SDT 6 C

KERALA SAMAJAM MODEL SCHOOL
GOLMURI, JAMSHEDPUR - 831009
Class & Section VI C

Admissio No. 3745/2014
Photograph
Name of the Candidate AARUSHI
Date of Birth 6/3/2010

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name CHANDAN RAJU
Fahter's Mobile Number 9430776851

Father's Qualification
Father's Occupation
Father's Annual Income 0
Father's Office/Business Address

Mother's Name LAXMI DEVI
Mother's Mobile Number 7549148568
Mother's Qualification
Mother's Occupation
Mother's Annual Income 0
Mother's Office/Business Address
Residential Address Q.NO-411A, ECC FLAT, KADMA
Admission No. of Brother/Sister

Declaration: I solemnly declare that the particulars given above are true and correct to the best of my knowledge. I am
fully acquainted with the rules and requlations of the school and promise to abide by them. I have gone through the
School Prospectus thoroughly. I shall accept terms and conditions. working hours, dress code. fees of the school if
changed. modified/altered at any time during the course of stay of my ward in this institution.
I agree to the removal of the name of my child from the rolls of the school at any thime in the school year if his/her presence in the
school becomes detrimental to the school or to other students and I will abide by the decision of the Principal regading such
matters. I also agree that date of birth once submitted, will not be changed hereafter.
Signature of Parent/Guardian
For Office Use

Approved by
Registratio No. 3745/2014
Date of Admission 21/01/2014

Chairman Principal
List of document submitted:
-
Sign . of accountant

Photograph
Name of the Candidate ABHIGYAN PRASAD

Gender Male
Religion HINDUISM
Category
Father's Name DHIRAJ PRASAD

Father's Qualification Post graduate
Father's Occupation Chartered Accountant

Mother's Name ANJU PRASAD
Mother's Qualification Post graduate
Mother's Occupation SELF EMPLYED

Residential Address D-5, 4TH FLOOR, HEAVEN TOWER, JAIPRAKASH UDYAN, ADITYAPUR

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ABHISHEK MOHAN

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name HEMAN P M

Father's Occupation

Mother's Name USHA HEMAN
Mother's Occupation
Residential Address HOUSE NO.115,ROAD NO. 9 ,ADITYA GARDEN,ADITYAPUR

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ABHIVATSAL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name MUKESH DEBUKA

Father's Occupation

Mother's Name NEELAM DEBUKA
Mother's Occupation
Residential Address SHAKTI NALANDA TOWER, 1/1, RELIANCE FRESH, MANGO, NEAR

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate AKSHARA KUMARI

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name BINAY KUMAR JHA

Father's Occupation

Mother's Name PINKY JHA
Mother's Occupation
Residential Address H.NO-50, NEW BARADWARI, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate AKSHRA KUMARI

Gender Female
Religion HINDUISM
Category SC
Father's Name SURENDRA PASWAN

Father's Occupation

Mother's Name SANGITA PASWAN
Mother's Occupation
Residential Address H.N_5, J.P. NAGAR, NEAR VIVEKANDA SCHOOL, BHUIYADIH

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ALHAZAR NASIB KHAN

Gender Male
Religion ISLAM
Category GENERAL
Father's Name MOHAMMAD ATIF KHAN

Father's Occupation

Mother's Name SHABNAM AFROZ
Mother's Occupation
Residential Address D-15, DANISH APPARTMENT, RAZZAQUE COLONY, DHATKIDIH

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ANEEK DUTTA

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name ARUP KUMAR DUTTA

Father's Occupation

Mother's Name TINKU DUTTA
Mother's Occupation
Residential Address 1, NEELKANTH TOWER, POFF ROAD, DIMNA ROAD, MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ANIK OJHA

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name SADHAN OJHA

Father's Occupation

Mother's Name ASHA OJHA
Mother's Mobile Number
Mother's Occupation
Residential Address 36, BAGAN AREA-3, KASHIDIH, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ANMOL SINGH DHILLON

Gender Male
Religion SIKHISM
Category GENERAL
Father's Name JAGDISH SINGH

Father's Occupation

Mother's Name GURPREET KAUR
Mother's Mobile Number
Mother's Occupation
Residential Address H.NO-209, MANIFIT BASTI, NEAR JEMCO, GURUDWARA ROAD,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ANURAG AGARWAL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name MAHENDRA AGARWAL

Father's Occupation

Mother's Name SANGEETA AGARWAL
Mother's Occupation
Residential Address MEHENDRA AGARWAL, RAJENDRA NAGAR, KUWAR SINGH ROAD,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ANUSHREE AGARWAL

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name RAJU AGARWAL

Father's Occupation

Mother's Name CHANDAN NAREDI
Mother's Occupation
Residential Address 147, DALDA LINE, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ARYAN GHOSH

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name ANIRBAN GHOSH

Father's Qualification Graduate
Father's Occupation PRIVATE SECTOR
Father's Office/Business Address 201, Pancharenu Apartment, Bistupur
Mother's Name RUPA GHOSH

Mother's Qualification Graduate
Mother's Occupation HOUSE WIFE

Mother's Office/Business Address 201, Pancharenu Apartment, Bistupur
Residential Address 201, PANCH RENU APPARTMENT, SOUTH PARK BISTUPUR

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ARYAN KUMAR

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name SHYAM KUMAR

Father's Occupation

Mother's Name NITU KUMARI
Mother's Occupation
Residential Address DEO-KUNJ APARTMENT,NH-33,FLAT NO-124,MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ATHARVA RAJ

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name NALIN BILOCHAN KUMAR

Father's Occupation

Mother's Name SANYUKTA KUMARI
Mother's Occupation
Residential Address FLATNO.401,RAKESH TOWER,PURULIAROAD,MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate AWISHI KAUR

Gender Female
Religion SIKHISM
Category GENERAL
Father's Name VIKRAMJEET SINGH

Father's Occupation

Mother's Name PREETY KUMARI
Mother's Occupation
Residential Address H.NO-221, LANE NO-7, KASHIDIH, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate AYAN SINGH

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name ARUN KUMAR SINGH

Father's Occupation

Mother's Name ANKITA SINGH
Mother's Occupation
Residential Address NEW SITARAMDERA SLAG ROAD, BAGAN AREA, AGRICO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate BHAIRAV AGARWAL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name MALIRAM AGARWAL

Father's Qualification Plus Two / Intermediate
Father's Occupation BUISNESSMAN
Father's Office/Business Address Hno 42, New Lay Out, Sitaramdera
Mother's Name RANI AGARWAL

Mother's Qualification Plus Two / Intermediate

Mother's Office/Business Address Hno 42, New Lay Out, Sitaramdera
Residential Address H.NO-42, NEW LAYOUT, SITARAMDERA, AGRICO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate DISHA GURANANI

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name AJAY GURNANI

Father's Occupation

Mother's Name HARSH GURNANI
Mother's Occupation
Residential Address H.NO-30, NEHRU COLONU, NEW KALIMATI ROAD, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate FARAZ RAZA ANSARI

Gender Male
Religion ISLAM
Category
Father's Name NAYEEM ANSARI

Father's Occupation

Mother's Name FIROZA KHATOON
Mother's Occupation
Residential Address H.NO-314, B BLOCK, PANI TANKI ROAD, GOLMURI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate HARSHIT KUMAR

Gender Male
Religion HINDUISM
Category OBC
Father's Name DHARAMBEER KUMAR

Father's Occupation

Mother's Name SUNITA DEVI
Mother's Occupation
Residential Address H.NO-15, BHIYADIH WOOD STALL, AGRICO, EAST SINGHBHUM

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate HARSHIT TIWARI

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name RABINDRA TIWARI

Father's Occupation

Mother's Name SUNITA TIWARI
Mother's Occupation
Residential Address 49, GURUDWARA BASTI, MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate HIBAH SYED

Gender Female
Religion ISLAM
Category GENERAL
Father's Name SYED MOHAMMAD IZHAR

Father's Qualification Graduate
Father's Occupation SERVICE
Father's Office/Business Address H. No - 87, Golmuri
Mother's Name SHABANA BEGUM


Mother's Office/Business Address Do
Residential Address H.NO-87, 2ND FLOOR, MUSLIM BASTI, GOLMURI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ISHIKA SHARMA

Gender Female
Religion HINDUISM
Category
Father's Name NAVNEET SHARMA

Father's Occupation

Mother's Name ANUPA SHARMA
Mother's Occupation
Residential Address NEW SUBASH COLONU, ROAD NO-34, SANJAY PATH, DIMNA ROAD,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate MAYANK RAJ

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name AMIT KUMAR

Father's Occupation

Mother's Name SANGEETA MANDAL
Mother's Occupation
Residential Address Q.NO-1, SHIVAM COMPLEX, SUNDER GARDEN, SANJAY PATH,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate MAYANK RAJ MOONKA

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name SHAMBHU MOONKA

Father's Occupation

Mother's Name SUSHMA MOONKA
Mother's Occupation
Residential Address A, SAKHCI MILL AND GODOWN AREA, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate MOHAMMAD AAMISH JAMAL

Gender Male
Religion ISLAM
Category GENERAL
Father's Name MOHAMMAD SHAHID JAMAL

Father's Occupation

Mother's Name SAFIHA NIKHAT
Mother's Occupation
Residential Address ROAD NO-11, H.NO-11A, ZAKIRNAGAR, MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate MOHAMMAD AREEB NUMAAN

Gender Male
Religion ISLAM
Category GENERAL
Father's Name MOHAMMAD SAYEED

Father's Occupation

Mother's Name TARANNUM NIZAM
Mother's Occupation
Residential Address 126, SANJAY ROAD, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate NEET MEHANDIRATTA

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name ANISH KUMAR

Father's Occupation

Mother's Name REENA MEHANDIRATTA
Mother's Occupation
Residential Address 41, PUNJABI REFUJEE COLONY, AGRICO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate NISHU PRIYA

Gender Female
Religion HINDUISM
Category SC
Father's Name BHAVESH KUMAR

Father's Qualification Matriculation
Father's Occupation ARMY
Father's Office/Business Address Q/NO:-150,NEW D/S FLAT GOLMURI
Mother's Name ASHA KUMARI


Mother's Office/Business Address Q/NO:-150,NEW D/S FLAT,GOLMURI
Residential Address Q/NO:-150 ,NEW D/S FLAT, GOLMURI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate PALAK CHOUDHARY

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name RUPESH CHOUDHARY

Father's Occupation

Mother's Name TANNU CHOUDHARY
Mother's Occupation
Residential Address 240, B BLOCK, TUILADUNGARI, GOLMURI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate PANKURI TIWARY

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name SHIV SHANKAR TIWARY

Father's Occupation

Mother's Name VANDANA TIWARY
Mother's Occupation
Residential Address TUILA DUNGARI, LINE NO-5, H.NO-64A, BLOCK, EAST SINGHBHUM

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate PARLEEN KAUR

Gender Female
Religion SIKHISM
Category GENERAL
Father's Name SURENDERPAL SINGH

Father's Occupation

Mother's Name MANJEET KOUR
Mother's Occupation
Residential Address B/56B, MANDIR ROAD, BAGUNNAGAR, BARIDIH

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate PRASHANT TRIVEDI

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name SHASHI BHUSHAN TRIVEDI

Father's Occupation

Mother's Name ALKA TRIVEDI
Mother's Occupation
Residential Address 84, NLO SITARAMDERA, AGRICO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate PRIYADARSHINI KUMARI

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name SUJIT KUMAR

Father's Occupation

Mother's Name RASHMI KUMARI
Mother's Occupation
Residential Address H.NO-240, ROAD NO-26, KS ROAD, ULIDIH, MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate RAMANDEEP KAUR

Gender Female
Religion SIKHISM
Category GENERAL
Father's Name JIGAR SINGH

Father's Occupation

Mother's Name KARAMJEET KOUR
Mother's Occupation
Residential Address GURUNANAK BASTI, DIMNA ROAD, MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate RANVEER PODDAR

Gender Male
Religion HINDUISM
Category OBC
Father's Name SUKHDEV PODDAR

Father's Occupation

Mother's Name SHEELA PODDAR
Mother's Occupation
Residential Address H.NO-119, PRATHRAKWN, KASHIDIH, SARAIKELA-KHARSAWAN

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate RIDHI SHARMA

Gender Female
Religion SIKHISM
Category GENERAL
Father's Name VIKASH KUMAR SHARMA

Father's Occupation

Mother's Name SALONI SHARMA
Mother's Occupation
Residential Address 13/A, PUNJABI REFUJEE COLONY

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate RISHIKA THAKUR

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name RAKESH KUMAR THAKUR

Father's Occupation

Mother's Name REENA RANJAN THAKUR
Mother's Occupation
Residential Address C/0-SHEOJEE PRASAD, H.NO-B/B-1283_1284, GOUND FLOOR, NEW LINE,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate ROOPJOT SINGH

Gender Male
Religion SIKHISM
Category GENERAL
Father's Name HARKAMAL SINGH

Father's Occupation

Mother's Name MANDEEP KAUR
Mother's Occupation
Residential Address H.NO-37, SOHAL NIWAS, ZONE NO-1B, LOYOLA B.ED COLLEGE ROAD,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate SAMARTH AGARWAL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name MUKESH AGARWAL

Father's Occupation

Mother's Name SWEETY AGARWAL
Mother's Occupation
Residential Address KRISHNA SALES, AGENCY, 20, TEMPLE ROAD, GAYATRI NAGAR,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate SATYAM RAJ

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name MANOJ KUMAR

Father's Occupation

Mother's Name PUSPA RAJ
Mother's Occupation
Residential Address SAKCHI, JAIL CHOWK PEON COLONY, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate SHAHIRAH KHAN

Gender Female
Religion ISLAM
Category GENERAL
Father's Name JAWED KHAN

Father's Occupation

Mother's Name NADIA KHATOON
Mother's Occupation
Residential Address H.NO-403, LINE NO-28, TOILA DUNGARI, GOLMURI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate SHREYASH SINHA

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name ASHUTOSH KUMAR

Father's Occupation

Mother's Name VANDANA SINHA
Mother's Occupation
Residential Address 129, DEV KUNJ APPARTMENT, NEAR PARDIH CHOWK, MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate SHRISTY KUMARI PRADHAN

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name BARUN KUMAR PRADHAN

Father's Occupation

Mother's Name ARCHANA PRADHAN
Mother's Occupation
Residential Address MURAKATI BASTI, PO-LOHABASA, BIRSNAGAR

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate SHUBH AGRAHARI

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name DEEPAK KUMAR AGRAHARI

Father's Occupation

Mother's Name BABITA AGRAHARI
Mother's Occupation
Residential Address GTBN-4/13, SHIV SINGH BAGAN AGRICO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate TEJAS JAISWAL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name SANJIT JAISWAL

Father's Occupation

Mother's Name NITU JAISWAL
Mother's Occupation
Residential Address FLAT NO-55/4, AMITA APPARTMENT, H.NO-118, NEW BARADWARI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate TIYASHA DUTTA

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name SHYAMAL KUMAR DUTTA

Father's Occupation

Mother's Name BARNALI DUTTA
Mother's Occupation
Residential Address HOME NO-10, PARASNAGAR, PO MANGO

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate VEDANT SINGHAL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name PRAMOD AGARWAL

Father's Occupation

Mother's Name PRITY AGARWAL
Mother's Occupation
Residential Address 605, DREAM PALACE, NEW BARADWARI, SAKCHI

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate YASH GOHIL

Gender Male
Religion HINDUISM
Category GENERAL
Father's Name BRIJESH GOSHIL

Father's Occupation

Mother's Name VAISHALI GOHIL
Mother's Occupation
Residential Address LINE NO-2, H.NO-11,12, TUILADUNGARI, A BLOCK,

For Office Use

Approved by

Chairman Principal
-

Photograph
Name of the Candidate YASHVI NAYYAR

Gender Female
Religion HINDUISM
Category GENERAL
Father's Name JOGESH NAYYAR

Father's Occupation

Mother's Name NAMITA NAYYAR
Mother's Occupation
Residential Address J4, C/5, ASTHA SPACE TOWN, DIMNA ROAD, MANGO

For Office Use

Approved by

Chairman Principal
-

SDT 6 C

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KERALA SAMAJAM MODEL SCHOOL

GOLMURI, JAMSHEDPUR - 831009

Class & Section VI C

Name of the Candidate AARUSHI

Date of Birth 6/3/2010

Father's Name CHANDAN RAJU

Fahter's Mobile Number 9430776851

Father's Office/Business Address

Admission No. of Brother/Sister

For Office Use

Date of Admission 21/01/2014

Class & Section VI C

Name of the Candidate ABHIGYAN PRASAD

Date of Birth 7/30/2010

Fahter's Mobile Number 9546525521

Father's Office/Business Address

Mother's Qualification Post graduate

Mother's Occupation SELF EMPLYED

Admission No. of Brother/Sister

For Office Use

Date of Admission 21/01/2014

Class & Section VI C

Name of the Candidate ABHISHEK MOHAN

Date of Birth 3/16/2010

Father's Name HEMAN P M

Fahter's Mobile Number 8210771675

Father's Office/Business Address

Admission No. of Brother/Sister

For Office Use

Date of Admission 22/01/2014

Class & Section VI C

Name of the Candidate ABHIVATSAL

Date of Birth 9/17/2009

Father's Name MUKESH DEBUKA

Fahter's Mobile Number 9431344587

Father's Office/Business Address

Admission No. of Brother/Sister

For Office Use

Date of Admission 22/01/2014

Class & Section VI C

Name of the Candidate AKSHARA KUMARI

Date of Birth 9/19/2010

Father's Name BINAY KUMAR JHA

Fahter's Mobile Number 9113729046

Father's Office/Business Address

Admission No. of Brother/Sister

For Office Use

Date of Admission 21/01/2014

Class & Section VI C

Name of the Candidate AKSHRA KUMARI

Date of Birth 4/8/2010

Father's Name SURENDRA PASWAN

Fahter's Mobile Number 9771491381

Father's Office/Business Address

Admission No. of Brother/Sister

For Office Use

Date of Admission 11/02/2014

Class & Section VI C

Name of the Candidate ALHAZAR NASIB KHAN

Date of Birth 6/25/2009

Father's Name MOHAMMAD ATIF KHAN

Fahter's Mobile Number 9431111117