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Cer

ti
fi
cat
eonSubj
ectwisePer
cent
agei
nSSC
[
UnderRul
e6.C.(
d)]

Tr
ansf
erAppl
icat
ionNo.
_ Tr
easur
yIDNo.

Nameoft
heTeacher
:_

UDI
SECode:
_ Nameoft
heSchool

Nameoft
heMandal
:_ PhoneNo.
_

SSCCode:
_ .

No.of Pass %
No.ofStudent
s
Year Student
s (2 Years
Appeared
Passed Average)
2015-16

2016-17

No.ofPoi
ntshe/shei
sel
igi
blef
or .

Cer
ti
fyt
hatt
hepar
ti
cul
arsf
urni
shedabov
ear
ever
if
iedwi
tht
heav
ail
abl
erecor
dsand
ar
efoundcor
rect
.Ifanyi
nfor
mat
ioni
sfoundi
ncor
rectbyt
heaut
hor
it
ieswear
eli
abl
efor
di
sci
pli
nar
yact
ioni
naddi
ti
ont
opr
osecut
ion,
ini
ti
atedbyt
heaut
hor
it
ies.

Si
gnat
ureoft
heHeadmast
er

Count
erSi
gnat
ureoft
heAut
hor
it
y*

*Aut
hor
it
yi.
e.,
incaseoft
eacher
sofHS,
HM/i
ncaseofHM,
DyEO.

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