1.A MOLEON RIGHT SIDEOF THE FOREHEAD
2.A MOLEON RIGHT SIDE OF THE CHEST
Mother / Father /Guardian Name
Marri Nagaraju
Caste & Sub Caste
BC-D Yadava(Sl.No.-33)
Children Category
Normal
Mother / Father / Guardian occupation
FARMER
Annual Income
50000
Address:
District
GUNTUR
Mandal/Municipality
VELDURTHI
Village/Ward
KANDLAKUNTA
Care Of
-
Building
-
Street
-
Land Mark
-
Locality
-
Pin Code
522613
Ration Card Number
WAP072001000409
ArogyaSri Card Number
-
Enrolment Number
//
Date: // ::
School & Class where Student studied previous year
0726068-MPL CORP PRIMARY SCHOOL 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)
24
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