1.a mole one the right hand
2.a mole one the left hand
Mother / Father /Guardian Name
M Srinivasulu
Caste & Sub Caste
SC Mala
Children Category
Normal
Mother / Father / Guardian occupation
Annual Income
Address:
District
SPSR NELLORE
Mandal/Municipality
MANUBOLU
Village/Ward
KATTUVAPALLE
Care Of
-
Building
-
Street
-
Land Mark
-
Locality
-
Pin Code
524405
Ration Card Number
WAP091302300349
ArogyaSri Card Number
-
Enrolment Number
Date:
School & Class where Student studied previous year
- Class:5
School & Class where Student studying present year
0925317-SA UP SCHOOL Class:6
Distance between Student's house and Hostel (in K.M.s)
30
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: