Student Information Update Form

Name of Student (As per School Record):________________________________________________

1) Name of Student (As per Aadhaar Card):________________________________________________

2) Name of Student (As per Child Id):_____________________________________________________
3) Date of Birth (As per Birth Certificate): __________________________________________________
4) Current Class:_______________________________________________________________________
5) Father’s Name:______________________________________________________________________
6) Mother’s Name:______________________________________________________________________
7) Aadhaar Card Number of STUDENT:___________________________________________________
8) Child Id (SAMAGRA Id of STUDENT):__________________________________________________
9) Religion:____________________________________________________________________________
10) Cast (As per cast certificate): SC / ST / OBC / GEN (circle the correct one and submit a

copy of cast certificate for SC, ST, or OBC).

11) Mobile Number to Receive SMS: ______________________________________________________
12) Does student come by School bus (YES/NO):___________________________________________

Students Latest Father/Caretaker/ Mother Latest Photo

Photo in School Custodian Latest
Uniform Photo

Name of Person:________________________________________________
1. Attendee/contact
Latest Photo Mobile Number of Contact
Person:________________________________

Sign Of Parent Name of Parent

Relation With Student:___________________________________________

2. Attendee/contact
Latest Photo Name of Person:________________________________________________
Mobile Number of Contact
Person:________________________________
Relation With Student:___________________________________________

**SUBMIT RELATED DOCUMENTS ALONG WITH THIS FORM**

Sign Of Parent Name of Parent