FORMAT
Name of the Student
:
(in full capital letters)
Father's / Guardian's Name
:
Village
:
Dist
:
State
:
Permanent Address for Correspondence
:
Date of Birth
:
Whether to Continue further Studies
:
Roll No. of further class College/School and Address. for correspondence
:
Total Marks Secured
:
1. Telugu
2. English
3. Mathematics
4.Sciece
5.Social Studies
6.
Place :
Date :
Signature of Student
Signature of Father / Guardian
Attested
Head Master / & Secretary
Principal