UDISE+ Form S02 Data Collection

Student Registration & Verification Module | Samagra Shiksha

Academic Year: 2026-27

1 School Search & Verification

UDISE: 18290110609

BLOSSOM ACADEMY ENGLISH SCHOOL

View / Print Form S02 PDF Download PDF

Block SAPEKHATI

Cluster SARUPATHAR

District / State CHARAIDEO, ASSAM

Headmaster / In-charge BASANTI BARA (9707309812)

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

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 (14)

#	Academic Year	Student Name	Class	Gender / DOB	Aadhaar No.	Contact	Reason for Non-Creation	Attested Document	Submitted At
1	2026-27	MAMATA PURAN	Class 11 (A)	Female 08-07-2008	685529531529	6001979715	Profile Not Created by Previous School in Previous Year	View Document	29-08-2026 12:36
2	2026-27	ANAMIKA NAYAK	Class 10 (A)	Female 09-09-2009	488228995489	6000326260	Student Rejoining After Dropping Out	View Document	29-08-2026 10:16
3	2026-27	ABHINAB DOIMARI	Class 10 (A)	Male 19-09-2010	809047016740	6000420577	Profile Not Created by Previous School in Previous Year	View Document	28-08-2026 12:45
4	2026-27	PRAHLAD TANTI	Class 6 (A)	Male 17-08-2015	898504857055	6001589473	Student Rejoining After Dropping Out	View Document	28-08-2026 11:27
5	2026-27	PORINITA DEY	Class 7 (A)	Female 18-10-2013	942982935325	9101330803	Student Rejoining After Dropping Out	View Document	28-08-2026 11:23
6	2026-27	DOLLY CHETRY	Class 7 (A)	Female 25-07-2014	388540583501	9101737919	Student Rejoining After Dropping Out	View Document	28-08-2026 11:08
7	2026-27	PRIYANKA RANI BORAH	Class 12 (A)	Female 16-10-2009	358132206660	8472929380	Student Rejoining After Dropping Out	View Document	28-08-2026 11:05
8	2026-27	ALENSH XALXO	Class 8 (A)	Male 04-10-2011	211767677572	7002810213	Student Rejoining After Dropping Out	View Document	28-08-2026 11:00
9	2026-27	ADITYA TANTI	Class 10 (A)	Male 10-06-2011	599541208670	6900807984	Student Rejoining After Dropping Out	View Document	28-08-2026 10:57
10	2026-27	SIBAM MUDI	Class 9 (A)	Male 27-12-2011	451839029254	6003054180	Student Rejoining After Dropping Out	View Document	28-08-2026 10:55
11	2026-27	SWAPNIL DAS	Class 9 (A)	Male 25-07-2012	998705905980	9101960887	Student Rejoining After Dropping Out	View Document	28-08-2026 10:53
12	2026-27	OUM THAPA	Class 8 (A)	Male 08-06-2013	580501329890	7896801806	Student Rejoining After Dropping Out	View Document	28-08-2026 10:51
13	2026-27	ANKUR RAI	Class 9 (A)	Male 04-06-2011	241975940360	6003357434	Student Rejoining After Dropping Out	View Document	28-08-2026 10:47
14	2026-27	ADITYA DEY	Class 8 (A)	Male 20-09-2013	347998501984	9707309825	Student Rejoining After Dropping Out	View Document	28-08-2026 10:41