Share PDF

Search documents:
  Report this document  
    Download as PDF   
      Share on Facebook

DEPARTMENT OF GOVERNMENT EXAMINATION,CHENNAI - 600 006.

Application for the Secondary School Leaving Certificate ( X Standard )

Examinations June 2013

CONFIRMATION COPY

Signature of the Candidate:

 

Signature of the Head of the School / Gazetted Officer

 

 

 

with Seal

To be Signed before the attesting Officer).

(To be Signed by the Head Master / Gazetted Officer attesting the Photo and Signature of the Candidate)

Application No

1051094742

 

 

Place of Examination

CHIDAMBARAM

 

 

Name of the Candidate

PRABU.K

 

 

Mother / Father /

KASINATHAN

Guardian Name

 

 

 

Sex

M

 

 

Classification

Scheduled Caste (SC)

 

 

Date of Birth

10/04/1998

 

 

Differently Abled

No

Candidate

 

Candidate's

170 MURUGAN KOIL STREET

Address

 

 

 

 

MARUTHUR (PO)

 

 

 

CHIDAMBARAM (TK)

 

 

Pin Code

608601

 

 

Telephone

 

 

 

Mobile

9976284284

 

 

Email ID

kkrbrowsing@gmail.com

 

 

 

Subjects Now Appearing :

 

 

 

Candidate's Last Appearance:

 

 

 

 

 

 

 

 

 

 

Part I -

 

 

 

 

 

 

 

 

 

 

 

 

Register No

Year /

 

 

Language

 

 

 

 

 

 

 

 

 

 

 

Session

 

 

 

 

 

 

 

 

 

 

Part II

English

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1949975

March / 2013

 

 

Part III

Name of Subject

Medium

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Number of Subjects Appearing :

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DECLARATION

I declare that the particulars given above are true,correct and complete. I further declare that I am liable for any action to be taken against me if at any point of time the particulars given above are proved false.

Place:

 

Date:

Signature of the Candidate: