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Student Declaration Form

The document is a Student Declaration Form that collects essential information about a student, including personal details, family information, and educational background. It requires signatures from both the parent or guardian and the candidate to confirm the accuracy of the provided information. The form also includes sections for identification and declarations regarding future claims.

Uploaded by

Rani
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
494 views1 page

Student Declaration Form

The document is a Student Declaration Form that collects essential information about a student, including personal details, family information, and educational background. It requires signatures from both the parent or guardian and the candidate to confirm the accuracy of the provided information. The form also includes sections for identification and declarations regarding future claims.

Uploaded by

Rani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

STUDENT DECLARATION FORM

Name in English: _______________________ Admission Number : _________

Name in Tamil: _______________________ Admission Date: ____________

Date of Birth: ________________ Age: _____ Blood Group : ___________

Gender: _______________ Aadhaar Number: _______________________

Class & Section: SSLC ______ EMIS NO: ______________________________

Religion: ______________ Community: _________________ Caste: __________________

Physically Challenged: _____________ Mobile: __________________________


National ID Number: ________________
Father’s Name Mother’s Name
( In English ) __________________________ ( In English ) _____________________

Father’s Name Mother’s Name


( In Tamil ) __________________________ ( In Tamil ) _____________________

Father’s Qualification: _______________ Mother’s Qualification: ______________

Father’s Occupation: _______________ Mother’s Occupation: _______________

Annual Income: _______________


Guardian”s Name Guardian”s Name
( In English ) _______________________ ( In Tamil ) _____________________

Address: _______________________________________________________________________

______________________________________________________________________

Medium of Instruction: ________________ Language Exemption: ____________________

Identification: 1. _______________________________________________________________

2. _______________________________________________________________

I declare that the particulars given above are true and correct. Further, I secure that I will
not claim and changes in future.

Parent’s / Guardian’s
Signature Candidate Signature

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