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9th West Bengal State Chessboxing Championship
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Wall writing
Ganga Sagar Mela- 2014
Relief camp & health checkup
BBC London & Interview with Sky TV
Nadia – Krishnanagar – DM Meeting
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Antitrafficking
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Ganga Sagar Report 2021
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Email
[email protected]
Out India only : Email
[email protected]
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Phone
9831290080
Home
About us
Programs
Blog
Latest Activity
Transforms lives
9th West Bengal State Chessboxing Championship
Gallery
AHTU
MR Ration Illegal Activity
Others
School awareness programme
ICDS Awareness Programme
College programme
Durga Puja Banner Distribution
Wall writing
Ganga Sagar Mela- 2014
Relief camp & health checkup
BBC London & Interview with Sky TV
Nadia – Krishnanagar – DM Meeting
Activities
YAAS Activity
Antitrafficking
Anti- Corruption
Ganga Sagar Report 2021
OPERATIONAL AREA
Testimonial
Contact
Donation
Student’s Form
Home
Student’s Form
(To be filled by the student only)
Registration Fees: Rs. 700/-
Center Code:
Date of enrolment:
Registration No:
Module (if applicable):
Course:
Project:
Founder/Donor:
PERSONAL IDENTITU-
Name(In block):
Date of Birth:
Gender:
Male
Female
Epicene
Marital Status:
Single
Married
Divorced
Religion:
Hindu
Muslim
Christian
Jainism
Buddhism
Sikh
Other
Type Here:
Category:
General
SC
ST
OBC
Physically disabled:
Yes
No
give short description of disability
Proof of ID submitted (Self attested photocopy):
Voter ID
Aadhar Card
Pan Card
Passport (Valid)
Admit Card
Driving License
COMMUNICATION-
Contact no:
Email ID:
Pin Code:
Police Station:
Alternative No:
Landline No:
Demographic type:
Urban
Semi-urban
Rural
Tribal
Current Address:
Permanent Address:
EDUCATION AND OCCUPATION-
Languages Known:
English:
Read
Write
Speak
Hindi:
Read
Write
Speak
Local:
Read
Write
Speak
Livelihood preferences:
Employed:
Yes
No
Salary:
Employment type:
Full-time
Part-time
Where employed:
Willing to relocate for job?
Yes
No
then-
InState
Out of State
Any computer knowledge?
Highest educational qualification:
Roll no.-
Year of passing:
Board/University name:
Marks %-:
EDUCATION AND OCCUPATION-
Father's name:
Father's occupation:
Mother's name:
Mother's occupation:
Husband's name:
Husband's occupation:
No. of family members:
Earning members of the family:
Monthly family income:
Less than 2000
Between 2000-4000
Between 4000-8000
More than 8000
BPL card holder:
Yes
No
then mention BPL card number:
OTHER DETAILS-
How did you know about Anudip Foundation?
Walk in admission
Referred by a Anudip student
Admitted through
Marketing Executive
Center Manager
Regional Manager
Faculty
Other reference
Student's Enrollment ID
Employee ID:
Referral ID:
Contact number of the referral person:
Mandatory Documents need to be submitted-
ID proof(Voter ID, Aadhar Card, PAN Card, Driving License, Passport)
Age proof(10
th
Admit Card Voter ID, Aadhar Card, PAN Card, Driving License, Passport)
Last educationnal document(if BPL)
Disability Certificate(if student isphysically challenged)
One passport size photo
Signature of student with date