Academic Year:UDISE Code:

DENVER LEGACY ACADEMY

KADIKOLA ,RAMDEVPUR, RAGHUNATHGANJ, MURSHIDABAD,WB, 742213 - 742213

Student Information Report - Student Database Management System (SDMS)

2 sections - 58 numbered fields

Student Name *Class *Section *

Student profile photoUpload JPG, PNG, or WebP up to 5 MB. The photo is printed on the downloaded form and becomes the profile picture when the application is accepted.

Section 1 - General Information of Student

1Gender *

2Date of Birth (DD/MM/YY) *📅

3Mother Tongue of the Student

4Indian Nationality

5Permanent Education Number

6APAAR ID Number

7AADHAAR Number of Student

8Name of Student as per/in AADHAAR Card *

9Social Category (General / OBC / SC / ST)

10Minority Group (Muslim / Sikh / Christian / Parsi / Jain)

11Current Address & PIN Code *

12Permanent Address & PIN Code

13Mother's Name

14Father's Name

15Mother's Aadhaar Card Number

16Father's Aadhaar Card Number

17Mother's Mobile Number

18Father's Mobile Number *

19Whether BPL beneficiary

20Guardian's Name *

21Whether Antyodaya Anna Yojana (AAY) beneficiary

22Whether belongs to EWS / Disadvantaged Group

23Whether CWSN (child with special needs)?

24Type of Impairments

25Is Child Identified as Out-of-School Child?

26When the Child is mainstreamed / admission date📅

27Contact email ID of Student / Parent / Guardian

28Whether having disability certificate?

29Disability Percentage (in %)

30Blood Group

Section 2 - Enrolment Details of the Student

1Admission Number in Present School

2Grade/Class Studied in Previous/Last Academic Year

3Admission Date (DD/MM/YY) in Present School *📅

4Present Class / Section / Roll No. *

5Medium of Instruction

6Languages Group Studied by the Student

7Whether admitted under Section 12C of RTE Act?

8Amount Claimed from Government for RTE

9Previous class examination result

10Academic Stream opted by student

11Subjects Group Studied by the Student

12Marks Obtained (in Percentage)

13Status in Previous Academic Year

14Days attended in previous academic year

15Whether facilities provided to the Student

16Appeared in State Level Competitions?

17Facilities provided in case of CWSN

18Participates in NCC / NSS / Scouts and Guides?

19Screened for Specific Learning Disability (SLD)?

20Capable of handling digital devices including internet?

21Specific Learning Disability (SLD) Type

22Student's Height (in cm)

23Screened for Autism Spectrum Disorder (ASD)?

24Student's Weight (in kg)

25Screened for Attention Deficit Hyperactive Disorder?

26Approximate distance from residence to school

27Identified as gifted / talented in

28Highest education of Mother / Father / Legal Guardian

Optional services (outside the 58 UDISE fields)

Transport requiredHostel requiredDocument received

Optional supporting documents (not included in the 58 UDISE fields)

Birth CertificateAadhaar CardTransfer CertificatePrevious MarksheetOther Document

After submission, a signed one-page PDF will download automatically.