Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22202037577

Student’s Current Name : GOBIND Student’s Class: VI C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: GOBIND NEW NAME: GOVIND

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21892426050

Student’s Current Name : KASHISH JAISWAL Student’s Class: VI C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: KASHISH JAISWAL NEW NAME: KASHISH

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22095410653

Student’s Current Name : SUSHILRAWAT Student’s Class: 8TH C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: SUSHILRAWAT NEW NAME: SUSHIL RAWAT

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22018840030

Student’s Current Name : NEHA SHRIVAS Student’s Class: VI C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NEHA SHRIVAS NEW NAME: NEHA SHRINIVAS

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name :
Designation: Designation:
Seal : Seal :

Form S03/UDISE
 Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22248266565

Student’s Current Name : RISHABH KHSHYAP Student’s Class: NURSERY A

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: RISHABH KHSHYAP NEW NAME: RISHABH KHSHYAP

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:

Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
 UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21905861187

Student’s Current Name : FARHAN Student’s Class: NURSERY A

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: FARHAN NEW NAME: MOHD FARHAN

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22159339903

Student’s Current Name : PRINCESHARMA Student’s Class: 8th C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: PRINCESHARMA NEW NAME: PRINCE SHARMA

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:

Form S03/UDISE
 Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21991324577

Student’s Current Name : VANSHIKA Student’s Class: 8TH C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: VANSHIKA NEW NAME: VANSHIKA SURELA

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21921698116

Student’s Current Name RIHAN ANSARI Student’s Class: 9 D

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: RIHAN ANSARI NEW NAME: MOHD RIHAN

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE
Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For
Student’s 11 Digit National ID : 21812595227
Student’s Current Name : ASIFALI Student’s Class: 8TH B

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: ASIFALI NEW NAME: ASIF ALI

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE
Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For
Student’s 11 Digit National ID : 22258667307
Student’s Current Name : AGAMDEEP KAUR Student’s Class: KG/PP1

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: AGAMDEEP KAUR NEW NAME: AGAM DEEP KAUR

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION
 Form S03/UDISE
Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For
Student’s 11 Digit National ID : 22651184147
Student’s Current Name : DIVYANSHI Student’s Class: 1ST A

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NEW NAME:

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION 1ST / A KG/PP1 A
 Form S03/UDISE
Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22745472437

Student’s Current Name : PRIYANSHI Student’s Class: KG/PP1

Choose Options from Below where Changes are required:

[√] Tick if
Change required in
Changes OLD PARTICULARS NEW PARTICULARS
required
NAME OLD NAME: NEW NAME:

DATE OF BIRTH (DOB) OLD DOB: NEW DOB:

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER NEW NAME AS PER

AADHAAR AADHAAR: AADHAAR:

CLASS & SECTION OLD CLASS AND SECTION: NEW CLASS AND SECTION:
1ST A KG/PP1 A

Form S03/UDISE
Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21952039005

Student’s Current Name : MOHMMAD ALT MASH Student’s Class: 1ST A

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: MOHMMAD ALT MASH NEW NAME: MOHMMAD ALTMASH

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21814616321

Student’s Current Name : RIZWANA MIR Student’s Class: 3RD A

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NEW NAME:

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION 3RD A 5TH C

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID :

Student’s Current Name : Student’s Class:

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NEW NAME:

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21867641867

Student’s Current Name : NAVKARAN SINGH Student’s Class: 9TH B
Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NEW NAME:

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR NAV KARAN SINGH NAVKARAN SINGH

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID - 22332946923

Student’s Current Name : NANDNI Student’s Class: 9TH D

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NANDNI NEW NAME: NANDINI KUMARI

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)
Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For
Student’s 11 Digit National ID - 22477239213

Student’s Current Name : UWAIS ALI

Student’s Class: 9TH D

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: UWAIS ALI NEW NAME: UWAIS ALI ANSARI

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22026430289

Student’s Current Name : SAKSHI KUMARI Student’s Class: 9TH F

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: NEW NAME:

DATE OF OLD DOB: 05/07/2010 NEW DOB: 04/08/2011

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22271366801

Student’s Current Name : PANKAJ Student’s Class: 9TH F

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: PANKAJ NEW NAME: PANKAJ KUMAR

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 21934265134

Student’s Current Name : SHWETA Student’s Class: 9TH F

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME OLD NAME: SHWETA NEW NAME: SHWETA NEGI

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
: Seal: : Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID : 22193975655

Student’s Current Name : NISHA BHANDARI Student’s Class:7th C

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME NISHA BHANDARI NISHA

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION

Head of the School Details: Details of Block Education Officer or Equivalent:

Signature: Signature:
Name: Name
Designation Designation
Seal: Seal:
 Form S03/UDISE

Format for STUDENT Name Change, Class Change and other Basic Details Change in
UDISE+ SDMS
(to be Submitted to Block/District Education Officer or Equivalent)

Submitted By

UDISE Code School Name: GMHS POCKET NO. 1

UDISE Block: 1 District : CHANDIGARH

For

Student’s 11 Digit National ID :

Student’s Current Name : Student’s Class:

Choose Options from Below where Changes are required:

[√] Tick if
Change
Changes OLD PARTICULARS NEW PARTICULARS
required in
required
NAME

DATE OF OLD DOB: NEW DOB:

BIRTH (DOB)

GENDER OLD GENDER: NEW GENDER:

AADHAAR OLD AADHAAR: NEW AADHAAR:

NAME AS PER OLD NAME AS PER AADHAAR: NEW NAME AS PER AADHAAR:
AADHAAR

CLASS & OLD CLASS AND SECTION: NEW CLASS AND SECTION:
SECTION