1.A small black mole on theear
2.A small black mole on thenose
Mother / Father /Guardian Name
V.venkatesh
Caste & Sub Caste
SC Mala
Children Category
Normal
Mother / Father / Guardian occupation
Annual Income
Address:
District
CHITTOOR
Mandal/Municipality
RAMASAMUDRAM
Village/Ward
RAMASAMUDRAM
Care Of
-
Building
-
Street
Malapalem
Land Mark
-
Locality
Malapalem
Pin Code
517417
Ration Card Number
WAP103605300573
ArogyaSri Card Number
-
Enrolment Number
Date:
School & Class where Student studied previous year
- Class:2
School & Class where Student studying present year
1036036-M.P.Primary School Class:3
Distance between Student's house and Hostel (in K.M.s)
5
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: