1.a black mole on the right thumb
2.a black mole on ear
Mother / Father /Guardian Name
M Sreenivasulu
Caste & Sub Caste
BC-D Yadava(Sl.No.-33)
Children Category
Normal
Mother / Father / Guardian occupation
M.sreenivasulu
Annual Income
14000
Address:
District
CHITTOOR
Mandal/Municipality
RAMASAMUDRAM
Village/Ward
RAMASAMUDRAM
Care Of
-
Building
-
Street
-
Land Mark
-
Locality
-
Pin Code
517417
Ration Card Number
WAP1036051A0147
ArogyaSri Card Number
-
Enrolment Number
//
Date: // ::
School & Class where Student studied previous year
1036036-M.P.Primary School Class:0
School & Class where Student studying present year
1036036-M.P.Primary School Class:6
Distance between Student's house and Hostel (in K.M.s)
1
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