SCOLE - Kerala

(State Council for Open and Lifelong Education - Kerala)

Vidyabhavan,Poojappura,Thiruvananthapuram-695012
APPLICATION FOR HIGHER SECONDARY COURSE - PRIVATE REGISTRATION
II YEAR RE-REGISTRATION (2019-2020)

Application Number : 51 Application Code : 1058/11/MAL/PVT/2018

Personal Information
1. Plus One Higher Secondary Register Number
: 6009973
Month / Year
: MARCH/ 2018

2. Date Of Birth (DD/MM/YYYY) : 30/05/2001

Name
3. : ANAKHA.S.A
(As per SSLC/Equivalent Certificate)
4. Gender : Female Photo to be Attested by
Gazetted Officer

5. Religion : HINDU

6. Caste : NAIR

7. Category : General

8. Nationality : Indian

9. Name of Guardian : ANILKUMAR.V

Relationship : Father
10. Permanent Address : ANAKHA BHAVAN,
CHARUVALLIKONAM, VANDA,
KARIPPOOR.P.O,
THIRUVANANTHAPURAM
Pincode : 695541

District : THIRUVANANTHAPURAM
11. Communication Address : ANAKHA BHAVAN,
CHARUVALLIKONAM,
KARIPPOOR ,
P.O. VANDA,
THIRUVANANTHAPURAM
Pincode : 695541

District : THIRUVANANTHAPURAM

12. Mobile No. of guardian : 6238666409

13. Mobile Number : 8547146013

14. Bank Account Number [Student/Guardian] : 11123

IFSC Code : 111000

Bank Name : 111000

Branch : POTHENCODE

District : THIRUVANANTHAPURAM

15. Whether the applicant is differently abled :

 Details of Previous Higher Secondary Plus One Registration
16. Second Language : MALAYALAM

17. Group : HUMANITIES

18. Subject Code : 11

19. Optional Subjects : HISTORY , ECONOMICS , POLITICAL SCIENCE ,
SOCIOLOGY

Grade/Mark Obtained : Part I Part II Optional Subjects

41 83 55 58 52 57
GOVT.VHSS KARAKULAM-1033
20. Name of Exam Centre with District :
THIRUVANANTHAPURAM
21. Board of Higher Secondary Examination : Board of Higher Secondary Examination

Details of II year Re-registration

22. Second Language : MALAYALAM

23. Group : HUMANITIES

24. Subject Code : 11

25. Optional Subjects : HISTORY , ECONOMICS , POLITICAL SCIENCE ,
SOCIOLOGY

Details of fee paid

26. Challan Number : 129

27. Total Amount : 250

Name of Post Office : Poojapura Junction S.O

Invoice Number : SL0132360011561014834

Payment Date : 20-06-2019

Exam Centre Option Details

28. District Taluk School Code Name of School

1 THIRUVANANTHAPURAM Thiruvananthapuram 1058 R.K.D.N.S.S HSS,
SASTHAMANGALAM, TRIVANDRUM
2 THIRUVANANTHAPURAM Thiruvananthapuram 1088 AM HSS,THIRUMALA,TRIVANDRUM

DECLARATION

Certified that the particulars given above are true to the best of my knowledge and belief. I agree to abide by the
decision taken by SCOLE-Kerala authorities during the course of my study.
Place :

Date : Signature of Guardian Signature of Applicant

 FOR OFFICE USE ONLY

1. Fee remitted challan [Orginal]

2. SSLC Certificate [Orginal]
3. SSLC Certificate attested by Gazatted Officer
4. Transfer Certificate [Orginal]
5. Photograph attested by Gazatted Officer
6. Higher Secondary Class XI Mark List [Orginal]
7. Higher Secondary Class XI Mark List attested by
Gazatted Officer
8. Non remittance of II year Examination Fee certificate
from the Principal

Date : Signature of Section Assistant

 Hello ANAKHA.S.A Study Type : Private
Username : 51
password : 85746

GUIDELINES FOR YOU

1. Please keep your username and password with you till the completion of the course
2. You will be informed about the examination centre/study centre through website/SMS.
3. You can download ID card using your own username and password after allotment process.
4. You should verify Name, Address, Second Language, mentioned in ID card,
and to ensure all the above are correct.
5. You must collect signature from coordinating teacher on ID card from your
examination centre/study centre
6. You must participate in personal contact classes .
7. You should pay examination fee and submit the works related with CE in time as per instruction from
the principal / coordinating teacher.You cannot appear for examination without submitting CE works in time.
8. For enquiry contact district centre.
THIRUVANANTHAPURAM district centre phone no. : 0471-2572990

THIRUVANANTHAPURAM district centre phone no. : 0471 - 2572990