C.FIvkv.\w. Fv(1)50494/2011/kn.Pn.

]comIojWdpsS Imcymebw,
]com`h, ]qPpc,
Xncph\]pcw 12
XobXn : 12/10/2011.

hnm]\w
hnjbw : 201112 hjs LSS, USS ]cobpw {]Xn`m[\cmb hnZymnIsf
IspXn\p kv{Io\nwKv sSpw \SpXp kw_nv
kqN\

G.O. (RT.) No. 105/2011 s]m.hn.h. XobXn 06/01/2011.

ta kqN\bnse km Dchv A\pkcnv 20112012 hjs LSS, USS

]coI, {]Xn`m[\cmb hnZymnIsf IspXn\p kv{Io\nwKv sSv Fnh
2012 s^{_phcn amkn Xmsgdbpw {]Imcw \SpXmWv.
]cobpsS t]cv

F.Fkv.Fkv ]co
USS ]co
kv{Io\nwKv sSv

I.

XobXn

2012 s^{_phcn 18

kabw

cmhnse 10 apX
sshIptcw 4 aWn hsc

-do-

-do-

2012 s^{_phcn 25

cmhnse 10 apX
11.30 hsc

]cobvv tNcpXn\p tbmKyX

i)

F.Fkv.Fkv. ]co :- tIcfnse s]mXp hnZymebfn (Khsav,

FbnUUv, AwKoImcap AFbvUUv) Cu Ayb\ hjw 4-mw
mtUUn ]Tnphcpw Hmw tSw ]cobn Fm hnjbpw
IpdXv
_n
t{KsUnepw
t\Snbnphcpamb
hnZymnIv
FgpXmhpXmWv.

ii) bp.Fkv.Fkv ]co : tIcfnse s]mXp hnZymebfn (Khsav,

FbnUUv, AwKoImcap AFbvUUv) Cu hjw Ggmw mtUUn
]Tnphcpw Hmw tSw ]cobn Fm hnjbpw _n t{KsUnepw
t\Snbnphcpamb hnZymnIv FgpXmhpXmWv.
iii) kv{Io\nwKv sSv : bp.Fkv.Fkv ]co FgpXpXn\p tbmKyX kv{Io\nwKv
sSn\pw
_m[IamWv.
bp.Fkv.Fkv
]co
FgpXp
IpnIv
Bhiysan kv{Io\nwKv sSv FgpXmhpXmWv. CXn\mbn {]tXyIw
At] kantXn. kv{Io\nwKv sSv FgpXppshn Amcyw
bp.Fkv.Fkv
]cobvp
enkvn
{]tXyIw
tImfn
tcJsSptXmWv. kv{Io\nwKv sSv e`np kvtImdpw bp.Fkv.Fkv
]cobvp e`np kvtImdpw Hcpanp tNv IWmnbmWv
{]Xn`m[\cmb IpnIsf sXcsSppXv.

tad aqv ]coIpw IpnI ^okv \tIXn.

]co FgpXm AlXbp IpnIfpsS t]cp hnhc \nnX amXrIbn
(t^mw 1/ t^mw 2) CwKvfojn FgpXnb env/{]nv Huv, Cu hnhc FIvk
t^mamnemnb kn.Un. Fnh 06/12/2011 \v apmbn _s D]Pnm
hnZym`ymk Hm^okv \tIXmWv.

II. ]com{]h\fpsS kz`mhw

1 apX 4 hscbp mkpIfnse kne_kns ASnm\n F.Fkv.Fkv
]cobpw. 5 apX 7 hscbp mkpIfnse kne_kv ASnm\amn bp.Fkv.Fkv
]cobpw \SpXmWv.
aqp hn`mKfmWv F.Fkv.Fkv, bp.Fkv.Fkv
]coIpXv.
(i) F.Fkv.Fkv ]co
hn`mKw F : {]h\m[njvTnX hnebncp
`mj, KWnXw, ]cnkc ]T\w Fo hnjb DsmpXpw DZv{KY\
km[yXI {]tbmP\sSppXpamb {]h\m[njvTnXamb tNmZy Cu
hn`mKn Dmbncnpw. tNmZy kzbw hmbnv sNmhp kzX{
{]h\tfm ]ckv]c _nXambhtbm Bbncnpw.
2 aWnq kabamWv
\InbncnpXv.
Bhiyamb kma{KnI tNmZyt]dns\mw \IpXmWv.
{]h\v Xkab hnebncpepw tI{oIrX hnebncpepw Dmhpw.
{]tXyI DcSemknemWv Dcw FgptXXv.
hn`mKw _n : hkvXp\njvT/ann tNmbvkv tNmZy (MCQ) D]tbmKnp
hnebncp
\Inbnp sSv _pv sen Xs DcsagptX Hcp aWnq kab
ssZLyap Fgpp ]cobmbncnpw Cu hn`mKn \SsSpXv. Db
Nnm{]{Inb Bhiyambn hcpXpw `mj, KWnXw, ]cnkc ]T\w Fo hnjbfnse
]qmnX m\s ]cnKWnpXpamb hkvXp\njvT/ann tNmbvkv
tNmZy (MCQ) Cu hn`mKn Dmbncnpw.
hn`mKw kn : t]mSvt^mfntbm hnebncp
`mj, KWnXw, ]cnkc]T\w, IemImbnI {]hn ]cnNbw Fo hn`mKfnse
]Tt\mXvfn \nv IpnI sXcsSpp anI ]Tt\m]
Dsmp t]mvt^mfntbmbpsS hnebncpemWv Cu hn`mKn \SpXv.
DSw, {]h\ anIhv, X\na, \nehmcw XpSnbh ]cnKWnp kqNIfpsS
ASnm\nemWv t]mv t^mfntbmbpsS hnebncp \SpI. F.Fkv.Fkv
]cobpsS
t]mvt^mfntbm
4-mw
mknse
{]h\
ap\nn
XmdmnbXmbncnWw. CXns `mKambn A`napJhpw DmbncnpXmWv. {]tXyI
_pIvenemWv CXns aqey\nbw tcJsSptXv.

(ii) bp.Fkv.Fkv ]co

hn`mKw F : {]h\m[njvTnX hnebncp
]mTyhnjbfpambn
_s
{]h\m[njvTnXamb
tNmZy
Dmbncnpw. Hmw `mj (aebmfw, Ad_n, DdpZp, kwkvIrXw, Xangv, IS), CwKvfojv,
kmaqlyimkv{Xw, P\d kbkv, KWnXw Fo hnjbfnembncnpw tNmZy.
tNmZy IpnIv kzbw hmbnv sNmhp kzX{ {]h\tfm ]ckv]c
_nXambhtbm Bbncnpw. 2 aWnq kabamWv \InbncnpXv. Bhiyamb
kma{KnI
tNmZyt]dns\mw
\IpXmWv.
{]h\v
Xkab
hnebncpepw tI{oIrX hnebncpepw Dmbncnpw. {]tXyI DcSemknemWv
Dcw FgptXXv.
hn`mKw _n : hkvXp\njvT/ann tNmbvkv tNmZy (MCQ) D]tbmKnp
hnebncp
\Inbnp sSv _pv sen Xs DcsagptX Hcp aWnq kab
ssZLyap Fgpp ]cobmbncnpw.
Cu hn`mKn Db Nnm{]{Inb
Bhiyambn hcpXpw IpnIfpsS ]qmPnX m\s ]cnKWnpXpamb
hkvXp\njvT/ann tNmbvkv tNmZy (MCQ) Cu hn`mKn Dmbncnpw.
hn`mKw kn : t]mSvt^mfntbm hnebncp
]mT`mKfnse ]Tt\mXvfn \nv IpnI sXcsSpp anI
]Tt\m]
Dsmp
t]mvt^mfntbmbpsS
hnebncpemWv
Cu
hn`mKn \SpXv. DSw, {]h\ anIhv, X\na, \nehmcw XpSnbh
]cnKWnp kqNIfpsS ASnm\nemWv t]mv t^mfntbmbpsS hnebncp
\SpI.
t]mvt^mfntbm 7mw mknse {]h\sf ASnm\amn
sNbvXXmbncnWw. CXns `mKambn A`napJhpw DmbncnpXmWv. {]tXyI
_pIvenemWv CXns aqey\nWbw tcJsSppXv.
aqp `mKfnepw t\Sp kvtImdpI tNmWv Hmhtdm t{KUv \nbnpI.
70 iXam\n\p apIfn A t{KUpw, 50-69 iXam\w B t{KUpw, 50 iXam\n
Xmsg C t{KUpw
Bbncnpw. kvtImfjnn\p AlX t\SpXn\v A t{KUv
e`nncnWw. D]Pnbn SC, ST, OEC hn`mKfns IpnIfn Bpw Xs A
t{KUv e`npnsn Cu hn`mKfn Ghpw IqSpX kvtIm t\Snb Ipnsb
kvtImfjnn\v ]cnKWnpXmWv. (IpdXv B t{KUv Fnepw t\SnbncnWw).
(III) kv{Io\nwKv sSv :
sa F_nenn, A`ncpNn ]cntim[\ XpSnbh ]cntim[nsSp 5, 6, 7
mkpIfnse kne_kv A\pkcnv Xmdmnb Db Nnm{]{Inb Bhiyamb
ann tNmbvkv tNmZy Dsmp Hc aWnq kabn\p

]cobmbncnpw
DcsagptXXmWv.

\SsSpXv.

sSv_pven

Xs

IpnI

kv{Io\nwKv sSn\p e`n kvtImdpw, bp.Fkv.Fkv ]cobvp e`n kvtImdpw Hcpanp

tNv IWmnbmWv {]Xn`m[\cmb IpnIsf IspXv.

Hmtcm hnZym`ymk

Pnbn \npw Xmsgdncnp coXnbn 20 t]scbmWv sXcsSppXv. CXn

50% s]IpnI BbncnpXmWv.
P\d hn`mKw
Fkv.kn/H.C.kn hn`mKw
Fkv.Sn hn`mKw
kn.Uyp.Fkv.F hn`mKw
- - - -

15
2
2
1

--BsI

20
=========

Fkv.Sn hn`mKn IpnI Csn Fkv.kn/H.C.kn hn`mKfn GXp

hn`mKn \nmtWm IpnI DsSmXv B hn`mKnse Ghpw Db dmv
t\Snb IpnIsf ]cnKWn pXmWv.
Fm cv hn`mKfn \npw IpnI
Dsnpsn Cu hn`mKfn \npw IqSpX kvtIm t\Snb 2 IpnIsf IqSn
DsSpmhpXmWv.
kn.Uyp.Fkv.F. hn`mKn IpnI Csn P\d hn`mKn \npw
Hcmsf sXcsSptXmWv.

IV. aqey\nbw
(i) LSS, USS ]coIv Xkab hnebncpepw tI{oIrX aqey\nbhpw
Dmbncnpw. ]cop tat\mw hlnp Aym]I Xs Xkab
hnebncp
\nhlntXmWv. {]h\m[njvTnX tNmZyfn
Xabw
hnebncpth
ChnPnteam
hnebncpn
kvtIm
DcSemkn tcJsSppXmWv. Cu kvtIm IqSn tI{oIrX
aqey\nbn t{KUn\p ]cnKWnpXmWv.
tI{oIrX aqey\nbw sXcsSps tI{n hv ]noSp
\SpXmWv.CXn\mbn
]cobvptijw
No^v
kq{]v
Hmtcm
]comlmfn \npap DcSemkpI {]tXyIw ]mbvpIfnemn
ko sNbvXv D]Pnm hnZym`ymk Hm^oksd GntXmWv.
IpnIfpsS
t]mvt^mfntbm
]comtI{n
hpXs
hnebncppXmWv.
CXn
t\mp]pkvXIfnse
Dev]
IqSn
DsSppXmWv. Aym]I ]Tt\m]/t]mvt^mfntbm Fnh
\nnX kqNIfpsS ASnm\n hnebncppXmWv.

(ii) kv{Io\nwKv

sSv

aqey\nbw

]co

IgnmepSs\
LSS,

\StXmWv.

aqey\nbhpw Cu skdn
]coIfptSbpw DcSemkv,

USS

AtX

skdn

]coIfpsS

hpXs
tI{oIrX

Xs \Sn No^v kq{]v Fm

kvtIm jopI Fnh {]tXyIw

IhdpIfnemn ko sNbvXv XpS \S]SnImbn D]Pnm ]comkanXnsb

GntXmWv.

Ch

Hcp

hjw

D]Pnm

hnZym`ymk

Hm^okn

kqntXmWv.
(iii) aqey\nbw kw_n ap s]mXphnhc
tI{oIrX aqey\nbw, kvtImdpIfpsS t{ImUoIcWw, Umm
F{Sn Fnh D]Pnm ]com kanXnbpsS NpaXebn \StXmWv.
]coIfpsS tI{oIrX aqey\nbn\v Bhiyap Aym]Isc AEO
\nbantXmWv. F.Fkv.Fkv, bp.Fkv.Fkv. ]coIfpsS tI{oIrX
aqey\nb

Iympw,

IqSmsX

{]Xn`m

\nb

]cobpw

AXns

aqey\nbhpw Htc Znhkw Htc skdn \StXmWv. aqey\nb

n\ptijw t{ImUoIcWn\mbn kvtImjopI {]tXyIw IhdpIfnemn
ko sNbvXv

BPObvv ssIamtdXmWv.

BPO t{ImUoIcn kvtIm

ASp kn.Un.bpw {]nv Hupw AEO bvv \tIXpw D]Pnm hnZym`ymk

Hm^ok Hp tcJsSpnb printout- PnmXe ]comkanXn sNbam\mb
hnZym`ymk D]UbdIvSv Fnp sImSptXpamWv.

V.

]comtI{
D]Pnbnse
]comtI{
sXcsSppXmWv.

AXXv

D]Pnm

]comkanXn

i) F.Fkv.Fkv ]co : Hmtcm {Kma]mbnepw Hcp ]comtI{w

DmbncnpXmWv. Fm Hcp skdn 120 IqSpX IpnI ]co
FgpXphm\psn AtX {Kma]mbn asmcp ]comtI{w IqSn
A\phZnpXmWv.

20

IpnIv

Hcp

lm/apdn

coXnbn

kuIcy{]Zamb kvIqfpIfmWv ]comtI{ambn sXcsSp tXmWv.

ii) bp.Fkv.Fkv

]co

]comtI{

hoXw

Hmtcm

Dmbncnpw.

hnZym`ymk
20

coXnbnembncnpw CcnnS {IaoIcnpXv.

D]Pnbnepw

IpnIv

Hcp

apdn

cp
F

iii) kv{Io\nwKv

sSv

D]PnmXen

kuIcyap

Hcp

sslkvIq

]comtI{ambn sXcsSptXmWv. 20 IpnIv Hcp lm/apdn F

coXnbn CcnnS kuIcyw {IaoIcntXmWv.

VI. ]com kanXnI

kqN\bnse km Dchp {]Imcw F.Fkv.Fkv, bp.Fkv.Fkv,
kv{Io\nwKv ]coI dh\yq Pnm/D]PnmXe ]com kanXnI cq]oIcnp
\SpXmWv.
F.Fkv.Fkv, bp.Fkv.Fkv, ]coI, kv{Io\nwKv sSv FnhbpsS
\Snv
NpaXe
dh\yq
PnmXen
hnZym`ymk
D]UbdIvS
(sNbam/t]gvk) Ubv {]nkn (Iho\) Fkv.Fkv.F Pnm t{]mPIvSv
Hm^ok (sa) FnhcSnb ]com kanXnpw D]Pnm Xen D]Pnm
hnZym`ymk Hm^ok (sNbam/t]gvk) Ubv ^mnbwKw (Iho\),
Fkv.Fkv.F

tmv

t{]m{Kmw

Hm^ok

(sa)

FnhcSnb

]com

kanXnpw Bbncnpw. CtXmsSmw ]cobpsS ^e{]Jym]\w, kn^nv

hnXcWw, s]mXp hnZym`ymk UbdIvSv ^ew Fn,^ens
Fnhbpw PnmXe ]comkanXnbpsS NpaXebmbncnpw.

hniIe\w

VII. No^v kq{]v, sU]yqn No^v kq{]v, ChnPnteam FnhcpsS

\nba\w
]comtI{fnse No^v kq{]v, sU]yqn No^v
hnZym`ymk D]UbdIvSdpw

ChnPnteamsc

kq{]v

D]PnmhnZym`ymk

Fnhsc
Hm^okdpw

\nbantXmWv.
(i)

F.Fkv.Fkv. ]co : ]comtI{ambn sXcsSp kvIqfnse

slUvam, No^v kq{]v Bbncnpw. sU]yqn No^v kq{]v,
ChnPnteam
Fnhsc
ASpp
{Kma]mbpIfnse
hnZymebfnse Aym]Icn \npw sXcsSptXmWv.

(ii) bp.Fkv.Fkv ]co : D]Pnbn ]comtI{fmbn sXcSps

kvIqfpIfnse {][m\m[ym]I/{][m\m[ym]nI No^v kq{]v Bbncnpw.
sU]yqn No^v kq{]v, ChnPnteam Fnh {]kvXpX skdn
]cosbgpXp IpnIfpsS kvIqfpIfn \nphcmIcpXv.
(iii) kv{Io\nwKv

sSv

sXcSpmWv

D]PnmXen

]co

\SpXv.

Hcp

sslkvIq

{]kvXpX

skdmbn

sslkvIqfnse

{][m\m[ym]I/{][m\m[ym]nI Bbncnpw No^v kq{]v. D]Pnbnse Hcp

bp.]n. kvIq {][m\m[ym]I/{][m\m[ym]nI sU]yqn No^v kq{]v
Bbncnpw.

ChnPntej Uyqnv \ntbmKnp Aym]IcpsS ASp _p

Bcpw Xs ]comlmfn Cmsbv Ddp hcptXmWv.

GsXnepw

_p ]comskdn Dsn ChnPnteam {]kvXpX hnhcw

]co
Bcw`npXn\v
apv
Xs
No^v
kq{]ns
{ibnsSptXmWv.
Cmcyn ChnPnteamcn \npw Hcp
UnIvftdj FgpXn hmtXmWv.

VIII. ^e{]Jym]\w
F.Fkv.Fkv, bp.Fkv.Fkv, kv{Io\nwKv sSvIfpsS ]com^ew PnmXe
]com kanXn 2012 amv 29 \vv {]Jym]npXmWv. ^e{]Jym]\n\ptijw
sXcsSpps

IpnIfpsS

env

amv

31\p

ap]v

hnZym`ymkUbdIvSdpsS Hm^okn FnpXn\p NpaXe

]comkanXn sNbam\mb hnZym`ymk D]UbdIvSmbncnpw.

s]mXp
PnmXe

IX. kn^nv, kvtImfjnv XpI FnhbpsS hnXcWw

]com`h\n \np Ign hjw e`n amXrIbn PnmXe ]comkanXn
kn^nv ASnv hnXcWw sNtXmWv. amv cmw BgvNbn AXXp
kvIqfn \Sp s]mXpNSn hv hnPbnIp kn^nv hnXcWw
\StXmWv. kvtImfjnv XpI ASp Ayb\ hjw Hmw tSan
hnXcWw sNpXmWv.

]com\Snpambn _s sNehv SSA ^n

\npw e`npXmWv.

X. tNmZyt] tpsav Xmdm

F.Fkv.Fkv,

bp.Fkv.Fkv

]coIpw

kv{Io\nwKv

sSn\pw

Hmtcm

D]Pnbnepw cPn sNbvX IpnIfpsS Fw, ]T\am[yans ASnm\n

IWmn AEO am tNmZyt] tpsav Xmdmn ]com`h\ntebvv
C{]Imcw Xmdmnb tpsav kq{]v, Fv skIvj,

\tIXmWv.

]com`h, ]qPpc, Xncph\]pcw F tahnemkn kv]oUv t]mn

AbbvtXmWv.

tpsav

Abbvptm

F.Fkv.Fkv/bp.Fkv.Fkv/kv{Io\nwKv sSv 2012

Ihdn\p

]pdv

Fv Nphv ajnbn henb

Acn tcJsSptXmWv.

XI. tNmZyt] Xmdm hnXcWw

F.Fkv.Fkv,
tNmZyt]

bp.Fkv.Fkv.]coI,
Xmdm,

\nhlnpXmWv.

kv{Io\nwKv

sSv

FnhbpsS

ASn,

hnXcWw

Fnh

]com`h

PnmhnZym`ymk

Hm^okv

hgnbmbncnpw

Fm

tNmZyt]dpIfptSbpw

hnXcWw,

]com

{]h\fpsS

kz`mhw,

hnebncp coXn XpSnb Imcysf kw_n hniZamb amKtcJbpw

]com`h\n \npw \IpXmWv. Hmtcm XenepaphcpsS NpaXe CXn
hyamnbnpv.

XII. ]comIe
kvIqfn At] kzoIcnp Ahkm\ XobXn

23/11/2011

env AEO Hm^okn kant Ahkm\ XobXn

06/12/2011

env AEO Hm^okn \npw No^v kq{]n\v \tI

Ahkm\ XobXn

12/12/2011

AEO Hm^okn \nv tNmZyt] tpsav

]com`h\ntebvv e-mail sNt Ahkm\ XobXn

06/01/2012

AEO Hm^okn \nv tNmZyt] tpsans {]nv

]com`h\n Ft Ahkm\ XobXn

13/01/2012

F.Fkv.Fkv, bp.Fkv.Fkv ]co

18/02/2012

kv{Io\nwKv sSv

25/02/2012

F.Fkv.Fkv, bp.Fkv.Fkv ]co tI{oIrX

aqey\nb Iymv

25/02/2012

PnmXe ^e {]Jym]\w

29/02/2012

kn^nv hnXcWw

2012 amv
cmw hmcw

s]mXphnZym`ymk UbdIvSv ]com^ew Fn

31/03/2012

LSS, USS ]coIfpw kv{Io\nwKv sSpw `wKnbmbn \SpXn\v hnm]\n

sImSpncnp \nti Fmhcpw IrXyambn ]mentXmWv.

(Sd/-)

JOHNS V JOHN
Secretary to the Commissioner for
Govt. Examinations.

L.S.S EXAMINATION, FEBRUARY - 2012

FORM - 1
LIST OF PUPILS PRESENTED
Name of Sub District ................................................................................................................................

.....................................................................................................................................................

Name of Examination Centre ...................................................................................................................

Government/Aided/Unaided Recognised ....................................................................................

Email ID of Centre HM ..............................................................................................................................

Tel. No. of School with STD Code ..............................................................................................

Name of Educational District ....................................................................................................................

Serial Number

Register
Number
(To be filled
by
cheif Supdt.)

Name of Pupil
(In Capital Letters)

Boy/Girl

Name of School ...........................................................................................................................

School
Code

Name of Parent/Guardian

Home Address

Name of
Block

Name of
Panchayath/
Municipality/
Corporation

Date of
Birth

10

Religion

11

Caste/
Community

12

Medium
Whether chosen to
SC/ST/ write the
OEC/
Exam.
(M, E, T, K)
13

Signature :
Name & Signature of Chief Superintendent
Centre No..................................

Signature of Asst. Educational Officer

Name of Headmaster/Headmistress.............................................................
Mobile No. of H.M :

14

U.S.S EXAMINATION & SCREENING TEST, FEBRUARY - 2012

FORM - 2
LIST OF PUPILS PRESENTED

Government/Aided/Unaided Recognised ....................................................................................

Email ID of Centre HM ..............................................................................................................................

Tel. No. of School with STD Code ..............................................................................................

Name of Educational District ....................................................................................................................

Register
Number

Name of Pupil
(In Capital Letters)

School
Code

Name of
Parent/Guardian

Home Address

Name of
Block

Name of
Panchayath/
Municipality/
Corporation

Date of
Birth

10

Religion

Caste/
Community

SC/
ST/
OEC/

Medium
1st
Language chosen to
Opted Ara/ write the
Exam.
Urdu/Skt.
(M, E, T, K)

11

12

13

14

15

Disability if any
(Specify)

Name of Examination Centre ...................................................................................................................

Whether
Appearing for
Screening Test
(Yes/No)

.....................................................................................................................................................

Boy/Girl

Name of Sub District ................................................................................................................................

Serial Number

Name of School ...........................................................................................................................

16

17

Signature :
Name & Signature of Chief Superintendent
Centre No..................................

Signature of Asst. Educational Officer

Name of Headmaster/Headmistress.............................................................
Mobile No. of H.M :

LSS/USS EXAMINATIONS AND SCREENING TEST , FEBRUARY 2012

FORM 3 - QUESTIONPAPER STATEMENT
Name of Educational Sub District : ...............................................................................................

Revenue District : .......................................................................................

Name of Educational District : ......................................................................................................

Phone No. of AEO with STD code : .........................................................................

Number of Pupils appearing

Sl.
No.

L.S.S Examination
Medium of Instruction

Name of Examination Centre

MAL

ENG

TAMIL

U.S.S Examination
Medium of Instruction
KANNADA

MAL

ENG

TAMIL

SCREENING TEST
Medium of Instruction
KANNADA

MAL

ENG

TAMIL

KANNADA

TOTAL
Place : ................................
Date : .................................

Name & Signature of AEO

Mobile No:

Note : AEO should email the statement before 06/01/2012 (Id: johnsqip25@gmail.com) and hard copy of the same should be sent to Supdt. H Secetion, Pareeksha Bhavan before 13/01/2012 .