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AP Model Schools Application 2020

This document contains an application for admission to an AP Model School for intermediate first year studies in 2020-2021. It includes personal details of the applicant such as name, date of birth, address, community, parent occupation and education details including SSC board, school and medium of study. The applicant is applying to the model school in Chinna Mandem mandal and has selected CEC, MEC, MPC and BPC as his course preferences.

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112 views1 page

AP Model Schools Application 2020

This document contains an application for admission to an AP Model School for intermediate first year studies in 2020-2021. It includes personal details of the applicant such as name, date of birth, address, community, parent occupation and education details including SSC board, school and medium of study. The applicant is applying to the model school in Chinna Mandem mandal and has selected CEC, MEC, MPC and BPC as his course preferences.

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వన మాలి
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© © All Rights Reserved
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3025395

GOVERNMENT OF ANDHRA PRADESH


APPLICATION FOR AP MODEL SCHOOLS (INTERMEDIATE 1ST YEAR)-2020

Personal Details
1 Reference Id : 3025395
2 Surname : AGRAHARAM
3 Candidate Name : GOUTHAM RAJVIKRAM
4 Father Name : AGRAHARAM RAMACHANDRA
5 Mother Name : AGRAHARAM MAHALAKSHMI
6 Date of birth : 23/5/2005
7 Gender : Male
8 Address : 10/5,TOTTI KADA MADIGA PALLI,GALIVEEDU,YSR KADAPA
Mandal : Galiveedu,Native District : KADAPA, Pincode: 516267
9 e-Mail : gouthamrajvikramagraharam@gmail.com
10 Mobile : 9392697510
11 Community you Belong : SC
12 SubCaste Madiga
13 Native District : KADAPA
14 Whether the Annual Income of Parent is below Rs.1,00,000? : Yes
15 Occupation Of The Parent : AGRICULTURE
16 Aadhar Card No 340555XXXXXX
17 Are you a Physically Handicapped(PH) Person : No
Education Details
18 Board : BOARD OF SECONDARY EDUCATION,A.P
19 Month & Year of pass of SSC : 2020,March
20 SSC Hallticket Number : 2022137996
21 SSC Studied District : KADAPA
22 SSC Studied Mandal : Galiveedu
23 SSC Studied School : Z P HIGH SCHOOL BOYS GALIVEEDU
24 Whether The Scholl Is Recognized Or Not : Is Recognized
25 Type Of Study : Regular
26 Medium of Study in Class X : ENGLISH

27.Model School applying for


District Mandal Model School
KADAPA CHINNAMANDEM CHINNAMANDEM
28.Payment Details
Fee Amount Journal Number Payment Date
100 /- SHMP9149433531 25/08/2020
29.Course Preference Details
Course Preference 1 Course Preference 2 Course Preference 3 Course Preference 4
CEC MEC MPC BPC
I hereby declare that
I read the information bulletin of APMS and found myself fully eligible to the criteria mentioned in the bulletin.
I am appeared for Class X(2020) Public examinations as a fresh candidate and the particulars furnished above are true to the best
of my knowledge and belief.

Sd/-
GOUTHAM RAJVIKRAM

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