New Model of Student's DCF

 Student's DCF

School Name

Passport size photo 


School Udise Code


Student Code



GENERAL INFORMATION OF STUDENT


(4.1.1) Name of the Student* ...................................................................................................................................

(4.1.2) Gender*.   ⬜Boys ⬜ Girls ⬜Transgender 

(4.1.3) Date of Birth*........................................ 

(4.1.4) Mother's Name* ................................................................................................................................... 

(4.1.5) Father's Name* ...................................................................................................................................

(4.1.6) Guardian's Name* ...................................................................................................................................

(4.1.7) Aadhaar No of Child 





(4.1.8) Name of Student as Per Andhar* ..................................................................................................................

(4.1.12) Mother Tongue of the Child* ..................................................................................................................

(4.1.13)Social Category* ⬜ General ⬜ SC O  ST ⬜ OBC-A ⬜ OBC-B

(4.1.14) Religion* ..................................................................................................................

(4.1.15) Whether BPL beneficiary* ⬜  Yes ⬜ No

If Yes,

(a)Whether Antyodaya Anna Yojana (AAY) beneficiary? * ⬜  Yes ⬜ No

(BSP) BPL No. *  ..................................................................................................................

(4.1.16) Whether belongs to EWS/ Disadvantaged Group* ⬜  Yes ⬜ No

(4.1.17) Whether CWSN*  ⬜  Yes ⬜ No

(4.1.18) Nationality* … … …. … …. … .

(4.1.19) Is this Child identified as Out-of-School-Child* ⬜  Yes ⬜ No

If Yes, When the child is mainstreamed *

In current Academic year 


In previous Academic year 


(BSP) Birth Registration Number ..................................................................................................................

(BSP) Blood Group  ⬜A+ ⬜A- ⬜B+ ⬜B- ⬜AB+ ⬜ AB- ⬜O+ ⬜O-

(BSP) Identification Mark ..................................................................................................................

(BSP) Health ID ..................................................................................................................

(BSP)Relationship with Guardian* ⬜  Father ⬜ Mother ⬜  Other 

(BSP) Annual Family Income* ⬜0-50,000⬜50,000-1,20,000⬜1,20,001-2,50,000⬜2,50,000-5,00,000⬜Above 5,00,000

(BSP) Guardian's Qualification* ⬜  Graduate ⬜ Undergraduate 

ENROLMENT DETAILS OF STUDENT IN PRESENT SCHOOL FOR CURRENT YEAR

(4.2.1) Admission Number in School * ..................................................................................................................

(4.2.2) Admission Date in Present Class* ..................................................................................................................

(4.2.4)(a) Status of student in Previous Academic Year of Schooling *⬜Anganwadi/ ECCE Centre⬜None/Not Studying⬜Studied at Current/Same School⬜Studied at Other School

(4.2.6) (a) In the Previous class studied – whether appeared for examinations⬜Appeared⬜Non Appeared 

If Appeared,

(4.2.6)(b)  In the previous class studied – Result of the examination *

⬜ Detained/Repeater/Not Passed

⬜Promoted/Passed

⬜Promoted/Passed with grace 

⬜Promoted/Passed without Examination

(4.2.6)(c)  In the previous class studied - % of overall marks obtained in the examination *............... 

(BSP) Academic Year* … … … … 

Present Class* … … … … .

(BSP) Present Section * …. … … … 

(BSP) Present Roll No*...................... 

(BSP) Medium* … … … …. … … .

(BSP) Admission Type*⬜First time Admission⬜New Admission with TC/ SLC

FACILITY AND OTHER DETAILS OF THE STUDENT

(4.3.1) (a) Facilities provided to the student (for the year of filling data) * ⬜Yes   ⬜ No

(BSP) Free Uniforms (In BSP, No of Uniform Sets Received)* ⬜Yes   ⬜ No

(BSP) Free Transport facility * ⬜Yes   ⬜ No

(BSP) Free Escort * ⬜Yes   ⬜ No

(BSP) Free Hostel facility * ⬜Yes   ⬜ No

(BSP) Free Bicycle * ⬜Yes   ⬜ No

(BSP) Free Shoe * ⬜Yes   ⬜ No

(BSP) Complete set of free books * ⬜Yes   ⬜ No

(BSP) Free Exercise book * ⬜Yes   ⬜ No

(i) Central Scholarship * ⬜Yes   ⬜ No

(ii) State Scholarship * ⬜Yes   ⬜ No

(iii) Other Scholarship * ⬜Yes   ⬜ No

(4.3.2) Facilities provided to Student in case of CWSN * ⬜Yes   ⬜ No

(4.3.3) Whether child has been screened for Specific Learning Disability (SLD) * ⬜Yes   ⬜ No

(4.3.4) Whether child has been screened for Autism Spectrum Disorder * ⬜Yes   ⬜ No

(4.3.5) Whether child has been screened for Attention Deficit Hyperactive Disorder * ⬜Yes   ⬜ No

(4.3.6) Is the student involved in any extracurricular activity * ⬜Yes   ⬜ No

(b) Whether provided mentors* ⬜Yes   ⬜ No

(c) Whether the student participated in nurturance camps * ⬜Yes   ⬜ No

(i) State Level * ⬜Yes   ⬜ No

(ii) National Level * ⬜Yes   ⬜ No

(d) Has the student appeared in State Level Competitions / Olympiads /National level Competitions * ⬜Yes   ⬜ No

(e) Does the child participate in NCC/ NSS/ Scouts and Guides * ⬜Yes   ⬜ No

(BSP) Getting free education as per RTE Act * ⬜Yes   ⬜ No

(BSP) Whether the child is Homeless *⬜NA⬜HOMELESS AND STAYING ON STREETS WITH PARENT/GUARDIAN (NOT STAYING IN HOME) ⬜HOMELESS AND STAYING ON STREETS WITHOUT O ADULT PROTECTION

(BSP) Special Training Facility * ⬜Yes   ⬜ No

CONTACT INFORMATION FOR STUDENT

(BSP) Select Country INDIA

(BSP) Select State WEST BENGAL

(4.1.9) (a) Address * ..................................................................................................................

(BSP) Habitation or Locality *  ..................................................................................................................

(BSP) District* ..................................................................................................................

(BSP) Block/Munc/Corp* ..................................................................................................................

(BSP) Panchayat * ..................................................................................................................

(BSP) Post Office* ..................................................................................................................

(BSP) Police Station* ..................................................................................................................

4.1.9 (b) Pin Code* ..................................................................................................................

4.1.10 (a) Mobile Number (of Student/ Parent/ Guardian) * … … …. … …. … … … … … … … .

4.1.11 Contact email-id (of Student/Parent/Guardian) * … … … … … … … … … … … … … .. 

CONTACT INFORMATION FOR GUARDIAN

  •  Same as Student Address

(BSP) Select Country INDIA

(BSP) Select State WEST BENGAL

(BSP) Address *  ..................................................................................................................

(BSP) Habitation or Locality*  ..................................................................................................................

(BSP) District* ..................................................................................................................

(BSP) Block/Munc/Corp * ..................................................................................................................

(BSP) Panchayat * ..................................................................................................................

(BSP) Post Office* ..................................................................................................................

(BSP) Police Station* ..................................................................................................................

(BSP) Pin Code* ..................................................................................................................

(BSP) Mobile Number (of Student/ Parent/ Guardian) * ..........................................................................................

(BSP) Contact email-id (of Student/Parent/Guardian) * ...........................................................................................

BANK DETAILS

(BSP) Bank Name ..................................................................................................................

(BSP) Branch Name ..................................................................................................................

(BSP) IFSC ..................................................................................................................

(BSP) Account Number ..................................................................................................................

Upload

(BSP) Upload Student Photo* (Max upload size 20kb)


4.4 VOCATIONAL EDUCATION DETAILS OF THE STUDENT

(BSP) Was the student provided with any exposure to Vocational activities * ⬜Yes   ⬜ No

(4.4.1) Did the student undertake any vocational course * ⬜Yes   ⬜ No

If Yes,

4.4.1)(a)  Trade/Sector *............... 

(4.4.1)(b)  Job Role *........... 

(4.4.1)(c)  Duration of vocational classes attended by student *

(4.4.1)(c)(i)  Theory * … … … … … … … … .

(4.4.1)(c)(ii)  Practical * …. … … … … … … 

(4.4.1)(c)(iii)  Training in industry *....................... 

(4.4.1)(c)(iv)  Field Visit *......................... 

(4.4.1)(d)  Whether Appeared for Examination in Previous Class for Vocational Subject *

⬜Appeared and Not Passed

⬜Appeared and Passed

⬜Not Appeared

⬜Not Applicable

(4.4.1)(e)  Whether student applied for placement * ⬜Applied and Not Placed ⬜Applied and Placed ⬜Not Applied Yet

(4.4.1)(f)  Whether student applied for apprenticeship * ⬜Applied and Given Apprenticeship ⬜Applied But Not Given Apprenticeship ⬜Not Applied Yet

(BSP)  Completed NSQF Level * ⬜Yes ⬜No

(BSP)  Employment/placement Status * ⬜Yes ⬜No


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