STUDENT FORM FOR HIGHER EDUCATION DEPARTMENT (GOVT. OF WB)
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Aadhar Number
ABC ID
Do you have Bangla Shiksha Student ID?
Select
Yes
No
Bangla Shiksha Student ID
First Name
Middle Name
Last Name
Date of Birth
Gender
Select
Male
Female
Other
Not Disclosed
Social Category
Select
Unreserved
SC
ST
OBC-A
OBC-B
Religion
Select
Hinduism
Islam
Christianity
Buddhism
Jainism
Parsi
Other
Whether BPL
Select
Yes
No
Blood Group
Select
A+
A-
B+
B-
AB+
AB-
O+
O-
Nationality
Select
India
Other
Mobile No
Email ID
Whether Student is Specially Abled
Choose
Yes
No
If Yes Choose Disability Type
Select Disability
Acid attack victim
Autism Spectrum Disorders
Blindness
Cerebral Palsy
Chronic Neurological Condition
Deaf / Hearing Implant
Hemophilia
Intellectual Disability
Leprosy Cured Persons
Locomotor Disability
Low-vision
Mental illness
Multiple disabilities including Deaf-Blindness
Multiple Sclerosis
Muscular Dystrophy
Parkinsons
Sickle Cell Disease
Specific Learning Disabilities
Thalassemia
Speech and Language Disability
Other
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