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    JEEVAN KUMAR M
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    Tony Thomas, a male student born on 18-09-2007 studying in SSLC A at Government High School Dharmagiri, has submitted his student declaration form for the SSLC Examinations in April 2023. He is a Christian from an OC community with no physical disabilities. His medium of instruction is English and he will be appearing for Tamil, English, Maths, Science and Social Science. He has declared that the particulars provided are true and he will not claim any changes in the future, as confirmed by his signature and those of his parent, guardian, class teacher and headmaster.

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    Tony Thomas, a male student born on 18-09-2007 studying in SSLC A at Government High School Dharmagiri, has submitted his student declaration form for the SSLC Examinations in April 2023. He is a Christian from an OC community with no physical disabilities. His medium of instruction is English and he will be appearing for Tamil, English, Maths, Science and Social Science. He has declared that the particulars provided are true and he will not claim any changes in the future, as confirmed by his signature and those of his parent, guardian, class teacher and headmaster.

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    © All Rights Reserved
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    10 views1 page

    Tony

    Uploaded by

    JEEVAN KUMAR M
    Tony Thomas, a male student born on 18-09-2007 studying in SSLC A at Government High School Dharmagiri, has submitted his student declaration form for the SSLC Examinations in April 2023. He is a Christian from an OC community with no physical disabilities. His medium of instruction is English and he will be appearing for Tamil, English, Maths, Science and Social Science. He has declared that the particulars provided are true and he will not claim any changes in the future, as confirmed by his signature and those of his parent, guardian, class teacher and headmaster.

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    © All Rights Reserved
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    Directorate of Government Examinations Chennai 6

    S.S.L.C EXAMINATIONS APRIL 2023


    216GDLR0018 - GOVERNMENT HIGH SCHOOL DHARMAGIRI

    , -.

    Student Declaration Form

    Name in English TONY THOMAS

    Name in TAMIL டோனி தோம‌ஸ்

    Date of Birth 18-09-2007

    Gender MALE

    Class with Section SSLC A EMIS No 1015904659

    Religion Christian Community OC

    Physically Challenged None


    National ID Number
    Mobile 6379450430

    Father's Name(In English) Mother's Name(In MINI


    THOMAS
    English)
    Father's Name(In Tamil) தோமஸ்
    Mother's Name(In மினி
    Tamil)
    Guardian's Name(In Guardian's Name(In -
    -
    English) Tamil)

    Address 9/86 GUDALUR CHALIVAYAL PIN: 643212

    Language
    Medium of Instruction ENGLISH -
    Exemption

    Group Code -

    Part Subject / Language Medium

    PART I Subject : 1 1 - LANGUAGE TAMIL

    PART II Subject : 2 3 - ENGLISH ENGLISH

    PART III Subject : 3 5 - MATHS ENGLISH

    PART III Subject : 4 6 - SCIENCE ENGLISH

    PART III Subject : 5 7 - SOCIAL SCIENCE ENGLISH

    I declare that the particulars given above are true and correct. Further, I secure that I will not Claim any
    changes in future

    Parent's / Guardian's Class teacher's Signature Head master/Principal


    Candidate's Signature
    Signature Signature

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