ANNEXURE-I

(To be pasted on used OMR box)

CLASSROOM BASED ASSESSMENT-1 AUGUST-2023

BUNDLE SLIP TO BE PASTED ON THE OMRs BOX

DISTRICT: MANDAL:

DISE CODE: SCHOOL CATEGORY: PS

NAME OF THE SCHOOL:

NO OF USED OMRs IN THE BOX

NO OF OMRs USED (IN THE BOX)
CLASS ROLL PRESENT REMARKS

PRE-PRINTED OMR BUFFER OMR TOTAL

II

III

IV

VI

VII

VIII

TOTAL

SIGNATURE OF THE HM (with seal)