DAV Connecting Families: DAV Institutions, Odisha Zone -I
An Initiative of Regional  Office to handhold the affected Students of the Schools of Odisha Zone-1
Collection of Data of affected students due to loss of earning parents due to COVID-19.
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Email *
NAME OF THE SCHOOL ( WITH PROPER ADDRESS) *
NAME OF THE STUDENT *
CLASS AND SCHOOL NUMBER/ADMIN NUMBER *
NAME OF THE DECEASED  DUE TO COVID-19 *
RELATIONSHIP OF THE DECEASED WITH THE STUDENT. *
DATE OF DEATH OF THE DECEASED PERSON . *
MM
/
DD
/
YYYY
NAME OF THE HOSPITAL AND PLACE  LAST ADMITTED. *
NAME OF THE FATHER *
FATHER'S OCCUPATION *
NAME OF THE MOTHER *
MOTHER'S OCCUPATION *
NAME OF THE GUARDIAN *
CONTACT NUMBER OF GUARDIAN
E-MAIL OF GUARDIAN
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