STUDENT CUMULATIVE RECORD FORM
Name of the Student:
Age (At the time of admission):
Sex: Male/Female: Marital Status:
Photo
Date of Birth:
Nationality: Religion:
Community: General/ OBC/SC/ST:
Name of the Father/ Guardian:
Name of the Mother:
Contact Number: Student: Parent:
Address: Permanent Temporary
Identification marks: 1.
2.
ACADEMIC QUALIFICATION:
Class Board/ University Stream Year of Total Marks Marks Percentage Number of Attempt Remarks
Passing Obtained
10th
12th
If any,
Mention
Signature of Coordinator Signature of Student