Website: CBSE Affiliation No:140006

Tele: 08742-273025:TæüYxÉ/Fax:273059 E-mail:

Y¶¢¶¬±³ ¶m¢Ðlµ±ÀµÀ £l¸ïv±ÀµÀ, q¸vɱµÀ, P¶¢Àî0 Zv¹ô(hÇ.±¸)

eÉuÉÉWûUlÉuÉÉåSrÉÌuɱÉsÉrÉ, mÉÉsÉåÂ, ÎÄeÉsÉÉZÉqqÉqÉ (iÉå.LxÉ)

JAWAHAR NAVODAYA VIDYALAYA::PALAIR ::KHAMMAM DT 507157(T.S)

(An Autonomous Organization Under Ministry of H.R.D (Dept. of School Edn. & Literacy, Govt. of India)

F.No.2-2/JNVP/2017-18/ Dt: 23.06.2017

To

______

______

______

Dear Parent,

Sub: JawaharNavodayaVidyalaya Selection Test-2017 provisional selection

for Admission into class VI during the year 2017-18 - Intimation – Reg.

*****

We are happy to inform you that on the basis of the Admission Test conducted by Central Board of Secondary Education, New Delhi on 08.01.2017 for admission into class VI in JawaharNavodayaVidyalaya, Palair, Kusumanchi Mandal, Khammam District, your son/daughter ______bearing Roll No.______has been qualified for admission into class VI in this Vidyalya. He/She is entitled to take admission only after fulfilling of all the prescribed conditions relating to the admission. You are requested to produce the necessary documents pertaining to your child for further processing at this end.

Please find enclosed herewith is the prescribed Bio-Data form. You are requested to have the form duly filled in by the Headmaster/Principal and obtain the signature of the Headmaster/Principal of the school and also obtain counter signature of the concerned Mandal Educational Officer after due verification of the same.

The following documents are to be submitted for verification in original.

01.Study and Date of Birth certificate

02.Copy of School recognition Certificates where the student has completed his study from 3rd to 5th class. (Xerox Copy).

03.Certificate of caste (in case of Schedule Caste, Schedule Tribe and Other Backward classes only) issued by an Officer not below rank of the Tahsildar/M.R.O

04.Photocopy of Aadhar card of your son along with original for verification.

You are advised “Not to obtain the Transfer Certificate from the school”till the admission formalities are completed. Transfer Certificate has to be submitted at the time of admission after fulfilling all the above formalities. You are requested to come to the Vidyalaya in person along with your child on ______at 10.00A.M for verification of the above documents.

This letter will not confirm any right on you to stake claim for your child’s admission

(Dr.PatiSurender)

PRINCIPAL

Encl: As above.

TO BE FILLED IN BY THE PARENT OF THE CANDIDATE WITH THE HELP OF THE HEAD MASTER / PRINCIPAL OF THE SHOOL FROM WHICH THE CANDIDATE APPEARED JNV SELECTION TEST-2017

01.Name of the Candidate: ______

02.Name of the Father: ______

03.Name of the Mother: ______

04.Name of the Guardian & Relation-

Ship with him/her: ______

05.Caste: GENERAL / OBC / SC / ST

06.Category: RURAL / URBAN

07.Sex: BOY / GIRL / TRANSGENDER

08.Date of Birth: ______

09.Whether handicapped or not. If yes

Percentage and attach photo copy of

Handicapped certificate attested by

The Gazetted Officer.: ______

Certified that the above information given is true to the best of my knowledge and belief. In case any part of the information furnished by me is found incorrect the admission of my child/ward may be cancelled. I am ready to produce relevant certificates issued by the competent authorities as and when asked for.

Signature of the Parent / Guardian

(THE ABOVE ENTRIES ARE VERIFIED, CERTIFIED AND FOUND CORRECT )

Date: Signature of the Principal/Headmaster:

Name:______

Office seal:

Date: Signaure of the Mandal Educational Officer

Name of the M.E.O:______

Office seal

STUDY PARTICULARS OF KUMARI/KUM______

S.No. / Study
Particulars
Of classes / Admission No.&
Year date of
Admission / Month & Year
Of passing / Name of the School / Whether
Recognized
/unrecognized
private etc., / If recognized particulars
Such as no & date
01 / III class
02 / IV Class
03 / V Class

Certificate by the Headmaster of the School:

Certified that the information given above is true and as per the school records. It is also certified that Master/Kumari______was admitted in this School in class______admission No.______on______(date) and passed class V on______

Signature of the Headmaster/Principal:

(With Office Seal)

Name:______

Date:

Certificate / Counter signature of the Mandal Educational Officer:

Certified that the above entries have been personally verified by me with reference to the school records such as Admission register and attendance register and found to be correct.

Signature of the Mandal Educational Officer. (With Office Seal)

Name:______

Date: