DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

PLUS ONE ADMISSION-2022(SINGLE WIND0W)

(hsCAP 2022) CANDIDATE THIRD ALLOTMENT
LIST OF DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION :(To be Filled by Applicant / Parent)
1. Qualifying Examination Certificate YES / NO Register No
2. TC & Conduct Certificate YES / NO TC Number & Date of TC
3. Migration Certificate (Other than Kerala Board)
4. Equivalency Certificate(For Other Schemes)
5. Undertaking in Prescribed Format as in Annexure 11 (Only for CBSE Board Passed before 2018) YES / NA
6. Whether attached Aadhaar YES / NO Aadhaar No
7. Other Certificates Produced for Admission
Certificate Details Certificate No Date of Issue Issuing Authority School Verification Remarks
EWS
8. Second Language Opted
Signature of Student :

Fee Head
Signature of Parent :
FEE TO BE PAID AT THE TIME OF ADMISSION

N T
Mode of Payment Amount
Amount to be Paid in General Revenue Head (Application Fee,Admission Fee,Library
Fee,Calender Fee,Medical Check up Fee,Laboratory Fee,Computer Lab Fee)
E
Self Payment/Paid to School Rs. 400

Amount to be Paid in PD Account (Audio Visual unit Fee,Sports and Games Fee,Stationary
Fee,Association Fee,Youth festival Fee,Magazine Fee,Caution deposit Fee)

T M
PTA FUND(GO (MS) No..126/2007/GL.Edn dated 25.06.2007)
Paid to School Rs. 355

PTA Membership Fee : Rs.100.00

L 0 PTA Donation : Rs.400.00

PTA membership fee and donation are not compulsory for SC/ST students

1. Qualifying Examination Register Number :

2. Category :

A L Month & Year of Pass :

Allotted Category :
All other details such as grade details, bonus points details in the Allotment slip claimed by the Applicant are verified with orginal documents and found correct.

D
Admission Committee Member Name Designation Signature
Checked By
Verified By

Allotted Course Code
Admission Number
Fee Amount
TC No & Date of TC
I R
ADMISSION DETAILS (SCHOOL USE ONLY)
T H Allotted Category
Admission Date
Fee Receipt No & Date
Second Language

Name & Signature of HITC : Name & Signature of Principal :

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IT Services: NIC Kerala Page 1 / 2 Print Date: 21/08/2022
Print Time: 09:47:16 AM
 (hsCAP 2022 ) CANDIDATE THIRD ALLOTMENT DETAILS (Provisional)
APPLICATION NO: 2202128764 Phone Number: 9544436309

Name: GANGA B Guardian Name: OMANAKUTTAN B

Father Name: OMANAKUTTAN B Mother Name: BINDU B K

Date Of Birth: 02-01-2006 Sex: Female

Aadhaar Number: 838082683776 Enrolement Number :

Scheme: SSLC (2021-2022) Register Number: 483349

Month Of Pass 3 Year Of Pass 2022

Board Passed YES E-Mail ID: NIL

Category Name: General OEC: No

Caste: NAIR Religion: Hindu

Resident State: Kerala Resident Local Body: Thrikkadavoor

Resident District: Kollam Resident Taluk: Kollam

Permanent Address: RANGALATHU MELATHIL, MURUNTHAL, PERINAD P Communication Address : RANGALATHU MELATHIL, MURUNTHAL,

O, 691601, KOLLAM, , PERINAD P O, 691601, KOLLAM, ,

IEDC : NO OH: NO Blind: NO Deaf NO Mental/Brain Diseases: NO

Little KITES With A Grade:

Linguistic Minority:

Jawan Priority:
No

NO

NO
Health Club:

Minority Language:

NCC or Scout / Guide(Puraskars)

NO

NA

NO
T
Student Police Cadet:

N
Jawan Killed In Action:

Scout / Guide Participation :

NO

NO

NO

NTSE Qualified:

LSSE Qualified:
NO

NO
NMMSSE Qualified:

Science Club:
NO

NO
E USSE Qualified:

Social Science Club:

NO

NO

Forestry Club:

Maths Club:
NO

NO
Nature Club:

Debating Club:

T M NO

NO
IT Club:

Philatery Club:
NO

NO

0
Oratory Club: NO Red Cross: NO Chance Number: 1

EWS: YES Annual Family Income: 6000

SPORTS AND YOUTH FEST

Sports Fest

Youth Fest
SLP

0
D-I / A

0
D-II / B

0
D-III / C

0
L
DLP

0
L STATE FAIRS

State Science Fair

State Social Science Fair

A-Grade B-Grade C-Grade D-Grade E-Grade

0
0

0
0

0
0

0
0

Admission Begin Date:

Admission End Date:

From 10AM on 22nd August 2022

Upto 5PM on 24th August 2022 A State Maths Fair

State IT Fair
0

0
0

0
0

0
0

0
0

Allotted School Phone No

SSLC School:
04742543492

R D
GOVT HSS, ANJALUMMOODU, KOLLAM
State Work Experience Fair 0 0 0 0 0

PAPER NAME

H I
State Level Participation(SLP),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)

MARK
CANDIDATE GRADE DETAILS
GRADE GRADE POINT

First Language- I

First Language- II

English

Language
T NA

NA

NA

NA
C

C+

C+

B
4

Social Science NA A 8

Physics NA B+ 7

Chemistry NA A 8

Biology NA A 8

Mathematics NA C 4

Information Technology NA A+ 9
* :Admission on this allotment slip is subject to the production of valid supporting documents in original by the candidate.

THIRD ALLOTMENT DETAILS

OPTION NO SCHOOL NAME COMBINATION NAME ALLOTTED CATEGORY RANK
9 GOVT. HSS, PERINGALAM, KOLLAM (2102) Physics, Chemistry, Economically Weaker 334
Biology,Mathematics (1) Section (EWS)
Second Languages available in this school: , Malayalam, Hindi

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IT Services: NIC Kerala Page 2 / 2 Print Date: 21/08/2022
Print Time: 09:47:16 AM