G0VERNMENT OF KERALA

DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O24-2O25)
APPLICATION NO: 2411109339

Name: MUHAMMED ASHMIL. N.K Guardian Name: NK.YOOSUF

Mother's Name: KADEEJA. P.N Father's Name: NK.YOOSUF

Date of Birth: 08-10-2007 Sex: Male

Aadhaar No: 929XXXXXX954 Enrolement No: -

Board Passed: Yes Scheme: SSLC (2023-2024) Register Number: 317636

Month of Pass: 3 Year of Pass: 2024

Category Name: Muslim OEC: No

Caste: MAPPILA Religion: Islam

Resident State: Kerala Resident Local Body: Manchery(M)

Resident District: Malappuram Resident Taluk: Eranad

Permanent Address: NADUVILEKALATHIL HOUSE Communication Address : NADUVILEKALATHIL HOUSE

RAMANKULAM,KARUVAMBRAM WEST PO RAMANKULAM,KARUVAMBRAM WEST PO

676123,MALAPPURAM. 676123 676123,MALAPPURAM. 676123

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: Yes Debating Club: No Philatery Club: No

Oratory Club: No Science Club: Yes Social Science Club: No

Grace Mark Awarded: No 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: afeefrkm03@gmail.com State Maths Fair 0 0 0 0 0

Phone Number: 9633021429 State IT Fair 0 0 0 0 0

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

SSLC School: 11050 HMY HSS,MANJERY,MALAPPURAM

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 C+ 5

Hindi NA B 6

Social Science NA C+ 5

Physics NA C 4

Chemistry NA C+ 5

Biology NA B+ 7

Mathematics NA A 8

Information Technology NA A+ 9

IT Services : NIC Kerala Page 1 / 2 IP : 49.47.193.141 - Date & Time : 02/07/2024 01:41:11 PM
 CANDIDATE OPTION DETAILS (SUPPLEMENTARY)

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 11140 11 20 11025 39 39 11123 39 58 11156 39

2 11140 38 21 11051 37 40 11128 38 59 11157 20

3 11141 11 22 11051 39 41 11128 1 60 11157 39

4 11141 38 23 11057 30 42 11128 5 61 11158 11

5 11002 10 24 11057 39 43 11131 11 62 11158 39

6 11002 38 25 11059 39 44 11131 38 63 11159 11

7 11008 11 26 11066 11 45 11131 39 64 11159 38

8 11008 38 27 11066 39 46 11132 12 65 11213 11

9 11009 11 28 11070 11 47 11132 36 66 11213 39

10 11009 38 29 11070 39 48 11133 25 67 11231 11

11 11015 10 30 11071 11 49 11133 39 68 11231 39

12 11015 39 31 11071 39 50 11139 38 69 11239 38

13 11015 36 32 11073 36 51 11149 38 70 11239 1

14 11016 11 33 11073 39 52 11149 1 71 11241 39

15 11016 39 34 11121 10 53 11153 11 72 11241 1

16 11024 11 35 11121 39 54 11153 38 73 11245 1

17 11024 36 36 11122 16 55 11155 11 74 11248 11

18 11025 10 37 11122 39 56 11155 38

19 11025 38 38 11123 11 57 11156 10

CLAIMED CERTIFICATE DETAILS

CERTIFICATE NAME CERTIFICATE NO CERTIFICATE DATE ISSUING AUTHORITY

Science Club 49/25389 18-05-2024 HMYHSS MANJERI

Maths Club 49/25389 18-05-2024 HMYHSS MANJERI

.......................................................................................................................................................................................................
DECLARATION
I NK.YOOSUF, Parent of Master/Kumari MUHAMMED ASHMIL. N.K 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 : 02-07-2024

IT Services : NIC Kerala Page 2 / 2 IP : 49.47.193.141 - Date & Time : 02/07/2024 01:41:11 PM