UDISE+ Student Details Correction Form Generator 📝
Form S03: Fill details & print directly in standard A4 format
1. School & Submission Details (Submitted By)
2. Student Identification (For)
3. Correction Particulars (Changes Required)
4. Head of School Signature Details
Form S03
Format for STUDENT Name Change, Class Change and other Basic Details Change in UDISE+ Student Database
(to be Submitted to Block/District Education Officer or Equivalent)
Submitted By
UDISE Code: _______________ School Name: _____________________________________________
Block: _______________________ District: ______________________________________
Block: _______________________ District: ______________________________________
For
Student’s 11 Digit National ID : _____________________
Student’s Current Name : _________________________________ Student’s Class: _______________
Student’s Current Name : _________________________________ Student’s Class: _______________
Particulars where Changes are required:
(Appropriate Proof of Identity(PoI) to be submitted along with change requests)
Note: Fill details only for the field where correction is required / केवल वही विवरण भरें जिसमें संशोधन करवाना हो।
Note: Fill details only for the field where correction is required / केवल वही विवरण भरें जिसमें संशोधन करवाना हो।
| Changes required in | [✓]Tick | OLD PARTICULARS | NEW PARTICULARS |
|---|---|---|---|
| STUDENT NAME | OLD NAME: | NEW NAME: | |
| FATHER'S NAME | OLD FATHER: | NEW FATHER: | |
| MOTHER'S NAME | OLD MOTHER: | NEW MOTHER: | |
| ADDRESS | OLD ADDRESS: | NEW ADDRESS: | |
| DATE OF BIRTH (DOB) | OLD DOB: | NEW DOB: | |
| GENDER | OLD GENDER: | NEW GENDER: | |
| AADHAAR | OLD AADHAAR: | NEW AADHAAR: | |
| NAME AS PER AADHAAR | OLD NAME AS PER AADHAAR: | NEW NAME AS PER AADHAAR: | |
| CLASS & SECTION | OLD CLASS AND SECTION: | NEW CLASS AND SECTION: |
Head of the School Details:
Signature: __________________________
Name: ________________________
Designation: ____________________
Seal:
Signature: __________________________
Name: ________________________
Designation: ____________________
Seal:
Details of Block Education Officer or Equivalent:
Signature: __________________________
Name: _____________________________
Designation: ________________________
Seal:
Signature: __________________________
Name: _____________________________
Designation: ________________________
Seal:

