SAMAGRA SHIKSHA, KERALA

Name of School:

Standard:

Edl Dist. & Sub District:

Sl No	Ad No	Name of Student & UID No.	Date of Birth	Religion	SC/ST/OBC	Year of Study	% Attendance	Term	1st Language		Malayalam/ Kannada/ Tamil		Arabic/ Sanskrit		English		Hindi		Science		Social Science		Maths		Work Edn		Art Edn		Health & Physical Edn		Skills	Promoted/Not
Sl No	Ad No	Name of Student & UID No.	Date of Birth	Religion	SC/ST/OBC	Year of Study	% Attendance	Term	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	CE	TE	Skills	Promoted/Not

Total No. of Students:

Number of Students Promoted:

% of Promotion:

Sign of HM & School Seal

Name & Sign of Class Teacher