TSMS-4030014251

TELANGANA STATE MODEL SCHOOLS

Admission Test for Class 9th (Academic Year 2022-23)

Personal Details
1 Application Reference Id : 4030014251
2 Surname : MUCHU
3 Candidate Name : MUCHU SUBHASHINI
4 Father Name : RAJA GOPAL
5 Mother Name : SARALA
6 Date of birth : 29/12/2008
7 Gender : Female
8 Address for communication : 1-9-82/3
JULYWADA HANAMKONDA
WARANGAL
Pincode: 506001
9 Name of the Native District Present : HANAMKONDA
10 Name of the Native Mandal Present : HANAMKONDA
11 Name of the Native District Erstwhile : WARANGAL
12 Name of the Native Mandal Erstwhile : HANAMKONDA
13 e-Mail : hemanthjack33@gmail.com
14 Mobile : 8919615303
15 Reservation Category : BC-A
16 SubCaste : VALMIKI BOYA
17 Identification Marks: 1. A MOLE ON THE RIGHT HAND
2. A MOLE ON THE RIGHT SIDE OF NOSE
18 Are you a Physically Handicapped(PH) Person : No
School applying for
19 District : HANAMKONDA
20 Mandal : KAMALAPUR
21 School : KAMALAPUR
Education Details
S. No Class in Year Of Medium of Name of the Name of the Name of the Name of the Name of the Name of the School type
(Govt./Govt
which Study study District Mandal school District Mandal school Aided/Govt
Studied/Stu (Erstwhile) (Erstwhile) studied (Present) (Present) studied Recognized)
dying (Erstwhile) (Present)
1. 7th 2020-2021 ENGLISH WARANGAL HANAMKONDA RAMAN HIGH HANAMKONDA HANAMKONDA RAMAN HIGH Govt Recognized
SCHOOL SCHOOL
2. 8th 2021-2022 ENGLISH WARANGAL HANAMKONDA RAMAN HIGH HANAMKONDA HANAMKONDA RAMAN HIGH Govt Recognized
SCHOOL SCHOOL

Payment Details
Fee Amount Journal Number Payment Date
75 /- WSM20947095083 02/03/2022

I hereby declare that

I read the information bulletin of Admission Test for 9th Class (2022-2023) and found myself fully eligible to
appear for the entrance test as per the criteria mentioned in the Information Bulletin.
The information furnished above is true to the best of my knowledge.I will produce the originals as and when
required by the Department at the time of Admission.I am aware that any wrong information furnished by me
disqualifies me for Admission into Model School automatically.

Parent Signature
Sd/-
MUCHU SUBHASHINI
2022/03/02 07:55:12 PM
TSMS-4030014251

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