Special School Student Registration

Student Details
School Name
Class:
Roll Number:
Name:

Father's Name
Mother's Name
Gender: Female Male Transgender
Category
Address:
City/Village:
District
PIN:
State:
Contact Number(Guardian):+91
Aadhaar Number:
Type of Disability:
Disability Certificate Number:
Availing Scholarship: No Yes
Availing Pension: No Yes

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SOCIAL SECURITY & EMPOWERMENT OF PERSONS WITH DISABILITIES DEPARTMENT(SSEPD),ODISHA
SIDR Building, CAPITAL HOSPITAL CAMPUS UNIT - 6, BHUBANESWAR - 751001 PHONE: 0674-2390116.
Website:http://www.ssepd.gov.in/