1.A BLACK MOLE OF THE LEFT HAND
2.ANOTHER BLACKMOLE RIGHTLEG
Mother / Father /Guardian Name
Gudima Vijayamma
Caste & Sub Caste
SC Madiga
Children Category
Normal
Mother / Father / Guardian occupation
Annual Income
Address:
District
YSR KADAPA
Mandal/Municipality
KALASAPADU
Village/Ward
PULLAREDDIPALLI
Care Of
-
Building
-
Street
-
Land Mark
-
Locality
-
Pin Code
516217
Ration Card Number
WAP110901200138
ArogyaSri Card Number
-
Enrolment Number
Date:
School & Class where Student studied previous year
- Class:5
School & Class where Student studying present year
1109309-SPG U.P. SCHOOL Class:6
Distance between Student's house and Hostel (in K.M.s)
3
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: