APPLICATION FOR ADMISSION TO AN EDUCATION INSTITUTION IN THE UNITED STATES, CANADA, U.K.

, GERMANY & ALL COUNTRIES

SCHOOL RECORD (Transcript)

(To be filled out by School Use one or more sheets for each Institution attended)

Name of Applicant

PATEL

CHIRAGKUMAR

SURESHBHAI

(Underlined Family / Surname Words)

Name and Address of Institution at which courses listed below were taken : Sheth Shri H. H. Patel High School, Ramnagar Sabarmati
(Name of Institution)

Ahmedabad
(Town or city)

Gujarat
(State)

India
(Country)

Date of Entrance

JUNE

2004
(Year) :

Date of Leaving

MARCH

2005

(Month) Certificates, Diplomas or Degree

(Month) (Year) S.S.C. Board Exam, passed in March, 2005 received from Institution named above.

Note : Kindly indicate the system of grading used indicating highest obtainable grade and lowest Passing marks. 1. All subjects Carry 100 Maximum Marks 2. Pass 35% Credit 55% Distinction 70% 3. Exemption 35% 4. 5.
6.

Grade I Grade II
Grade III

60% Marks 45% Marks

36% All other Successful Candidates

Note : Enter below the information requested for each of the subjects which will have been completed before beginning studies in the United States/Germany/U.K. & all other countries. Enter Subject in Chronological order and evaluation will be made on the statement made below. Period in which Subject was taken From To S.S.C. Board Examination (Std.X) Number of Months taken Hours per week Lectures Practical Field Work Marks Obtained in Final Examination

Subject

June 2004

March 2005

Gujarati (H.L.) English (L.L.) Social Studies Science Mathematics Sanskrit Computer Education

9 9 9 9 9 9 9

3-00 3-00 3-45 3-00 3-45 3-00 2-00

1-30 TOTAL

077/100 078/100 084/100 069/100 076/100 080/100 094/100 558/700 79.71%

Result Seat No. Attempt Exam. By

DISTINCTION A-40172 FIRST Guj.Sec.& High Sec Edu.Board Gandhinagar. (Examination Wing) Vadodara Medium : Gujarati
Office Seal of School Signature : Official Title : Address :

: : : :

Date :

Signature : Applicant (Patel Chiragkumar Sureshbhai)

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