School Management Software - SAMPOORNA Data Collection Format
School Code
Name of School : .............................................................................................. Std. & Div: ....................... I. Personal Details
Admission No:.................
Name of Student (in English) : (in Malayalam) : ................................................................................................................ Gender
II. Parent Details Name of Mother (in English) : ................................................ (in Malayalam) :................................. Name of Father (in English) : ................................................. (in Malayalam) :................................. Guardian : Father
Mother
Other
If ‘Other’ (specify Relation) :........................................ Name of Guardian : ................................... Occupation of Parent/Guardian: ........................................ Annual Income (Rs) :.......................... Whether APL
If Grama Panchayath (Specify) District Panchayath :.................................................... Block Panchayath :....................................... Name of Local Body :............................................................................ Post Office :......................................................... Phone Number :................................................
Pin Code :.......................................... Student E-mail ID :.........................................
IV. Previous School Details T.C No.
:........................................
Date :.........................................
Date of Admission:........................................
Date of Leaving : .........................................
School Previously Attended :.................................................................................................................. V. Admission Details Date of Admission :..................................
Date of Birth :....................................
Place of Birth :..........................................
Blood group :....................................
Religion
Hindu
Christian
Muslim
Islam
Jain
Sikh
Buddhist
Bahai
Secular
Judaism
OBC
OEC
Non-Religion Category : General
Not Applicable SC
Caste :...........................................................
ST
VI. Class of Admission Std. on Admission :...................................................
Division on Admission :.................................
Date of Vaccination :................................................
IX. Two Identification Marks (In English only) 1. .................................................................................................................................................................. 2. .................................................................................................................................................................. X. Clubs IT
Social
Economics
Science
NGC
Tourism
Maths club
Social club
Arts club
Career Club
Work experience
Gandhi Darshan
Forestry club
Green club
Eco club
Health club
Readers club
Energy club
Filately club
Social service
Sports club
NCC
Guide
Teen club
Film club
Vidhya Rangam kala sahithya vedi
Arabic club
Nature club
English club
Junior Red Cross
Signature of the Parent/Guardian
Hindi club
Name and Signature of the Class Teacher
sampoorna-form_.pdf
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