G0VERNMENT OF KERALA

DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O24-2O25)
APPLICATION NO: 2401115619

Name: AISWARYA SREEKUMAR Guardian Name: SREEKUMAR T

Mother's Name: KEERTHI I Father's Name: SREEKUMAR T

Date of Birth: 12-12-2007 Sex: Female

Aadhaar No: 294XXXXXX778 Enrolement No: -

Board Passed: Yes Scheme: CBSE Register Number: 241052339

Month of Pass: 5 Year of Pass: 2024

Category Name: EzhavaThiyyaBillava (ETB) OEC: No

Caste: EZHAVA Religion: Hindu

Resident State: Kerala Resident Local Body: Thiruvananthapuram (C)

Resident District: Thiruvananthapuram Resident Taluk: Thiruvananthapuram

Permanent Address: ASWIN BHAVAN,TC 32 950 ALLSAINTS Communication Address : ASWIN BHAVAN,TC 32 950 ALLSAINTS

VETTUCAUD BEACH PO 695007 VETTUCAUD BEACH PO 695007

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: No Debating Club: No Philatery Club: No

Oratory Club: No Science Club: No 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: - State Maths Fair 0 0 0 0 0

Phone Number: 9846696638 State IT Fair 0 0 0 0 0

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

SSLC School: 12345 Others

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

English 66 B2 6

Language 75 B1 7

Mathematics (Standard) 55 C1 5

Science and Technology 53 C1 5

Social Science 46 C2 4

IT Services : NIC Kerala Page 1 / 2 IP : 152.58.203.143 - Date & Time : 30/05/2024 12:54:51 PM
 CANDIDATE OPTION DETAILS (MAIN)

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 1057 1 4 1066 1 7 1021 5 10 1002 39

2 1002 1 5 1057 5 8 1066 5 11 1021 39

3 1021 1 6 1002 5 9 1057 39 12 1066 39

CLAIMED CERTIFICATE DETAILS

CERTIFICATE NAME CERTIFICATE NO CERTIFICATE DATE ISSUING AUTHORITY

Qualifying Exam 24107611 13-05-2024 CBSE

.......................................................................................................................................................................................................
DECLARATION
I SREEKUMAR T, Parent of Master/Kumari AISWARYA SREEKUMAR 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 : 30-05-2024

IT Services : NIC Kerala Page 2 / 2 IP : 152.58.203.143 - Date & Time : 30/05/2024 12:54:51 PM