1.A MOLE ON THE RIGHT HAND
2.A MOLE ON THE LEFT HAND
Mother / Father /Guardian Name
Devarapalli Skylab
Caste & Sub Caste
SC Mala
Children Category
Normal
Mother / Father / Guardian occupation
COOOLI
Annual Income
42000
Address:
District
GUNTUR
Mandal/Municipality
AMARTHALUR
Village/Ward
BODAPADU
Care Of
-
Building
-
Street
SC COLONY
Land Mark
-
Locality
-
Pin Code
522341
Ration Card Number
WAP074903400295
ArogyaSri Card Number
-
Enrolment Number
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Date: // ::
School & Class where Student studied previous year
0749048-M.P.Primary School Class:8
School & Class where Student studying present year
0726626-LUTHERN MODEL HIGH SCHOO Class:9
Distance between Student's house and Hostel (in K.M.s)
40
Last Year Annual Examination Result
Pass
Last Year Annual Examination Percentage
40
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 :
NO
The above details are verified according to the rules and regulations of Government policies and the application form of applicant is accepted/rejected :
YES