G0VERNMENT OF KERALA

DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

APPLICATION FOR ADMISSION TO THE HIGHER SECONDARY COURSE (2O25-2O26)
APPLICATION NO: 2513111960

Name: RASHA FATHIMA PK Guardian Name: NAVAS K

Mother's Name: JASEENA P K Father's Name: NAVAS K

Date of Birth: 09-01-2009 Sex: Female

Aadhaar No: 962XXXXXX923 Enrolement No: -

Board Passed: Yes Scheme: SSLC (2024-2025) Register Number: 686802

Month of Pass: 3 Year of Pass: 2025

Category Name: Muslim OEC: No

Caste: MAPPILA Religion: Islam

Native State: Kerala Native Local Body: Eranjoli

Native District: Kannur Native Taluk: Thalassery

Permanent Address: CHAKKULAYIL, VADAKKUMPAD VADAKKUMPAD Communication Address : CHAKKULAYIL, VADAKKUMPAD VADAKKUMPAD

PO, 670105, KANNUR KANNUR KERALA 670105 PO, 670105, KANNUR KANNUR KERALA 670105

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: Yes

Maths Club: No Debating Club: No Philatery Club: No

Oratory Club: No Science Club: No Social Science Club: No

Grace Mark Awarded: Yes 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 1 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: 9656477215 State IT Fair 0 0 0 0 0

Chance Number: 1 State Work Experience Fair 0 0 0 0 0

SSLC School: 13039 GOVT HSS, VADAKKUMPAD, KANNUR

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 A+ 9

First Language- II NA A+ 9

English NA B 6

Hindi NA B 6

Social Science NA C+ 5

Physics NA C+ 5

Chemistry NA C 4

Biology NA C+ 5

Mathematics NA D+ 3

Information Technology NA A+ 9

IT Services : ICT CELL, DGE Kerala Page 1 / 2 IP : 106.76.182.60 - Date & Time : 27/05/2025 08:51:14 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 13003 5 4 13054 5 7 13127 1 10 13103 1

2 13097 5 5 13064 5 8 13030 1

3 13067 5 6 13149 1 9 13070 1

CLAIMED CERTIFICATE DETAILS

CERTIFICATE NAME CERTIFICATE NO CERTIFICATE DATE ISSUING AUTHORITY

Youth Festival State Level C/2025/689/6991 07-01-2025 Director of general education

IT Club 6880/14017/2025 21-02-2025 Chief executive officer

.......................................................................................................................................................................................................
DECLARATION
I NAVAS K, Parent of Master/Kumari RASHA FATHIMA PK 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 : 27-05-2025

IT Services : ICT CELL, DGE Kerala Page 2 / 2 IP : 106.76.182.60 - Date & Time : 27/05/2025 08:51:14 PM