Foundational

GENERAL INFORMATION

Student Name:

Roll No.:

Registration No.:

Class:

Section:

Date of Birth:

Address:

Phone:

Mother/Guardian Name:

Mother/Guardian Education:

Mother/Guardian Occupation:

Father/Guardian Name:

Father/Guardian Education:

Father/Guardian Occupation:

Number of Siblings:

Siblings’ Age:

Mother Tongue:

Medium of Instruction:

Rural/Urban:

Photograph:

Upload Photo

ATTENDANCE

MONTHS	JAN	FEB	MAR	APR	MAY	JUN
Working Days
Days Attended
% Attendance
Reason (if low attendance)

PART : A – (2)

Me and My Surroundings

THIS IS

I AM YEARS OLD

MY BIRTHDAY IS ON

I LIVE IN

THIS IS MY FAMILY

THESE ARE MY FRIENDS

I WANT TO BE A WHEN I GROW UP.

MY FAVORITE:

🎨 Colour: 🌸 Flower: 🍕 Food: ⚽ Sport: 🐶 Animal: 📚 Subject:

Part B

Socio-emotional Development

Domains:

Curricular Goals:

Competency/Competencies

ACTIVITY

ASSESSMENT QUESTIONS

ASSESSMENT RUBRIC

	Stream	Mountain	Sky
Awareness
Sensitivity
Creativity

Teacher’s Feedback

NOTE: For each ability, mark the appropriate level	Observational Notes

Self Assessment

I liked doing this work.

To do this work, I needed…

Peer Assessment

My friend liked doing this work.

To do this work, my friend needed…

Parents/Caregiver/Guardian’s Observation	Comments/Remarks
Circle the relevant response 📚 Books/Magazines 📰 Newspaper 🎮 Toys/Games/Sports 📱 Phone/Computer 🌐 Internet

Part C – Summary

SUMMARY FOR THE ACADEMIC YEAR

KEY PERFORMANCE DESCRIPTORS

(Qualitative inputs by teacher based on the student’s ability)

Awareness

Stream Mountain Sky

Sensitivity

Stream Mountain Sky

Creativity

Stream Mountain Sky

Physical Development
Socio-emotional Development
Cognitive Development
Language and Literacy Development
Aesthetic and Cultural Development
Positive Learning Habits

Foundational

GENERAL INFORMATION

ATTENDANCE

INTEREST (I, the student, am interested in):

MY FAVORITE:

Domains:

Curricular Goals:

Competency/Competencies

ACTIVITY

ASSESSMENT QUESTIONS

ASSESSMENT RUBRIC

Self Assessment

Peer Assessment

SUMMARY FOR THE ACADEMIC YEAR

KEY PERFORMANCE DESCRIPTORS

Awareness

Sensitivity

Creativity