G0VERNMENT OF KERALA

DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O25-2O26)
APPLICATION NO: 2511179766

Name: LALITHA T S Guardian Name: T N SREENIVASAN

Mother's Name: T G SEETHALAKSHMI Father's Name: T N SREENIVASAN

Date of Birth: 12-08-2009 Sex: Female

Aadhaar No: 333XXXXXX297 Enrolement No: -

Board Passed: Yes Scheme: SSLC (2024-2025) Register Number: 591619

Month of Pass: 3 Year of Pass: 2025

Category Name: General OEC: No

Caste: BRAHMIN Religion: Hindu

Native State: Kerala Native Local Body: Manchery(M)

Native District: Malappuram Native Taluk: Eranad

Permanent Address: SONA, KOVILAKAM ROAD MANJERI PO, 676121, Communication Address : SONA, KOVILAKAM ROAD MANJERI PO, 676121,

MALAPPURAM MALAPPURAM KERALA 676121 MALAPPURAM MALAPPURAM KERALA 676121

EWS Reservation: No

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: Yes

Forestry Club: No Environment/Nature Club: No IT Club: Yes

Maths Club: No Debating Club: No Philatery Club: No

Oratory Club: No Science Club: No Social Science Club: Yes

Grace Mark Awarded: Yes 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: - State Maths Fair 0 0 0 0 0

Phone Number: 9447841919 State IT Fair 0 0 0 0 0

Chance Number: 1 State Work Experience Fair 0 0 0 0 0

SSLC School: 11010 GOVT BOYS HSS,MANJERY,MALAPPURAM

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 8

English NA B+ 7

Hindi NA A 8

Social Science NA A 8

Physics NA A+ 9

Chemistry NA B+ 7

Biology NA A+ 9

Mathematics NA C+ 5

Information Technology NA A+ 9

IT Services : ICT CELL, DGE Kerala Page 1 / 2 IP : 117.230.93.113 - Date & Time : 24/05/2025 08:49:35 AM
 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 11010 1 5 11026 11 9 11069 11 13 11070 11

2 11050 1 6 11050 11 10 11121 11 14 11077 1

3 11026 1 7 11122 16 11 11001 10 15 11158 1

4 11010 11 8 11122 11 12 11001 11

CLAIMED CERTIFICATE DETAILS

CERTIFICATE NAME CERTIFICATE NO CERTIFICATE DATE ISSUING AUTHORITY

Red Cross 2237000 03-02-2025 INDIAN RED CROSS SOCIETY

Social Science Club 591619/2/25 19-05-2025 HEADMASTER GBHSS MANJERI

IT Club 591619/1/25 19-05-2025 HEADMASTER GBHSS MANJERI

.......................................................................................................................................................................................................
DECLARATION
I T N SREENIVASAN, Parent of Master/Kumari LALITHA T S 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 : 24-05-2025

IT Services : ICT CELL, DGE Kerala Page 2 / 2 IP : 117.230.93.113 - Date & Time : 24/05/2025 08:49:35 AM