1.A MOLE ONTHE RIGHT SIDE NECK
2.A BLACK MOLE ON THE RIGHT SIDE LEG
Mother / Father /Guardian Name
Kondepogu Sudhakar
Caste & Sub Caste
SC Madiga
Children Category
Normal
Mother / Father / Guardian occupation
COOLY
Annual Income
45000
Address:
District
YSR KADAPA
Mandal/Municipality
KALASAPADU
Village/Ward
PULLAREDDIPALLI
Care Of
PULLAREDDYPALLI
Building
PULLAREDDYPALLI
Street
PULLAREDDYPALLI
Land Mark
PULLAREDDYPALLI
Locality
PULLAREDDYPALLI
Pin Code
516217
Ration Card Number
WAP110901200237
ArogyaSri Card Number
-
Enrolment Number
//
Date: // ::
School & Class where Student studied previous year
1109046-M.P.Primary School Class:0
School & Class where Student studying present year
1109607-Z.P.High School (Girls) Class:9
Distance between Student's house and Hostel (in K.M.s)
3
Last Year Annual Examination Result
Pass
Last Year Annual Examination Percentage
85
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