Student Information Sheet For Intermediate Examination Template
ADVERTISEMENT
1
2Page : 1/2
JHARKHAND ACADEMIC COUNCIL, RANCHI
18
STUDENT INFORMATION SHEET FOR INTERMEDIATE EXAMINATION, YEAR 20__
(Duly filled in form is to be submitted to the Institution by the Student for Online Data Submission)
( For Ex-Regular / Re-registration Students Only )
(To be filled using black ball point pen only)
Code & Name of Institution :
1 Name of the Student :
2 Date of Birth :
(Date)
(Month)
(Year)
MALE
/
FEMALE
3 Gender :
NONE
BLIND
DEAF
DUMB
ORTHOPAEDIC
SPASTIC
OTH.PHYSICAL
/
4 Divyang :
/
/
/
/
/
GENERAL /
SC
/
ST
/
BC
/
MBC
/
OTHERS
5 Caste :
HINDUISM
/
ISLAM
/
SIKHISM
/
CHRISTIANITY
/
OTHERS
6 Religion :
INDIAN
/
OTHERS
7 Nationality :
8 Student Aadhar Number :
RURAL
/
URBAN
9 Area :
10 Mother's Name :
11 Father's Name :
12 Communication Address :
Village :
Town :
P.O. :
Dist. :
13 State :
14 PIN No :
15 Contact (Mobile) No. :
16 E-mail ID :
EX-REGULAR
/
RE-REGISTRATION
17 Category :
18 Registration Session :
If Ex-Regular :
2015-2017
2014-2016
a
/
If Re-Registration :
2013-2015
2012-2014
2011-2013
2010-2012
2009-2011
b
/
/
/
/
-
-
-
19 Registration Number :
ALL SUBJECTS
/
IMPROVEMENT
/
QUALIFYING
20 Appearing in :
ARTS
/
COMMERCE
/
SCIENCE
21 Faculty :
HINDI
URDU
ENGLISH
BENGALI
ORIYA
21 Medium of Examination :
/
/
/
/
22 Subjects offered :
Para applicable if faculty opted is ARTS :
Core :
Matri Bhasa :
{will be applicable if opted CORE Subject is Hindi-B(HNB)}
Elective :
Optional - 1 :
Optional - 2 :
Optional - 3 :
Additional :
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business