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    Student's DCF: A. Basic Information

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    Arpan bera
    This document contains a student data collection form (DCF) used by schools in West Bengal, India. The form collects personal information of the student like name, date of birth, gender, religion, nationality, contact details, guardian details, school admission details, facilities availed, bank details if applicable. It has sections for basic information, educational information, contact details, guardian details, other information like BPL status, facilities, vocational course details if applicable. The form is used to maintain comprehensive student records and ensure availability of government welfare schemes and facilities.

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    © All Rights Reserved
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    Student's DCF: A. Basic Information

    Uploaded by

    Arpan bera
    9K views2 pages
    This document contains a student data collection form (DCF) used by schools in West Bengal, India. The form collects personal information of the student like name, date of birth, gender, religion, nationality, contact details, guardian details, school admission details, facilities availed, bank details if applicable. It has sections for basic information, educational information, contact details, guardian details, other information like BPL status, facilities, vocational course details if applicable. The form is used to maintain comprehensive student records and ensure availability of government welfare schemes and facilities.

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    This document contains a student data collection form (DCF) used by schools in West Bengal, India. The form collects personal information of the student like name, date of birth, gender, religion, nationality, contact details, guardian details, school admission details, facilities availed, bank details if applicable. It has sections for basic information, educational information, contact details, guardian details, other information like BPL status, facilities, vocational course details if applicable. The form is used to maintain comprehensive student records and ensure availability of government welfare schemes and facilities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9K views2 pages

    Student's DCF: A. Basic Information

    Uploaded by

    Arpan bera
    This document contains a student data collection form (DCF) used by schools in West Bengal, India. The form collects personal information of the student like name, date of birth, gender, religion, nationality, contact details, guardian details, school admission details, facilities availed, bank details if applicable. It has sections for basic information, educational information, contact details, guardian details, other information like BPL status, facilities, vocational course details if applicable. The form is used to maintain comprehensive student records and ensure availability of government welfare schemes and facilities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Student’s DCF FORM - S

    Name of the School :


    U-DISE Code :
    Student Code : Affix Passport
    A. Basic Information: size photograph
    1. Name* : FIRST MIDDLE LAST
    2. DOB * : D D M M Y Y Y Y
    3. Gender* : MALE FEMALE TRANSGENDER (Give  in the box)
    4. Social Category*: 5. Religion :
    6. Mother Tongue*: 7. Nationality* :
    8. Aadhaar No. :
    9. Blood Group : 10. Health ID :
    11. Identification Mark: _________________________________________________________________________________
    B. Educational Information:
    1. Academic Year* : (20XX-XX) 2. Admission No* :
    3. Admission Date*: D D M M Y Y Y Y
    4. Present Class* : 5. Present Section* : 6. Present Roll No* : 7. Present Stream :
    8. Previous Class* : 9. Previous Section*: 10. Previous Roll No: 11. Previous Stream:
    12. Medium* :
    13. If studying in class 1, status of previous year : ____________________________________________
    14. No. of days child attended school :
    C. Contact Information:
    1. Address* : __________________________________________________________________________________
    2. Habitation or Locality* : __________________________________________________________________________________
    3. District* : __________________________________________________________________________________
    4. Block/Municipality* : __________________________________________________________________________________
    5. Panchayat : __________________________________________________________________________________
    6. Post Office* : __________________________________________________________________________________
    7. Police Station* : __________________________________________________________________________________
    8. Pin Code* :
    9. Contact No. : +91

    10. Email : __________________________________________________________________________________


    D. Guardian’s Details:
    1. Father's Name : ______________________________________________________________________________
    2. Mother's Name : ______________________________________________________________________________
    3. Guardian's Name* : ______________________________________________________________________________
    4. Relationship(with Guardian)*: ______________________________________________________________________________
    5. Annual Family Income : ______________________________________________________________________________
    6. Guardian's Qualification : ______________________________________________________________________________

    Page 1
    www.banglarshiksha.gov.in Ver.: 1.0 School Education Department
    [Release Date: 22.02.2019] Govt. West Bengal
    E. Guardian’s Contact Information:
    1. Address* : ________________________________________________________________________________
    2. Habitation or Locality* : ________________________________________________________________________________
    3. District* : ________________________________________________________________________________
    4. Block/ Municipality* : ________________________________________________________________________________
    5. Panchayat : ________________________________________________________________________________
    6. Post Office* : ________________________________________________________________________________
    7. Police Station* : ________________________________________________________________________________
    8. Pin Code* :
    9. Contact No. : +91
    10. Email : ____________________________________________________________

    F. Other Information:
    1. BPL Status : YES / NO , If Yes, 2. BPL No. :
    3. Children with special need: YES / NO , If Yes, 4. Type of Disability:

    G. Facilities:
    1. Disadvantaged Group : YES / NO 2. Getting free education as per RTE Act: YES / NO

    3. Whether the child is Homeless: 4. No of Uniform Sets Received :


    5. Complete set of free books : 6. Free Transport facilities : YES / NO

    7. Free Escort Facility : YES / NO 8. Free Hostel facility : YES / NO

    9. Hostel Type : 10. Hostel Schemes :


    11. Special Training Facility : YES / NO 12. Remarks :
    13. CWSN Facility Received : 14. Free Bicycle : YES / NO

    15. Free Shoe : YES / NO 16. Free Exercise Book : YES / NO

    H. Bank Details:
    1. Bank Name : ___________________________________________________________
    2. Branch Code :
    3. IFSC :
    4. Account Number :

    I. For the Students of grades IX to XII who have opted for Vocational Courses:
    1. Trade/Sector :
    2. Job Role :
    3. Completed NSQF Level : YES / NO

    4. Employment/Placement Status : YES / NO

    5. Salary Offered :

    ___________________________________ ___________________________________
    Approved by Compiled by

    Compiled on: / /

    Page 2
    www.banglarshiksha.gov.in Ver.: 1.0 School Education Department
    [Release Date: 22.02.2019] Govt. West Bengal

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