DIRECTORATE OF GENERAL EDUCATION (HIGHER SECONDARY WING)

PLUS ONE ADMISSION-2021(SINGLE WIND0W)

(hsCAP 2021) 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. Migration Certificate (Other than Kerala Board)
4. Equivalency Certificate(For Other Schemes)
5. Undertaking in Prescribed Format as in Annexure 11 (Only for CBSE Board Passed before 2018) YES / NA
6. Whether attached Aadhaar YES / NO Aadhaar No
7. Other Certificates Produced for Admission
Certificate Details Certificate No Date of Issue Issuing Authority School Verification Remarks
Swimming A6-2627/21 31-08-2021 DISTRICT SPORTS COUNCIL KOZHIKODE
8. Second Language Opted

T
Signature of Student : Signature of Parent :
FEE TO BE PAID AT THE TIME OF ADMISSION

Caution Deposit. In order to get Fee excemption he/she has to produce Caste/Community Certificate.
Fee Head
N
This candidate belongs to SC as per Application, hence he/she is excempted from remitting Fee except Cost of Application &

E Mode of Payment Amount

M
Amount to be Paid in General Revenue Head (Application Fee,Admission Fee,Library Self Payment/Paid to School Rs. 25
Fee,Calender Fee,Medical Check up Fee,Laboratory Fee,Computer Lab Fee)
Amount to be Paid in PD Account (Audio Visual unit Fee,Sports and Games Fee,Stationary
Fee,Association Fee,Youth festival Fee,Magazine Fee,Caution deposit Fee)

0 T Paid to School Rs. 100

L
PTA FUND(GO (MS) No..126/2007/GL.Edn dated 25.06.2007)

PTA Membership Fee : Rs.100.00 PTA Donation : Rs.400.00

1. Qualifying Examination Register Number :

A L
PTA membership fee and donation are not compulsory for SC/ST students

Month & Year of Pass :

T
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
Checked By

R S Name Designation Signature

Verified By

Allotted Course Code

Admission Number F I ADMISSION DETAILS (SCHOOL USE ONLY)
Allotted Category
Admission Date
Fee Amount Fee Receipt No & Date
TC No & Date of TC Second Language

Name & Signature of HITC : Name & Signature of Principal :

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
IT Services: NIC Kerala Page 1 / 2 Print Date: 22/09/2021
Print Time: 04:03:34 PM
 (hsCAP 2021 ) CANDIDATE FIRST ALLOTMENT DETAILS
APPLICATION NO: 2110108122 Phone Number: 9526129066

Name: JAISAL DIYA C K Guardian Name: KAMALA

Father Name: CHEKKUTTY.CP Mother Name: KAMAL.A

Date Of Birth: 15-06-2005 Sex: Female

Aadhaar Number: 237778338611 Enrolement Number :

Scheme: SSLC (2020-2021) Register Number: 513796

Month Of Pass 3 Year Of Pass 2021

Board Passed YES E-Mail ID: NIL

Category Name: SC OEC: No

Caste: PULAYA Religion: Hindu

Resident State: Kerala Resident Local Body: Unnikulam

Resident District: Kozhikkode Resident Taluk: Thamarassery

Permanent Address: CHALU PARAMBIL,POONOOR,, UNNIKULAM 673574, Communication Address : CHALU PARAMBIL,POONOOR,, UNNIKULAM

KOZHIKODE., , 673574, KOZHIKODE., ,

IEDC : NO OH: NO Blind: NO Deaf NO Mental/Brain Diseases: NO

Little KITES With A Grade:

Linguistic Minority:

Jawan Priority:
No

NO

NO
Health Club:

Minority Language:

NCC or Scout / Guide(Puraskars)

NO

NA

NO
T
Student Police Cadet:

Jawan Killed In Action:

N
Scout / Guide Participation :
NO

NO

NO

NTSE Qualified:

Forestry Club:
NO

NO
Science Club:

Nature Club:
NO

NO
E Social Science Club:

IT Club:
NO

NO

Maths Club:

Oratory Club:

Red Cross:
NO

NO

NO
Debating Club:

Lit Con(School Magazines):

Chance Number:
T M NO

NO

1
Philatery Club:

Lit Con (Periodicals):

Swim:
NO

NO

YES

EWS:

SPORTS AND YOUTH FEST

NO

SLP D-I / A D-II / B D-III / C DLP

L 0Annual Family Income:

STATE FAIRS
-

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

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

Admission Date:

Admission Time:
23-09-2021

11.30 AM TO 11.45 AM
A State Maths Fair

State IT Fair
0

0
0

0
0

0
0

0
0

Admission Desk:

SSLC School:
Admission Desk-1

S T
GOVT HSS,POONUR,KOZHIKKODE
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 Report for Admission in the prescribed Date & Time.
CANDIDATE GRADE DETAILS
PAPER NAME

First Language- I

First Language- II

English
F MARK

NA

NA

NA
GRADE

A+

A+

B+
GRADE POINT

Language NA A+ 9

Social Science NA A+ 9

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 in original by the candidate.

FIRST ALLOTMENT DETAILS

OPTION NO SCHOOL NAME COMBINATION NAME ALLOTTED CATEGORY RANK
1 GOVT HSS,POONUR,KOZHIKKODE (10018) History, Economics, Political General 76
Science, Sociology (11)
Second Languages available in this school: , Malayalam, Hindi, Arabic, Urdu

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
IT Services: NIC Kerala Page 2 / 2 Print Date: 22/09/2021
Print Time: 04:03:34 PM