2011 OCTOBER 27, 28 – S. H. O. H. S. MOOKKANNUR & G.H.S.S. MOOKKANNUR

ON THE SPOT ENTRY FORM –U P - SECTION

SCHOOL CODE

NAME OF SCHOOL …..……..……………………………………………………………………………………….

SCHOOL PHONE WITH STD CODE STD From

to

SCHOOL E-mail ID SCHOOL TYPE

Govt

Aided

Unaided

NAME OF PRINCIPAL/HM …………………………………………………………………………… PHONE NO

TOTAL NUMBER OF STUDENTS – LP NUMBER OF ESCORTING TEACHERS

UP

HS

HSS

VHSE

TOTAL

Details of Escorting Teachers:

SL No 1 2 3

Name of Teacher

Designation

Phone No

DECLARATION

I hereby certify that the above said information are furnished as per the School records and are according to the Kerala State School Science, Maths, Social Science, Work Experience fair Manual.

Place : Date :

Name & Signature of the Principal/Headmaster (School Seal)

On the Spot UP

Oct 27, 2011 - TOTAL NUMBER OF STUDENTS – LP. UP ... I hereby certify that the above said information are furnished as per the School records and are ...

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