JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
STUDENT LE DATA 2022-25
Sign in to Google
to save your progress.
Learn more
* Indicates required question
SeatType (CQ/MQ)
*
CQ
MQ
SCHLOAR YES/NO
*
YES
NO
CASTE ( IN CAPITAL LETTERS)
*
Your answer
SUB-CASE ( IN CAPITAL LETTERS)
*
Your answer
ROLL NO ( IN CAPITAL LETTERS)
*
Your answer
NAME OF THE STUDENT ( IN CAPITAL LETTERS)
*
Your answer
NAME OF THE FATHER ( IN CAPITAL LETTERS)
*
Your answer
NAME OF THE MOTHER ( IN CAPITAL LETTERS)
*
Your answer
DATE OF BIRTH (DD/MM/YYYY)
*
Your answer
GENDER
*
MALE
FEMALE
STUDENT CONTACT NUMBER
*
Your answer
STUDENT EMAIL ID
*
Your answer
PARENT CONTACT NUMBER
*
Your answer
DOOR NUMBER ( IN CAPITAL LETTERS)
*
Your answer
STREET ( IN CAPITAL LETTERS)
*
Your answer
VILLAGE ( IN CAPITAL LETTERS)
*
Your answer
MANDAL ( IN CAPITAL LETTERS)
*
Your answer
DISTRICT ( IN CAPITAL LETTERS)
*
Your answer
PINCODE
*
Your answer
AADHAR NUMBER
*
Your answer
10 TH HALL TICKET NUMBER
*
Your answer
10TH YEAR OF PASS
Your answer
10 TH PERCENTAGE
*
Your answer
DIPLOMA HALL TICKET NUMBER ( IN CAPITAL LETTERS)
Your answer
DIPLOMA YEAR OF PASS
*
Your answer
DIPLOMA PERCENTAGE
Your answer
MOLE1 AS PER SSC
(IN CAPITAL LETTERS)
*
Your answer
MOLE 2 AS PER SSC
(IN CAPITAL LETTERS)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SITAM-GVP.
Does this form look suspicious?
Report
Forms