Boarder Information
Boarder Information
Student Id 1107990
Registration Type Fresh
Admission No -
Student Name Deepak
Date Of Birth 15-06-2004
Gender Male
Height 138
Weight 44
Blood Group -
Identification Marks 1.a mole on the left side chest
2.a mole on the left side chest
Mother / Father /Guardian Name Butala Simhachalam
Caste & Sub Caste SC  Paidi pano
Children Category semi orphans
Mother / Father / Guardian occupation
Annual Income
District VIZIANAGARAM Mandal/Municipality MAKKUVA
Care Of- Building-
Streetsc colony Land Mark-
Localitysc colony Pin Code535547
Ration Card Number 000000000000000
ArogyaSri Card Number -
Enrolment Number Date: 
School & Class where Student studied previous year -     Class:9
School & Class where Student studying present year 0620603-Z.P.High School     Class:10
Distance between Student's house and Hostel (in K.M.s) 500
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

Item Details Issued to the Boarders in the Hostel

Item Name Issued(Yes/No) Issue Date
Glass YES 12-07-2016
Plate YES 12-07-2016
Trunk YES 12-07-2016
Blanket YES 12-07-2016
Uniform YES
Uniform Pair 1 YES 12-07-2016
Uniform Pair 2 NO -
Uniform Pair 3 NO -
Uniform Pair 4 NO -
Text Books YES 12-07-2016
Note Books YES 12-07-2016