__________________ Roll No.______     Class_________

AAdhar No._______________________________________ Blood Group______________

Mother’s Name __________________________  

Mother’s Mob No. ________________

Mother’s Qualification ____________________ 

Mother’s Email Id _____________________________

Mother tongue__________________________

Father’s Name_________________  

Father’s Mob No._______________

Father’s Qualification _______________________ 

Father’s Email id _____________________________

Mother tongue_________________

Whether BPL beneficiary or not ____________________

Date of first Admission in KV_______________   

Name of KV _____________________________

Region of KV________________ 

Admission ground for first admission____________________

Permanent Address with pin code: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Communication Address with pin code: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Previous class marks out of 500 …….

Percentage…....%

Total Attendance as previously given in the report card of…............class..............

Parent’s Signature