DIRECTORATE OF HIGHER SECONDARY EDUCATION

PLUS ONE ADMISSION-2019(SINGLE WINDOW)

(hsCAP 2019) CANDIDATE FIRST 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. Undertaking in Prescribed Format as in Annexure 11 (Only for CBSE Board Passed before 2018) YES / NA
4. Whether attached Aadhaar YES / NO Aadhaar No
5. Certificates for Bonus Points (if any)
(i) ...................................................................................................... (ii).......................................................................................................
(iii) ..................................................................................................... (iv)......................................................................................................
6. Certificates for Other Benifits (if any)
(i) ...................................................................................................... (ii).......................................................................................................
(iii) ..................................................................................................... (iv)......................................................................................................

T
7. Second Language Opted
Signature of Student : Signature of Parent :

Amount to be Paid in General Revenue Head

Amount to be Paid in PD Account
FEE TO BE PAID AT SCHOOL

E N Rs. 325
Rs. 355

M
Total Fee to be Paid at School Rs. 680
Splitup Details of Fee to be remitted in schools at the time of admission Ref : GO(MS) No :173/2013/GL.Edn dated :20.05.2013

Sl No
1
Item
Admission Fee

0 T
Science(Rs)
50.00
Account Mode
GR

L
2 Library Fee 25.00 GR
3 Calender Fee 25.00 GR
4
5
6
Medical Check up Fee
Audio Visual unit Fee
Sports and Games Fee
A L 25.00
30.00
50.00
GR
PD
PD

T
7 Stationary Fee 25.00 PD
8 Association Fee 25.00 PD
9
10

R
Magazine Fee
S
Youth festival Fee 50.00
25.00
PD
PD
11
12

F I Caution deposit Fee

Laboratory Fee

PTA Membership Fee : Rs.100.00

PTA FUND(GO (MS) No..126/2007/GL.Edn dated 25.06.2007)
150.00
Rs 50.00 each for subjects that need lab facility (GR)

PTA Donation : Rs.400.00

PD

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 / 2 Print Date: 24/05/2019
Print Time: 11:42:08 AM
 (hsCAP 2019 ) CANDIDATE FIRST ALLOTMENT - DETAILS
APPLICATION NO: 92032867 DATA VERIFIED SCHOOL: SNMHSS Chazhoor

Name: KEERTHANA K J Guardian Name: JAYALAL K S

Father Name: JAYALAL K S Mother Name: NAVEENA P S

Date Of Birth: 27-03-2004 Sex: Female

Aadhaar Number: 722087366571 Enrolement Number :

Scheme: SSLC (2018-2019) Register Number: 370289

Month Of Pass 3 Year Of Pass 2019

Board Passed YES Online Applicant YES

Category Name: EzhavaThiyyaBillava (ETB) OEC: No

Caste: EZHAVA Religion: Hindu

Resident State: Kerala Resident Local Body: Chazhoor

Resident District: Thrissur Resident Taluk: Thrissur

Permanent Address: KARIPPARA HOUSE, PAZHUVIL WEST PO, Communication Address : KARIPPARA HOUSE, PAZHUVIL WEST PO,

680564,THRISSUR., , 680564 680564,THRISSUR., , 680564

E-Mail ID: NIL Phone Number: 9961273294 OH: NO

Blind:

IEDC Number:

Linguistic Minority:
NO

NOT APPLICABLE

NO
Deaf

Health Club:

Minority Language:
NO

YES

NA
T
Mental/Brain Diseases:

Student Police Cadet:

N
Jawan Killed In Action:
NO

NO

NO

Jawan Priority:

NTSE Qualified:
NO

NO
NCC or Scout / Guide(Puraskars)

Science Club:
NO

YES
E Scout / Guide Participation :

Social Science Club:

NO

YES

Forestry Club:

Maths Club:

Oratory Club:
NO

YES

NO
Nature Club:

Debating Club:

Lit Con(School Magazines):

T M NO

NO

NO
IT Club:

Philatery Club:

Lit Con (Periodicals):

YES

NO

NO

Red Cross:

SPORTS AND YOUTH FEST

NO

SLP D-I / A D-II / B

Chance Number:

D-III / C DLP

L 0 1

STATE FAIRS
Swim:

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

NO

L
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

Allotment Number:

Allotment Date
FIRST ALLOTMENT

23rd May 2019

A State Maths Fair

State IT Fair
0

0
0

0
0

0
0

0
0

Admission Date

SSLC School: SNMHSS Chazhoor

S T
24th,25th & 27th May 2019 State Work Experience Fair 0 0 0 0

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)
0

IR
Remark: You are instructed to take Permanent Admission in the school before 4.00 PM on 27/05/2019.
CANDIDATE GRADE DETAILS
PAPER NAME

First Language- I

First Language- II

English
F MARK

NA

NA

NA
GRADE

A+

A+

A+
GRADE POINT

Hindi NA A 8

Social Science NA A 8

Physics NA A+ 9

Chemistry NA A+ 9

Biology NA A+ 9

Mathematics NA A 8

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

FIRST ALLOTMENT DETAILS

OPTION NO SCHOOL NAME COMBINATION NAME ALLOTTED CATEGORY RANK
5 GOVT FISHERIES HSS,NATTIKA,THRISSUR Physics, Chemistry, General 180
(8009) Biology,Mathematics (1)
Second Languages available in this school: , Malayalam, Hindi

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IT Services: NIC Kerala Page 2 / 2 Print Date: 24/05/2019
Print Time: 11:42:08 AM