G0VERNMENT OF KERALA
DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)
APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O24-2O25)
APPLICATION NO: 2405101495
Name: MUHAMMED HISHAM P J Guardian Name: JUNAID P B
Mother's Name: RAZEENA JUNAID Father's Name: JUNAID P B
Date of Birth: 09-02-2008 Sex: Male
Aadhaar No: 878XXXXXX610 Enrolement No: -
Board Passed: Yes Scheme: SSLC (2023-2024) Register Number: 487339
Month of Pass: 3 Year of Pass: 2024
Category Name: Muslim OEC: No
Caste: MUSLIM Religion: Islam
Resident State: Kerala Resident Local Body: others
Resident District: Others Resident Taluk: others
Permanent Address: PARAKUDATH HOUSE MIDAYIKKUNNAM P O Communication Address : PARAKUDATH HOUSE MIDAYIKKUNNAM P O
686605 THALAYOLAPARAMBU,KOTTAYAM. 686605 THALAYOLAPARAMBU,KOTTAYAM.
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: 9446123053 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
First Language- I NA B+ 7
First Language- II NA A+ 9
English NA B+ 7
Hindi NA B 6
Social Science NA B+ 7
Physics NA C+ 5
Chemistry NA A 8
Biology NA A 8
Mathematics NA B+ 7
Information Technology NA A 8
IT Services : NIC Kerala Page 1 / 2 IP : 152.58.200.21 - Date & Time : 29/05/2024 10:02:13 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 5131 39 3 5141 39 5 5014 10 7 5013 10
2 5131 1 4 5141 1 6 5014 1 8 5013 1
.......................................................................................................................................................................................................
DECLARATION
I JUNAID P B, Parent of Master/Kumari MUHAMMED HISHAM P J 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 : 29-05-2024
IT Services : NIC Kerala Page 2 / 2 IP : 152.58.200.21 - Date & Time : 29/05/2024 10:02:13 PM
