[[ $select.selected.value ]] [[item.value]]
REGISTRATION FORM FOR ADMISSION U/s 12.1.c of RCFCE Act 2009, FOR THE SESSION [[ StudentData.candidate.registration_cycle.application_details.session_year ]]-[[ StudentData.candidate.registration_cycle.application_details.session_year + 1 ]], ODISHA
Please complete your registration to download !!
General Details of the Child
Candidate Name * [[ StudentData.candidate.first_name ]] [[ StudentData.candidate.middle_name ? StudentData.candidate.middle_name : '-' ]] [[ StudentData.candidate.last_name ]]
Registration ID * [[ StudentData.candidate.registration_no ]] Aadhaar Number [[ StudentData.candidate.aadhar_no ? StudentData.candidate.aadhar_no : 'NA']]
Gender * [[ StudentData.candidate.gender ]] Date of Birth * [[ StudentData.candidate.fmt_dob ]]
Caste Category * [[ StudentData.candidate.caste_category ]] Applied Class * [[ StudentData.candidate.level['level'] ]]
Is CWSN * YES NO Age Relaxation * Applicable Not Applicable
Mobile No. * [[ StudentData.candidate.mobile ]] Email ID [[ StudentData.candidate.email ? StudentData.candidate.email : 'NA' ]]
Application Status Verified Rejected [[ StudentData.candidate.verification_status ]] By BEO [[ StudentData.candidate.verified_by.user.display_name]]
Details of Parents/Guardian/Single Parent
[[ parent_details.parent_type ]]'s Name * [[ parent_details.parent_first_name ]] [[ parent_details.parent_middle_name ? parent_details.parent_middle_name : '-' ]] [[ parent_details.parent_last_name ]]
[[ parent_details.parent_type ]]'s Mobile No. * [[ parent_details.parent_mobile_no ? parent_details.parent_mobile_no : 'NA' ]] [[ parent_details.parent_type ]]'s Aadhar No. * [[ parent_details.parent_aadhar_no ]] (Last 4 digits only)
[[ parent_details.parent_type ]]'s Profession * Government Services Agriculture Daily Labour Self employed / Business Private Job Other Home maker
Applied Category
Category Applied * DG BPL(EWS)
EWS Type * Income category Poverty Alleviation Programme Card holder Income Range * 0 to 40,000 (0 ରୁ 40,000) 40,001 to 60,000 (40001 ରୁ 60,000) 60,001 - 1,80,000 (60,001 ରୁ 1,80,000) PAPCH type * MGNREGA Biju Krishak Kalyan BSKY- Biju Swasthya Kalyan Yojana RSBY - Rastriya Swasthaya Bima Yojna Pension Beneficiaries (NSAP and MBPY) PHH Ration Card (ପିଏଚଏଚ ରାସନ କାର୍ଡ) AAY (Antodaya Yojana)
Name of Authority * [[ StudentData.candidate.personal_details.certificate_details.authority ]] Certificate Number * [[ StudentData.candidate.personal_details.certificate_details.certificate_no ]]
Certificate Issue Date * [[ StudentData.candidate.personal_details.certificate_details.issueData.date ]]-[[ StudentData.candidate.personal_details.certificate_details.issueData.month ]]-[[ StudentData.candidate.personal_details.certificate_details.issueData.year ]] (DD-MM-YYY)
Type of DG * SC ST OBC General SEBC Child without Home and Settled Place Child found begging Child Labour Street Children CWSN (Child With Special Need) Children in Foster Care Child of migrants Child of Manual Scavengers Child of Construction Worker Child of Road Worker Child of Landless Agricultural Labor Child of War Martyr / War Widow HIV affected & infected children No ostensible means of subsistence
Name of Authority * [[ StudentData.candidate.personal_details['certificate_details']['authority'] ]] Certificate Number * [[ StudentData.candidate.personal_details['certificate_details']['certificate_no'] ]]
Certificate Issue Date * [[ StudentData.candidate.personal_details.certificate_details.issueData.date ]]-[[ StudentData.candidate.personal_details.certificate_details.issueData.month ]]-[[ StudentData.candidate.personal_details.certificate_details.issueData.year ]] (DD-MM-YYY)
Address Details
Residential Address * [[ StudentData.candidate.personal_details.residential_address ]]
District * [[ StudentData.candidate.personal_details.district.name ]] Block/Nagar Nigam/Nagar Palika Parishad/Nagar Panchayat * [[ StudentData.candidate.personal_details.block.name ]]
Ward Name/Gram Panchayat * [[ StudentData.candidate.personal_details.locality.name ]] Pincode * [[ StudentData.candidate.personal_details.pincode ]]
Google Map Address * [[ StudentData.candidate.personal_details.venue ]] View on Google Maps
Selected Schools
Range Priority No. School UDISE School Name
Your Ward [[ $index + 1 ]] [[ school.udise ]] [[ school.name ]]
Allotted School [[ StudentData.candidate.registration_cycle.school.name ]]

    I [[ StudentData.parent_declaration.name ]], [[ StudentData.parent_declaration['parent_type'] ]] of [[ StudentData.candidate['first_name'] ]] [[ StudentData.candidate['middle_name'] ]] [[ StudentData.candidate['last_name'] ]] hereby declare that the information given above is true and correct to the best of my knowledge and belief. I have read and understood all the provisions of the notification in this regard. In case any information is found false or incorrect on verification, the admission of my ward may be cancelled and I will be liable for the action to be taken against me as per law.

ମୁଁ [[ StudentData.parent_declaration['name'] ]], [[ StudentData.parent_declaration['parent_type'] == 'father' ? 'ପିତା' : (StudentData.parent_declaration['parent_type'] == 'mother' ? 'ମାତା' : 'ଗର୍ଡିଆନ୍') ]] of [[ StudentData.candidate.first_name ]] [[ StudentData.candidate.middle_name ]] [[ StudentData.candidate.last_name ]] ଏଠାରେ ଘୋଷଣା କରେ ଯେ ଉପରୋକ୍ତ ସୂଚନା ସତ୍ୟ ଏବଂ ମୋ ଜ୍ଞାନ ଏବଂ ବିଶ୍ୱାସର ସଠିକ୍ ଅଟେ |ଏହି ପରିପ୍ରେକ୍ଷୀରେ ମୁଁ ବିଜ୍ଞପ୍ତିର ସମସ୍ତ ବ୍ୟବସ୍ଥା ପଢ଼ିଛି ଏବଂ ବୁଝିଛି |ଯାଞ୍ଚରେ ଯଦି କୌଣସି ସୂଚନା ମିଥ୍ୟା କିମ୍ବା ଭୁଲ ବୋଲି ଜଣାପଡେ, ତେବେ ମୋ ୱାର୍ଡର ଆଡମିଶନ ବାତିଲ ହୋଇପାରେ ଏବଂ ଆଇନ ଅନୁଯାୟୀ ମୋ ବିରୁଦ୍ଧରେ କାର୍ଯ୍ୟାନୁଷ୍ଠାନ ଗ୍ରହଣ କରାଯିବ।

Submit application form along with required documents and Photos child - each 2 copies to BEO Office Immediately for verification.

(ଆବେଦନ କରି ସାରିବା ପରେ ଆବେଦନ ପତ୍ର, ଆବଶ୍ୟକ ଡକୁମେଣ୍ଟ, ପିଲାର ପାସପୋର୍ଟ ଫୋଟୋ, ସହିତ Original documents, BEO Office ରେ ଯଥା ଶୀଘ୍ର ଦାଖଲ କରନ୍ତୁ ।)

Note:* Please note that you can make changes to your registration form until it is verified by the BEO. Once verified, you will not be able to make any further changes. After the first round of allotment, you can only modify your school choice and preferences for the next round of lottery, if you haven't been allotted to any school yet.

Note:* ଦୟାକରି ଧ୍ୟାନ ଦିଅନ୍ତୁ ଯେ ଆପଣ ଆପଣଙ୍କ ପଞ୍ଜିକରଣ ଫର୍ମରେ ପରିବର୍ତ୍ତନ କରିପାରିବେ ଯେପର୍ୟ୍ୟନ୍ତ ଏହା ବିଇଓଙ୍କ ଦ୍ୱାରା ଯାଞ୍ଚ ହୋଇନଥାଏ। ଥରେ ଭେରିଫାଏ ହେବା ପରେ ଆପଣ ଆଉ କୌଣସି ପରିବର୍ତ୍ତନ କରିପାରିବେ ନାହିଁ। ପ୍ରଥମ ପର୍ୟ୍ୟାୟ ଆବଣ୍ଟନ ପରେ, ଆପଣ କେବଳ ଲଟେରୀର ପରବର୍ତ୍ତୀ ପର୍ୟ୍ୟାୟ ପାଇଁ ଆପଣଙ୍କର ସ୍କୁଲ ପସନ୍ଦ ଏବଂ ପସନ୍ଦକୁ ପରିବର୍ତ୍ତନ କରିପାରିବେ, ଯଦି ଆପଣଙ୍କୁ ଏପର୍ୟ୍ୟନ୍ତ କୌଣସି ସ୍କୁଲକୁ ଆବଣ୍ଟନ କରାୟାଇ ନାହିଁ।