O/o Commissioner for Public Instruction,

Nrupathunga Road, Bangalore - 560 001

&

Right to Education Cell

O/o State Project Director,
Sarva Shiksha Abhiyan (SSA), Annexue building,
New Public Offices, Nrupathunga Road, Bangalore - 560 001

KARNATAKA RIGHT TO EDUCATION - 2016

( APPLICANT COPY )
Application No: 054203
Name of the Child :

Mobile No :

Submission Date : 2/26/2016 6:53:57 PM

9964849236

SYED RAQEEBULLA

Date of Birth :

20/04/2010

Father Name :

SYED HASEEBULLA

Gender :

Birth place details : BENGALURU

Birth Taluk :

Boy
SOUTH3

Birth District : Bangalore South

Mother Name : FASEEHA BANU

Parents / Guardian Residential Address

Educational District : Bangalore South
Educational Block :

SOUTH3

Proof of Address

: ElectionID

Residing Habitation / Ward Name : HOMBEGOWDANAGARA 145

Residing Area : LAKKASANDRA 145
Father's Aadhar No / EPIC No. : 657536633474
YUZ391843

Mother's Aadhar No / EPIC No. :

House No/ Bldg /Apt. : 72/1

Pin Code : 560030

Stree/ Road/Lane :

Application Uploaded by :

Annual Income :

48000

Vaccination

Yes

Class to be Admitted :

Number of Dependents :
Mother Tongue :

Class 1

Nationality :

Urdu

Preferred Medium :

Caste :
English

Others
Indian

Religion :

Muslims

MUSLIMS

Reservation Claims under :

Preferred Schools :
Preference - Dise code

Neighbourhood Habitation / Ward Name :

Category-2B

Details of Documents Uploaded or Reference ID

School Name

SlNo

Document Name

Reference No / ID

01-29200906734

L. R. CAMBRIDGE SCHOOL WILSON GARDEN

Caste Certificate / Category certificate

RD0039268159140

03-29200906736

LITTLE ANGEL'S SCHOOL

Income Certificate

RD0039268159140

02-29200906744

OUTREACH SCHOOL WILSON GARDEN

Birth Certificate

929212

Address Proof

YUZ3918943

Certification for Reservation claimed

Student Photo -Uploaded

Yes

Note : Orginal documents of the Reference ID given while application submission should be produced at the time of documents verification
Declaration : I hereby declare that the information given by me OR my Parents/Guardian along with documents reference no/id are true and correct to the best of my knowledge.

( SYED RAQEEBULLA )

Softwaredevelopment centre, e-Governance Cell, CPI's office, Bangalore

2/26/2016 - 7:30:04 PM

O/o Commissioner for Public Instruction,

Nrupathunga Road, Bangalore - 560 001
&

KARNATAKA RIGHT TO EDUCATION - 2016

( APPLICANT COPY )

Softwaredevelopment centre, e-Governance Cell, CPI's office, Bangalore

2/26/2016 - 7:30:04 PM

Right to Education Cell

O/o State Project Director,
Sarva Shiksha Abhiyan (SSA), Annexue building,
New Public Offices, Nrupathunga Road, Bangalore - 560 001

O/o Commissioner for Public Instruction,

Nrupathunga Road, Bangalore - 560 001
&

KARNATAKA RIGHT TO EDUCATION - 2016

( APPLICANT COPY )

Softwaredevelopment centre, e-Governance Cell, CPI's office, Bangalore

2/26/2016 - 7:30:04 PM

Right to Education Cell

O/o State Project Director,
Sarva Shiksha Abhiyan (SSA), Annexue building,
New Public Offices, Nrupathunga Road, Bangalore - 560 001