G0VERNMENT OF KERALA
DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)
APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O23-2O24)
APPLICATION NO: 2313101152
Name: ANAMIKA C Guardian Name: AJITHA C
Mother's Name: AJITHA C Father's Name: RAMESHAN P P
Date of Birth: 20-12-2007 Sex: Female
Aadhaar No: 666XXXXXX011 Enrolement No: -
Board Passed: Yes Scheme: SSLC (2022-2023) Register Number: 490822
Month of Pass: 3 Year of Pass: 2023
Category Name: EzhavaThiyyaBillava (ETB) OEC: No
Caste: THIYYA Religion: Hindu
Resident State: Kerala Resident Local Body: Vengad
Resident District: Kannur Resident Taluk: Thalassery
Permanent Address: PUTHAN PURAYIL HOUSE,KUZHIYIL PEEDIKA Communication Address : PUTHAN PURAYIL HOUSE,KUZHIYIL PEEDIKA
PATHIRIYAD P O,670741,KANNUR. 670741 PATHIRIYAD P O,670741,KANNUR. 670741
Blind: No Deaf No OH: No
IEDC : - MR/Brain Diseases: No Health Club: No
Linguistic Minority: No Minority Language: Jawan Killed In Action: No
Jawan Priority: No NCC or Scout / Guide(Puraskars) No Scout / Guide Participation : No
NTSE Qualified: No NMMSSE Qualified: No USSE Qualified: No
LSSE Qualified: No Student Police Cadet: No Red Cross: No
Forestry Club: No Environment/Nature Club: No IT Club: No
Maths Club: No Debating Club: No Philatery Club: No
Oratory Club: No Science Club: No Social Science Club: No
Grace Mark Awarded: No 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
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
E-Mail ID: [email protected] State Maths Fair 0 0 0 0 0
Phone Number: 9645699778 State IT Fair 0 0 0 0 0
Chance Number: 1 State Work Experience Fair 0 0 0 0 0
SSLC School: 13054 MAMBRAM HSS,MAMBRAM,KANNUR
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
PAPER NAME MARK GRADE GRADE POINT
First Language- I NA A+ 9
First Language- II NA A+ 9
English NA B 6
Hindi NA B 6
Social Science NA B+ 7
Physics NA C 4
Chemistry NA C 4
Biology NA C+ 5
Mathematics NA C+ 5
Information Technology NA A 8
IT Services : NIC Kerala Page 1 / 2 IP : 103.140.16.28 - Date & Time : 02/06/2023 06:30:31 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 13013 10 7 13040 11 13 13010 10 19 13127 12
2 13012 33 8 13040 39 14 13003 10 20 13111 34
3 13015 10 9 13064 21 15 13160 34 21 13071 11
4 13059 11 10 13064 36 16 13180 11 22 13020 11
5 13039 16 11 13061 39 17 13166 10 23 13038 39
6 13015 39 12 13021 11 18 13165 11 24 13054 39
.......................................................................................................................................................................................................
DECLARATION
I AJITHA C, Parent of Master/Kumari ANAMIKA C 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 : 02-06-2023
IT Services : NIC Kerala Page 2 / 2 IP : 103.140.16.28 - Date & Time : 02/06/2023 06:30:31 PM
