1.A MOLE ON RIGHT FOOT
2.A MOLE ON RIGHT SIDE OF THE CHEST
Mother / Father /Guardian Name
Yesudasu
Caste & Sub Caste
SC Madiga
Children Category
semi orphans
Mother / Father / Guardian occupation
Annual Income
Address:
District
GUNTUR
Mandal/Municipality
DURGI
Village/Ward
ADIGOPPULA
Care Of
-
Building
-
Street
ADIGOPPALA
Land Mark
-
Locality
-
Pin Code
522612
Ration Card Number
ArogyaSri Card Number
-
Enrolment Number
Date:
School & Class where Student studied previous year
- Class:7
School & Class where Student studying present year
0701603-Z.P.High School Class:8
Distance between Student's house and Hostel (in K.M.s)
20
Last Year Annual Examination Result
Last Year Annual Examination Percentage
Achievements in Extracurricular activities
-
Is the Student Physically Challenged
NO
Is the Caste Certificate verified by the School Head Master :
NO
Is the Income Certificate verified by the Village Revenue Officer/Gazetted Officer :
NO
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 :
NO
Details: