SLC No.

13944756
Government Primary School
School Name : Government Primary School Randoli
Block : Indri District : Karnal
UDISE Code : 06060500101 Department School Code : 14090

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2020-2021 )

File No. 26/16 Date of issue 28-May-2021

Pupil's Name Ms. NISHA

Date of Birth 15-Jan-2011
Student Registration No. (SRN) 1601019221 No. in Admission Register 2602

Name of Father/Guardian Mr. RAJ KUMAR

Mother Mrs. NEELAM

Certified that Ms.NISHA attended this school up-to 24-May-2021. He/she has paid all sums due
to the school, and was allowed on the above date to withdraw his/her name. He/she was reading
in Class Fifth in this school.

1. He/she was examined in Fifth and

a. Was allowed/promised promotion to Class ,

b. Passed the examination in the highest class available in the school, OR
c. Left the school mid-session to join a different school, OR
d. Failed in subject(s)
Note: (please tick and fill whichever is applicable)

The following particulars are certified to be correct according to the registers of the school and the
certificate's produced from previous school attended during the school year:
No School Date of Date of Date of No. of total Pupil's Leaves
Admission withdrawal
attendance attendances attendance taken
during the during the during the during the
current school current current current
year school year school Year school year
1 Government Primary School 10-Apr-2020 24-May-2021 10-Apr-2020 351 0 0
Randoli To
24-May-2021

Date of issue 28-May-2021 Signature and seal of Head Institution

 SLC No. 13944756

For Scholarship-Holders Only

Kind of scholarship Value Year of award

Date up-to which drawn . By whom payable

Note: Entries checked and found correct:

Signature and seal of Head Institution

For office use only:

Certified that Ms. NISHA S/o-D/o- ward of Mr. RAJ KUMAR and a student of the Fifth class who left

the Government Primary School Randoli School (School Code 14090 ) Indri Block, Karnal District

with Transfer Certificate No. 13944756 Dated 28-May-2021 has joined the class

Of School (school code ), District on

His/her date of birth mentioned in the Transfer Certificate is 15-Jan-2011.

Signature and seal of Head Institution