FORMAT for submitting INSPIRE Award proposals for 2012-13

Name of the Division/Mandal KOYYALAGUDEM/ JANGAREDDIGUDEM

Name of the Mandal

Name of the School

Number of Children selected from the School Code school for Inspire Award last year

Type of School (see below)

Location of Type Rural/Semi Urban/Urban

Level of School UP/HS

Name of the Recommended student (one each from Class 6 to 10

Class (6 to 10)

No. of Order of prefarence

Category Sex M/F GEN/SC/S T/OBC

Name of the father /mother

Sl.No 1 1 2 3 4 5

2
JANGAREDDIGUDEM JANGAREDDIGUDEM JANGAREDDIGUDEM JANGAREDDIGUDEM JANGAREDDIGUDEM

3 SURYA HIGH SCHOOL SURYA HIGH SCHOOL SURYA HIGH SCHOOL SURYA HIGH SCHOOL SURYA HIGH SCHOOL

4 10287 10287 10287 10287 10287

5 2 NIL NIL NIL NIL

6 PUA PUA PUA PUA PUA

7 RURAL RURAL RURAL RURAL RURAL HS HS HS HS HS

9 G SUNIL KUMAR N SURYA THANUJ P DURGA MAHESH Y S V SRIKANTH M RAJITHA

10 6TH 7TH 8TH 9TH 10TH

11 5 2 3 4 1

12 M M M M F

13 OBC GEN GEN GEN GEN

14 G.SATHYA NARAYANA N RAMESH PALLAYYA T SRIDHAR Y PRASAD M S V LAKSHMANA RAO

Type of School:- CG for schools run by Central Govrenment (e.g. Kendriya Vidyalaya, Naodaya Vidyalaya SG for schools run by State Government LB for schools run by Local Bodies like Mandal Parishad, Zillaparishad, Municipal Corporation /Municipality PA for Private Aided Schools PUA for Private Un-aided Schools O for others

Signature of the Dy.E.O/MEO