G0VERNMENT OF KERALA

DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O25-2O26)
APPLICATION NO: 2510124055

Name: NIJIL V BIJU Guardian Name: BIJU S

Mother's Name: ALICE JOHN C Father's Name: BIJU S

Date of Birth: 06-03-2009 Sex: Male

Aadhaar No: 712XXXXXX961 Enrolement No: -

Board Passed: Yes Scheme: SSLC (2024-2025) Register Number: 623946

Month of Pass: 3 Year of Pass: 2025

Category Name: General OEC: No

Caste: RC Religion: Christian

Native State: Kerala Native Local Body: Puthuppady

Native District: Kozhikkode Native Taluk: Thamarassery

Permanent Address: VARNATH, POTTIKKAYYIL ADIVARAM PO, Communication Address : VARNATH, POTTIKKAYYIL ADIVARAM PO,

673586,KOZHIKODE KOZHIKODE KERALA 673586,KOZHIKODE KOZHIKODE KERALA

673586 673586

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: 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: Yes 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: [email protected] State Maths Fair 0 0 0 0 0

Phone Number: 8089994918 State IT Fair 0 0 0 0 0

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

SSLC School: 12345 Others

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 A 8

Hindi NA A 8

Social Science NA B+ 7

Physics NA A+ 9

Chemistry NA B+ 7

Biology NA A 8

Mathematics NA A+ 9

Information Technology NA A+ 9

IT Services : NIC Kerala Page 1 / 2 IP : 106.206.211.129 - Date & Time : 15/05/2025 10:24:44 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 10056 1 6 10018 1 11 10056 39 16 10164 1

2 10095 1 7 10003 1 12 10094 39 17 10162 36

3 10094 1 8 10063 5 13 10192 39 18 10164 39

4 10151 1 9 10063 1 14 10063 39 19 10003 36

5 10192 1 10 10165 1 15 10003 39

CLAIMED CERTIFICATE DETAILS

CERTIFICATE NAME CERTIFICATE NO CERTIFICATE DATE ISSUING AUTHORITY

Social Science Club CL/171/24-25 14-05-2025 ST.ANTONY S HIGH SCHOOL KANNOTH

Science Club CL/170/24-25 14-05-2025 ST ANTONY S HIGH SCHOOL KANNOTH

.......................................................................................................................................................................................................
DECLARATION
I BIJU S, Parent of Master/Kumari NIJIL V BIJU 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 : 15-05-2025

IT Services : NIC Kerala Page 2 / 2 IP : 106.206.211.129 - Date & Time : 15/05/2025 10:24:44 PM