Form_S02

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Form S02/UDISE Page ………….

Format for Student ADDITION in UDISE+ for Class-2 to Class-12 at


Block/District
(For the Students who’s PROFILE was not created/missing in UDISE Student List of
2022-23)
(To be submitted to Block/District Education Officer or Equivalent)

UDISE Code: 28140104901 School Name: EKLAVYA MODEL


RESIDENTIAL SCHOOL

UDISE Block: MAREDUMILLI District : ASR DISTRICT

Students Particulars Reason why


Class
(Mention M for Male, F for Student was NOT
Sl & Parent Details
Female) Added in
No Sectio
(DOB in DD/MM/YYYY) 2022-23
n

Name :Gorle Bhuvaneswari Father : Venkata Previous school not


Gender: F DOB: Giri registered student
1 VI-A
details in udise
09/10/2013 Mother : portal
Name : kadabala Lakshman Sri Previous school not
Anvesh Father : Baburao registered student
2 VI-B
Gender: M DOB: Mother : details in udise
06/07/2013 portal

Head of the School Details Block Education Officer or Equivalent

Signature: Signature:
Name: Shankar Prasad Name:
Designation: Principal Designation:
Seal: Seal:

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