UDISE+ Form S02 Data Collection

Student Registration & Verification Module | Samagra Shiksha

Academic Year: 2026-27

1 School Search & Verification

UDISE: 18290110111

KHIRESWAR GOGOI MEMORIAL JATIYA VIDYALAY

View / Print Form S02 PDF Download PDF

Block SAPEKHATI

Cluster RAJAPUKHURI

District / State CHARAIDEO, ASSAM

Headmaster / In-charge UTTAM GOGOI (8638431658)

2 Form S02 Data Collection Form

Please fill all required student details, upload mandatory register copy, and accept the Head of School declaration.

A. Basic Details

Name (as per Aadhaar) *

Gender (as per Aadhaar) *

Date of Birth (as per Aadhaar) *

Is CWSN? (Children with Special Needs) *

No Yes

B. Admission Details

Current Class (2 to 12) *

Section

Admission Date *

C. Parents / Guardian Details

Mother’s Name *

Father’s Name *

Guardian’s Name (Optional)

D. Contact Details

Mobile Number *

Alternate Number (Optional)

E. Student’s AADHAAR Details

AADHAAR Number * (Strictly 12 digits. Use 999999999999 to bypass duplicate check)

F. Reason & Mandatory Verification Document

Reason for non-creation of Student profile in UDISE+ till date *

Copy of School Register / Admission Register attested by HoS *

Required for Verification of Enrolment, Student's Name, Gender and Date of Birth as per School Record.

Allowed formats: PDF, JPG, JPEG, PNG (Max size: 5MB)

Declaration by Head of School: I, as Head of the School, hereby undertake that the information provided for the creation of the student profile is correct and verified. I confirm that all applicable supporting documents, including School Records, Birth Certificate, Transfer Certificate (where applicable) have been duly verified and attached. I further confirm that the student has been searched in the Global Search module of UDISE+ SDMS and no existing profile was found. I shall be responsible for the correctness and authenticity of the information and documents submitted. *

Form S02 Submissions for School (5)

#	Academic Year	Student Name	Class	Gender / DOB	Aadhaar No.	Contact	Reason for Non-Creation	Attested Document	Submitted At
1	2026-27	REJUMONI SHYAM	Class 5 (A)	Female 27-02-2016	856606000147	9074863358	Profile Not Created by Current School in Previous Year	View Document	11-10-2026 14:26
2	2026-27	ANISHA PAUL	Class 5 (A)	Female 23-12-2017	449580478617	9365228466	Profile Not Created by Current School in Previous Year	View Document	11-10-2026 14:21
3	2026-27	Durlov Gogoi	Class 3 (A)	Male 11-08-2018	767166295545	9859303577	Profile Not Created by Current School in Previous Year	View Document	10-10-2026 15:56
4	2026-27	Maitri Charaimuria	Class 3 (A)	Female 06-01-2018	924448859561	7099435981	Profile Not Created by Current School in Previous Year	View Document	31-08-2026 19:50
5	2026-27	Khirenjit Shyam	Class 8 (A)	Male 02-08-2012	405506866175	9954518106	Profile Not Created by Current School in Previous Year	View Document	31-08-2026 19:35