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  • Full Name of Student in English Parent's (Father/ Mother) / Guardian 'S Name

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    gao1989
    6 views7 pages
    This document contains a student enrollment form with fields for student details like name, date of birth, gender, address, disability status if any, bank account details, institution details, course details, fees payable and allowances. The form seems to be collecting information for enrollment of students in educational institutions and tracking the fees and allowances provided to the students and institutions.

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    Original Title

    Post Matric Tribal

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    This document contains a student enrollment form with fields for student details like name, date of birth, gender, address, disability status if any, bank account details, institution details, course details, fees payable and allowances. The form seems to be collecting information for enrollment of students in educational institutions and tracking the fees and allowances provided to the students and institutions.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    Download as xls, pdf, or txt
    6 views7 pages

    Full Name of Student in English Parent's (Father/ Mother) / Guardian 'S Name

    Uploaded by

    gao1989
    This document contains a student enrollment form with fields for student details like name, date of birth, gender, address, disability status if any, bank account details, institution details, course details, fees payable and allowances. The form seems to be collecting information for enrollment of students in educational institutions and tracking the fees and allowances provided to the students and institutions.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 7

    S.

    No

    Full Name of Student


    in English

    Class X - Roll No

    Parents
    (Father/
    Mother)/
    Guardian
    s Name

    Date of birth
    of
    student(dd/
    mm/yyyy)

    Gender(M/F/T)

    Mandal/T
    aluk/Blo
    ck
    Address
    (Enter
    Code
    only)

    Pincode

    Disabled (Y/N)

    Disability Type (1-Blindness,2Hearing impairment,3-Leprosy cured


    person,4-Person with low vision,5Mental illness,7-Mental
    retardation,8-Loco motor disability)

    Disability
    Percentage ( 1Below 40% , 2
    -40%-80%,3- Above
    80%)

    Student Bank
    Branch IFSC

    Student Bank Account Number

    Name of
    Institution
    (Enter
    Institution
    code only)

    Admissio
    n type
    Day
    (1Name of
    Date of
    Scholar/
    Regular,2
    Current
    Instituio
    the
    Course
    Hosteller
    Year of
    n Bank
    Course(C
    Commence
    (1- Daypaid/man
    Study
    Branch
    ourse
    ment
    Scholar,2
    agement
    (1/2/3/4/
    IFSC
    Code
    (dd/mm/yyy
    ,35)
    Code
    only)
    y)
    Hosteller
    distance
    )
    educatio
    n)

    Instituion
    Bank
    Account
    Number

    Amount Amount
    Payable Payable
    to
    to
    Institutio Institutio
    n (from
    n (from
    central)
    State)

    Study
    tours

    Annual
    allowanc Addition
    Thesis
    e(for
    al
    typing
    correspo allowanc
    and
    ndence
    es (for
    printing
    course Disability
    charges
    students
    )
    )

    Book
    Bank
    allowanc
    e

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