G0VERNMENT OF KERALA
DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)
APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O22-2O23)
APPLICATION NO: 2209106468
Name: SAFA JASMIN P Guardian Name: SULAIMAN
Mother's Name: SAFIYA Father's Name: SULAIMAN
Date of Birth: 25-10-2005 Sex: Female
Aadhaar No: 692XXXXXX453 Enrolement No: -
Board Passed: Yes Scheme: SSLC (2021-2022) Register Number: 297760
Month of Pass: 3 Year of Pass: 2022
Category Name: Muslim OEC: No
Caste: MUSLIM Religion: Islam
Resident State: Kerala Resident Local Body: Ananganadi
Resident District: Palakkad Resident Taluk: Ottappalam
Permanent Address: PARAMMEL, PANAMANNA AMBALAVATTAM PO, Communication Address : PARAMMEL, PANAMANNA AMBALAVATTAM PO,
679501, PALAKKAD 679501 679501, PALAKKAD 679501
2
Blind: No Deaf No OH: No
IEDC : - MR/Brain Diseases: No Health Club: No
Linguistic Minority:
Jawan Priority:
NTSE Qualified:
No
No
No
Minority Language:
NCC or Scout / Guide(Puraskars)
NMMSSE Qualified:
O
No
No 2 Jawan Killed In Action:
Scout / Guide Participation :
USSE Qualified:
No
No
No
2
LSSE Qualified: No Student Police Cadet: No Red Cross: No
Forestry Club: No Environment/Nature Club: No IT Club: No
Maths Club:
Oratory Club:
No
No
Debating Club:
Science Club:
- No
No
Philatery Club:
Social Science Club:
No
No
P
Little KITES Members With A Grade: No
SPORTS AND YOUTH FEST SL-I D-I / A D-II / B D-III / C DLP STATE FAIRS A-Grade B-Grade C-Grade D-Grade E-Grade
A
Sports Fest 0 0 0 0 0 State Science Fair 0 0 0 0 0
Youth Fest 0 0 0 0 0 State Social Science Fair 0 0 0 0 0
C
E-Mail ID: - State Maths Fair 0 0 0 0 0
Phone Number: 8156945810 State IT Fair 0 0 0 0 0
Chance Number:
SSLC School:
PAPER NAME
1
s
9047 L S N GIRLS HSS, OTTAPPALAM, PALAKKAD
h
State Work Experience Fair 0 0 0 0
State Level First(SL-I), District First or A-Grade(D-I / A), District Second or B-Grade(D-II / B), District Third or C-Grade (D-III / C), District Level Participation(DLP)
CANDIDATE GRADE DETAILS
MARK GRADE GRADE POINT
0
First Language- I NA A+ 9
First Language- II NA A+ 9
English NA A+ 9
Hindi NA A+ 9
Social Science NA A+ 9
Physics NA A+ 9
Chemistry NA A+ 9
Biology NA A+ 9
Mathematics NA A+ 9
Information Technology NA A+ 9
IT Services : NIC Kerala Page 1 / 2 IP : 59.99.138.177 - Date & Time : 12/07/2022 07:30:42 PM
CANDIDATE OPTION DETAILS (MAIN)
Pref School Code Course Pref School Code Course Pref School Code Course Pref School Code Course
No. Code No. Code No. Code No. Code
1 9047 1 3 9033 5 5 9137 1
2 9033 1 4 9043 1
.......................................................................................................................................................................................................
DECLARATION
I SULAIMAN, Parent of Master/Kumari SAFA JASMIN P do hereby declare that all the information furnished in the application
are true to the best of my belief. I know that the allotment got by any false information furnished in the application will results in the
cancellation of Allotment and Admission.
Name and Signature of Parent/Guardian
Place :
Date : 12-07-2022
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IT Services : NIC Kerala Page 2 / 2 IP : 59.99.138.177 - Date & Time : 12/07/2022 07:30:42 PM
