1.A MOLE ON LEFT SIDE BACK BONE
2.A MOLE ON RIGHT EYE
Mother / Father /Guardian Name
Modavath Konda Naik
Caste & Sub Caste
ST Lambadis(Sl.No-29)
Children Category
Normal
Mother / Father / Guardian occupation
COOLI
Annual Income
35000
Address:
District
GUNTUR
Mandal/Municipality
VELDURTHI
Village/Ward
SREERAMAPURAMTHANDA
Care Of
-
Building
-
Street
-
Land Mark
-
Locality
-
Pin Code
522426
Ration Card Number
WAP072000100469
ArogyaSri Card Number
-
Enrolment Number
//
Date: // ::
School & Class where Student studied previous year
0-No Data Class:6
School & Class where Student studying present year
0701072-MP P UP School Macherla Class:7
Distance between Student's house and Hostel (in K.M.s)
20
Last Year Annual Examination Result
Pass
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 :
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