DIRECTORATE OF HIGHER SECONDARY EDUCATION

PLUS ONE ADMISSION-2019(SINGLE WINDOW)

Trial Allotment Slip (Not to be Produced at Schools for Admission)
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. Undertaking in Prescribed Format as in Annexure 11 (Only for CBSE Board Passed before 2018) YES / NA
4. Whether attached Aadhaar YES / NO Aadhaar No
5. Certificates for Bonus Points (if any)
(i) ...................................................................................................... (ii).......................................................................................................
(iii) ..................................................................................................... (iv)......................................................................................................
6. Certificates for Other Benifits (if any)
(i) ...................................................................................................... (ii).......................................................................................................
(iii) ..................................................................................................... (iv)......................................................................................................

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7. Second Language Opted
Signature of Student : Signature of Parent :

Amount to be Paid in General Revenue Head

Amount to be Paid in PD Account
FEE TO BE PAID AT SCHOOL

E NRs. 275
Rs. 355

M
Total Fee to be Paid at School Rs. 630
Splitup Details of Fee to be remitted in schools at the time of admission Ref : GO(MS) No :173/2013/GL.Edn dated :20.05.2013

Sl No
1
Item
Admission Fee

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Science(Rs)
50.00
Account Mode
GR

L
2 Library Fee 25.00 GR
3 Calender Fee 25.00 GR
4
5
6
Medical Check up Fee
Audio Visual unit Fee
Sports and Games Fee
A L 25.00
30.00
50.00
GR
PD
PD

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7 Stationary Fee 25.00 PD
8 Association Fee 25.00 PD
9
10
IMagazine Fee
A
Youth festival Fee 50.00
25.00
PD
PD
11
12

T R
Caution deposit Fee
Laboratory Fee

PTA Membership Fee : Rs.100.00

PTA FUND(GO (MS) No..126/2007/GL.Edn dated 25.06.2007)
150.00
Rs 50.00 each for subjects that need lab facility (GR)

PTA Donation : Rs.400.00

PD

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

1. Qualifying Examination Register Number : Month & Year of Pass :

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 Name Designation Signature
Checked By
Verified By

ADMISSION DETAILS (SCHOOL USE ONLY)

Allotted Course Code Allotted Category
Admission Number Admission Date
Fee Amount Fee Receipt No & Date
TC No & Date of TC Second Language

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

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 (hsCAP 2019 ) CANDIDATE TRIAL ALLOTMENT - DETAILS
Trial Allotment Slip (Not to be Produced at Schools for Admission)
APPLICATION NO: 90009553 DATA VERIFIED SCHOOL: RAHMANIA HSS FOR HANDICAPPED, MEDICAL

COLLEGE, CALICUT

Name: ADNAN AMBALAVAN Guardian Name: BASHEER AMBALAVAN

Father Name: BASHEER AMBALAVAN Mother Name: SHABNAM KAVUM PURATH

Date Of Birth: 27-09-2003 Sex: Male

Aadhaar Number: 663657230275 Enrolement Number :

Scheme: SSLC (2018-2019) Register Number: 547236

Month Of Pass 3 Year Of Pass 2019

Board Passed YES Online Applicant YES

Category Name: Muslim OEC: No

Caste: MAPPILA Religion: Islam

Resident State: Kerala Resident Local Body: Kozhikkode(C)

Resident District: Kozhikkode Resident Taluk: Kozhikkode

Permanent Address: FLAT NO 307 B HI LITE METRO MAX APARTMENTS, Communication Address : FLAT NO 307 B HI LITE METRO MAX

E-Mail ID:
THONDAYAD BYE PASS, NELLIKODE PO, 673016,

KOZHIKODE, , 673016

shabnamkpa@gmail.com Phone Number: 7025695427 OH:

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APARTMENTS, THONDAYAD BYE PASS,

NELLIKODE PO, 673016, KOZHIKODE, , 673016

NO

Blind:

IEDC Number:
NO

NOT APPLICABLE
Deaf

Health Club:
NO

NO
E Mental/Brain Diseases:

Student Police Cadet:

NO

NO

Linguistic Minority:

Jawan Priority:
NO

NO
Minority Language:

NCC or Scout / Guide(Puraskars)

T M NA

NO
Jawan Killed In Action:

Scout / Guide Participation :

NO

NO

0
NTSE Qualified: NO Science Club: NO Social Science Club: NO

Forestry Club: NO Nature Club: NO IT Club: NO

Maths Club:

Oratory Club:

Red Cross:
NO

NO

NO
Debating Club:

L L
Lit Con(School Magazines):

Chance Number:
NO

NO

1
Philatery Club:

Lit Con (Periodicals):

Swim:
NO

NO

YES

SPORTS AND YOUTH FEST

Sports Fest
SLP

0
D-I / A

0
D-II / B

0
A
D-III / C

0
DLP

0
STATE FAIRS

State Science Fair

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

0 0 0 0 0

Youth Fest 0 0

A L 0 0 0 State Social Science Fair

State Maths Fair

0

0
0

0
0

0
0

0
0

SSLC School: Others

R I State IT Fair

State Work Experience Fair

0

0
0

0
0

0
0

0
0

Remark:

PAPER NAME
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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)

It is required to verify all your data, WGPA Calculation, Tie breaking values, Allotment details and Last Rank
CANDIDATE GRADE DETAILS
MARK GRADE GRADE POINT

First Language- I NA A+ 9

First Language- II NA A+ 9

English NA A+ 9

Hindi NA A 8

Social Science NA A+ 9

Physics NA A+ 9

Chemistry NA A+ 9

Biology NA A+ 9

Mathematics NA A+ 9

Information Technology NA A+ 9
* :This allotment slip is not valid for admission.You are informed to check Your Application and submit request for correction / option change , if any , before 4pm on 21st May 2019.

TRIAL ALLOTMENT DETAILS

OPTION NO SCHOOL NAME COMBINATION NAME ALLOTTED CATEGORY RANK
1 RAHMANIA HSS FOR HANDICAPPED, Physics, Chemistry, Mathematics, General 56
MEDICAL COLLEGE, CALICUT (10037) Computer Science (5)

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Second Languages available in this school: , Malayalam, Hindi, Arabic

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L 0
A L
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