UDISE+ Student Details Correction Form Generator 📝
Form S03: Fill details & print directly in standard A4 format (Full Page Layout)
1. School & Submission Details (Submitted By)
2. Student Identification (For)
3. Correction Particulars (Changes Required)
4. Head of School Signature Details
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बेसिकसमाचार
Form S03
UDISE+ Portal
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 & Sec: _______________
Student’s Current Name : _________________________________ Student’s Class & Sec: _______________
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 & SEC: | NEW CLASS & SEC: |
Head of the School Details:
Signature: __________________________
Name: ________________________
Designation: ____________________
Signature: __________________________
Name: ________________________
Designation: ____________________
Details of Block Education Officer or Equivalent:
Signature: __________________________
Name: _____________________________
Designation: ________________________
Signature: __________________________
Name: _____________________________
Designation: ________________________

