1.ABLACK MOL ON THE RIGHT EAR BACK
2.ABLACK MOL ON THE RIGHT LEG
Mother / Father /Guardian Name
b.yesappa
Caste & Sub Caste
SC Madiga
Children Category
Normal
Mother / Father / Guardian occupation
COOLI
Annual Income
40000
Address:
District
KURNOOL
Mandal/Municipality
KOWTHALAM
Village/Ward
PODALAKUNTA
Care Of
-
Building
-
Street
-
Land Mark
-
Locality
-
Pin Code
518333
Ration Card Number
WAP112301000371
ArogyaSri Card Number
-
Enrolment Number
//
Date: // ::
School & Class where Student studied previous year
1301007-M.P.Primary School Class:5
School & Class where Student studying present year
1124039-M.P.Primary School Class:6
Distance between Student's house and Hostel (in K.M.s)
120
Last Year Annual Examination Result
Pass
Last Year Annual Examination Percentage
55
Achievements in Extracurricular activities
-
Is the Student Physically Challenged
NO
Is the Caste Certificate verified by the School Head Master :
YES
Is the Income Certificate verified by the Village Revenue Officer/Gazetted Officer :
YES
Are the above details verified by the Hostel Welfare Office :
YES
The above details are verified according to the rules and regulations of Government policies and the application form of applicant is accepted/rejected :
YES