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Name of the School/
Anganwadi Centre
UDISE Code / Centre
No.
Date of Admission
Name of the Pupil
Date of Birth Month Year
Community(OC/ BC-A/ BC-B / BC-C
/BC-D / BC-E / SC /ST)
AADHAR No.
UID No.
Father's Name
Mother's Name
Class in which now
Admitted
Name of the School
now admitted
UDISE Code Management
Signature of HM / teacher Signature of Parent / Guardian
Mandal
ORIGINAL
(to be issued to the parent)
If PHC (Specify VH / HI /
OH)
Gender
Class at the time of
relieving / /
Date of Admission
Mother
Tongue
ADMIT CARD(To be issued after completion of UKG/5th/7th/8th classes for admission into new school)
Mandal
Management
Admit Card No.
Date
Mobile No. of Parent
Address
Admission
No.
Name of the School/
Anganwadi Centre
UDISE Code / Centre
No.
Date of Admission
Name of the Pupil
Date of Birth Month Year
Community(OC/ BC-A/ BC-B / BC-C
/BC-D / BC-E / SC /ST)
AADHAR No.
UID No.
Father's Name
Mother's Name
Class in which now
Admitted
Name of the School
now admitted
UDISE Code
Signature of HM / teacher Signature of Parent / Guardian
Mandal
Management
Address
Mobile No. of Parent
Date of Admission
Gender
Date
Mother
Tongue
If PHC (Specify VH / HI /
OH)
Management
/ / Admission
No.Class at the time of
relieving
ADMIT CARD(To be issued after completion of UKG/5th/7th/8th classes for admission into new school)
Admit Card No.DUPLICATE
(to be sent to the HM of new school)
Mandal
Name of the School/
Anganwadi Centre
UDISE Code / Centre
No.
Date of Admission
Name of the Pupil
Date of Birth Month Year
Community(OC/ BC-A/ BC-B / BC-C
/BC-D / BC-E / SC /ST)
AADHAR No.
UID No.
Father's Name
Mother's Name
Class in which now
Admitted
Name of the School
now admitted
UDISE Code
Signature of HM / teacher Signature of Parent / Guardian
Mandal
Management
Address
Mobile No. of Parent
Date of Admission
Gender
Date
Mother
Tongue
If PHC (Specify VH / HI /
OH)
Management
/ / Admission
No.Class at the time of
relieving
ADMIT CARD(To be issued after completion of UKG/5th/7th/8th classes for admission into new school)
Admit Card No.TRIPLICATE
(School Copy)
Mandal
