Intimation Letter (Provisional)
for Admission to Higher Secondary School
24H0232127
Department of School & Mass Education, Government of Odisha
Phase-I Second
Selection
To
SUBHAM MUDULI
BHANJAN MUDULI
AT/PO-KHANATA , PS-BANAPUR, DIST-KHURDA, STATE-ODISHA Banapur,
Khurda, Odisha, Pin Code :-752030
Congratulations !!!
You have been Slided-up to your higher preffered Higher Secondary school and Provisionally selected for admission into Higher
Secondary Classes(Class-XI) as per following Details.
Confirmed Information
HSS Name Stream Choice in CAF HSS Rank Hostel Info
Balugaon Higher Secondary School, Balugaon Arts Option-1 14 No
You are requested to report to the Principal, Balugaon Higher Secondary School, Balugaon
with following documents in ORIGINAL on 07 Aug 2024, 10 AM - 11 AM
Requirements for Admission
1 Required fees and mode of payment for Admission. For details, Please contact the HSS where you have been selected.
Original and Photo copy of 10th Board Certificate/HSC Exam or equivalent OR Original 10th Board Mark Sheet-cum-Provisional
2
Certificate of HSC Examination or equivalent as the case may be.
3 Original School Leaving Certificate (SLC)/ College/ HSS Leaving Certificate (CLC/HSSLC) from the institution last attended.
4 Original Conduct Certificate from the institution last attended.
5 Three (3) recent colour passport size photographs.
6 Applicant copy of Common Application Form (CAF).
Personal Information
Father's Name Mother's Name Date of Birth Gender
BHANJAN MUDULI NALINI MUDULI 28-Dec-2008 Male
Information relating to Qualifying Examination
Name of The Board Roll No. Year of Passing Marks Secured Maximum Marks
BSE, Odisha 019BB0017 2024 272.00 600
Candidates are requested to pay an additional amount of Rs.50/- as the revised Examination Management Hub (EMH) fee, as per
CHSE(O) Notification No.2424, dated 24.06.2024
To get information on careers, Higher Secondary Schools, colleges, professional courses, vocational courses, entrance exams and
scholarship opportunities, please visit https://odishacareerportal.com/.
For any clarification please contact call Toll Free No.: 155335 or 1800-345-6770
Academic Session 2024-25
[Slide-up Case] 24H0232127
Higher Secondary School Leaving-cum-Conduct Certificate
Panchupalli Bhima Balabantaray Higher Secondary School, AnkulachatI
Department of School & Mass Education, Government of Odisha
Name of the Student SUBHAM MUDULI
Father's Name BHANJAN MUDULI
Mother's Name NALINI MUDULI
Address AT/PO-KHANATA , PS-BANAPUR, DIST-KHURDA, STATE-ODISHA
Date of Birth 28-Dec-2008
Roll No. IA24-008
Date of Admission 22-Jul-2024 Date of Leaving 03-Aug-2024
Stream Name Arts Subject Taken NA
Reason for Leaving ADMISSION IN TO ANOTHER HSS
This is to certify that Shri/Smt/Ms. SUBHAM MUDULI is a bonafied student of our HSS.
NB: There is no requirement of signature of Principal of the relieved HSS in the intimation letter (Only in slide up cases).
