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brid- 600 006.

Directorate of Government Examinations Tamil Nadu

VIII Std
National means-cum-merit Scholarship Scheme Examination (2015-2016) STDSTST
___________________________________________________________________
EXAM DATE:
FEES : Rs.50 /- (Rupees Fifty only)
Student Information:
Medium

Tamil

Affix Passport size

Photograph

English

Name : _________________________________
Sex

Male

Female

Date of Birth : _____________ (DD-MM-YYYY)

Caste :

General

SC

ST

OBG

Area of Candidate resides :

Rural

Disability Status of Candidate :

None

OB(Muslim)

MBC

Urban
Orthopedic

Hearing

Blind

Eligibility:

1. SC/ST students should get 50%, and above, all other candidates
should get 55% and above in VII-Std. Annual Exam.
2. Parental Income should be below Rs.1,50,000/Residential Address:
Door No & Street

:____________________________________

City / Town :___________________ Pin Code :_________________

Taluk
:___________________ District : ___________________
______________________________________________________________
Parents Details :
Fathers Name

:___________________ Mothers Name:______________

Education

:___________________ Education

Occupation :_______________________

Occupation

:______________
:_______________

Parents Annual Income : _____________No. of Family Members:________

Up to 50000
50000 to 100000
100001 to 150000

No. of Brothers : ________________

No. of Sisters : ________________
At What no. is the Candidate
among his/her brother and sisters: ________
Phone No. : ______________________

E-mail ID : __________________
Mobile No. : ______________________
-------------------------------------------------------------------------------------------------------Students Signature
Parents Signature
---------------------------------------------------The particulars given by the student in the application form have been verified
with school records and found in order.

Headmaster / Principal Signature

with school seal

muR njf aff - jehL

VIII tF

nja tUth t kW w goj bjhif l nj (2015-2016)

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MBC

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