1.A BLACK MOLE IS RIGHT OF CHIN
2.A BLACK MOLE IS LEFT HAND MIDDLE FINGER
Mother / Father /Guardian Name
Pachineella Peddapullaiah
Caste & Sub Caste
SC Mala
Children Category
Normal
Mother / Father / Guardian occupation
COOLY
Annual Income
9000
Address:
District
YSR KADAPA
Mandal/Municipality
KALASAPADU
Village/Ward
PULLAREDDIPALLI
Care Of
PULLAREDDY PALLE
Building
-
Street
-
Land Mark
-
Locality
PULLA REDDY PALLE
Pin Code
516217
Ration Card Number
YAP110901200223
ArogyaSri Card Number
-
Enrolment Number
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Date: // ::
School & Class where Student studied previous year
1109046-M.P.Primary School Class:8
School & Class where Student studying present year
1109309-SPG U.P. SCHOOL Class:9
Distance between Student's house and Hostel (in K.M.s)
5
Last Year Annual Examination Result
Pass
Last Year Annual Examination Percentage
90
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