DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

PLUS ONE ADMISSION-2023(SINGLE WIND0W)

Trial Allotment Slip (Not to be Produced at Schools for Admission)
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
NCC or Scout/Guide MLP/G/3297/2023 04-03-2023 Governer Government of Kerala
(Rashtrapathi Puraskar or
Rajya
Science Club 19/18060 06-06-2023 Presentation Higer Secondary School
perinthalmanna
Maths Club 19/18060 06-06-2023 Presentation Higer secondary school
perinthalmanna
USSE Qualified 208925 16-07-2020 Government of kerala
8. Second Language Opted
Signature of Student : Signature of Parent :
FEE TO BE PAID AT THE TIME OF ADMISSION
Fee Head Mode of Payment Amount
Amount to be Paid in General Revenue Head (Application Fee,Admission Fee,Library Self Payment/Paid to School Rs. 400
Fee,Calender Fee,Medical Check up Fee,Laboratory Fee,Computer Lab Fee)
Amount to be Paid in PD Account (Audio Visual unit Fee,Sports and Games Fee,Stationary Paid to School Rs. 355
Fee,Association Fee,Youth festival Fee,Magazine Fee,Caution deposit Fee)
PTA FUND(GO (MS) No..126/2007/GL.Edn dated 25.06.2007)

PTA Membership Fee : Rs.100.00 PTA Donation : Rs.400.00

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

1. Qualifying Examination Register Number : Month & Year of Pass :

2. Category : 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.
Admission Committee Member Name Designation Signature
Checked By
Verified By

ADMISSION DETAILS (SCHOOL USE ONLY)

Allotted Course Code Allotted Category
Admission Number Admission Date
Fee Amount Fee Receipt No & Date
TC No & Date of TC Second Language

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

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IT Services: NIC Kerala Page 1 / 3 Print Date: 13/06/2023
Print Time: 01:41:33 PM
 (hsCAP 2023 ) CANDIDATE TRIAL ALLOTMENT DETAILS
(hsCAP 2023) Trial Allotment Slip (Not to be Produced at Schools for Admission)
APPLICATION NO: 2311167958 Phone Number: 9048130008

Name: SREELAKSHMI P S Guardian Name: SREENIVASAN P

Father Name: SREENIVASAN P Mother Name: SARITHA R V

Date Of Birth: 17-01-2008 Sex: Female

Aadhaar Number: 770929384366 Enrolement Number :

Scheme: SSLC (2022-2023) Register Number: 392206

Month Of Pass 3 Year Of Pass 2023

Board Passed YES E-Mail ID: saritharv2@gmail.com

Category Name: EzhavaThiyyaBillava (ETB) OEC: No

Caste: EZHAVA Religion: Hindu

Resident State: Kerala Resident Local Body: Angadippuram

Resident District: Malappuram Resident Taluk: Perinthalmanna

Permanent Address: PANACHIKUTH HOUSE, EDATHANATTUKARA, Communication Address : SREELAKAM, CHERAKKAPARAMBU EAST,

UPPUKULAM 678601,PALAKKAD., , 678601 ANGADIPPURAM, 679321

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

Grace Mark Awarded: No Little KITES With A Grade: No Health Club: NO Student Police Cadet: NO

Linguistic Minority: NO Minority Language: NA Jawan Killed In Action: NO

Jawan Priority: NO NCC or Scout / Guide(Puraskars) YES Scout / Guide Participation : NO

NTSE Qualified: NO NMMSSE Qualified: NO USSE Qualified: YES

LSSE Qualified: NO Science Club: YES Social Science Club: NO

Forestry Club: NO Nature Club: NO IT Club: NO

Maths Club: YES Debating Club: NO Philatery Club: NO

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

EWS: NO Annual Family Income: -

SPORTS AND YOUTH FEST SLP 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

State Maths Fair 0 0 0 0 0

State IT Fair 0 0 0 0 0

State Work Experience Fair 0 0 0 0 0

SSLC School: Others

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)

Remark: It is required to verify all your data, WGPA Calculation, Tie breaking values, Allotment details and Last Rank. This
allotment slip is not valid for admission.You are informed to check Your Application and Edit Application for
correction / option change , if any , before 5pm on 15th June 2023.
CANDIDATE GRADE DETAILS
PAPER NAME MARK GRADE GRADE POINT

First Language- I NA A+ 9

First Language- II NA A+ 9

English NA A+ 9

Language NA A+ 9

Social Science NA A+ 9

Physics NA A+ 9

Chemistry NA A+ 9

Biology NA A+ 9

Mathematics NA A+ 9

Information Technology NA A+ 9
* :This allotment slip is not valid for admission.You are informed to check Your Application and Edit Application for correction / option change , if any , before 5pm on 15th June 2023.

TRIAL ALLOTMENT DETAILS

OPTION NO SCHOOL NAME COMBINATION NAME ALLOTTED CATEGORY RANK
1 GOVT MHSS, PERINTHALMANNA, Physics, Chemistry, EzhavaThiyyaBillava 104
MALAPPURAM (11003) Biology,Mathematics (1) (ETB)

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IT Services: NIC Kerala Page 2 / 3 Print Date: 13/06/2023
Print Time: 01:41:33 PM
Second Languages available in this school: , Malayalam, Hindi, Arabic

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IT Services: NIC Kerala Page 3 / 3 Print Date: 13/06/2023
Print Time: 01:41:33 PM