}6 Appendix 16 Bs veysune OBstaimes Rulo we Crane nl PRAKASAM DISTRICT No. 588532 Hab pOidan tre | | : ORIGINAL FORM OF TRANSFER CERTIFICATE (si Ao. sa Be ‘amission No. anu date ecb ngites sow Transter certificate No. (3) umes (ese ez) Name of tha school Place & Olen) Pa) ere gas Highest classi the schoot, (8) sesg rere ES" 9 oak ene YS Ercuintas corsa upd daa, H1Non-Gavi.class upta which reccanised dat of roragnion ordre, Sigg be. ‘tthe sup seats menue he ‘Name of the parent and gaursian ereee ; Nationality and Ratigion = eckl forge Terje Sesion Byer Bn DH RSE | > Bhelg at oem aanamete™ npesend mot DeryiousStihRs BRANES a0 Basten Boas 8 a — Brady Heats TH Ree Brera pst Ayeaes Bd ar 7 eanags® oct eebeninges soot = Wheiher the candidate belangs to scheduled castes: br scheduled tbes or virnukina jathies or other Socially and educationally backwardslaases specified ‘the Andhra Pradesh Educational Rules a Ishe a convert fram the Scheduled Casts or the Scheduled ribesit 80, the particulars there of wagers potas opi sire 7 erdde (Sr eed) Date of birth (in words) ae entered in the Agmission Register (a) rere sno egy as neg aap Goa ene (23kee) ae Class in which the pupil was reading at the time a iy leaving (in words) (8) (1) (Ses ora Tpke gi Firet language (2) aghast ote ee gen d7 acme Bl Bd ‘Second language (3) (1) BS My (ems Oey) Ha EE : 208 fey eau syotiio) Ae ade ore. Course affered (is) whether academic or biurcatos ‘and the subject offered under the bifurcated course (2) senae atyise neta gar 7 barry oe rear? Zo MEN ‘Whether studied compasite or general mathematics ? (ip sree (2p EPs 5 (8) epsen BS nes, oe Mather tongue. Medium of insteuction . Optionalbeeen Fi cleas, chol-OT ae z l anaes x bes (8 wasn septett oe garutnatets KE class, “jou f9so | (eetaitier resents) \ Date of admission oF promotion to that class ( Tha year te | 10. eeu soon soyg / ooyge senda cara as Gasca oar mic al we et cg ete 11 "yesnan Tearia eset ons age San aimee (Abbie. Bi Golh. ES sores wocote boyy / aya acsstoud w 8 fon) Ae. mays me EASE Ta: = qualified tor promotion toa higher classy in tre ase of puplls presented for the SSC. , SSLC., HSC, _Whorrer the pupil nas been Declared eligible for university ‘course ofssludy oF gassed or not has to be stated) 12, eng Roygt Segre agoe cots exes etpoes ee ‘Whether the pupil has paid all he tees due to the schoo! a 18. (ap nay / oo Spe SeREcrrosccary | tigre) Whether the pupil was in-be receipt of any scholarsnip (Mature of scholarship o be specified } (5) sayy | aoygo 8 asd algun copodser » ( wendayersss ecto Whathar te pupil was in the receipt af any concession ( Nature of concession to be specified.) 1d. soceonaet nag / rouge zcpotetaxem se Fam (pig nb Bece Sne nenccr 9 000 > ~ ener recom y matt ‘Whether the pupil has undergone medical insnectin during the year rstor repeat ( tbe specified } 15. sayy / soyga cise, mgum oars Personal marks of iortfication 1 2 18, aayg/ Seyga Soros. wets SOO RENO, Dato cn which the pupihactually lett schoo! 17 neue / omyga ame eed / ea | sola ae acted oB8 SGtiig Poh Sry NEEDS aD cerietoqitianeter cericaip ves be (2, Bee rad os borat of the pup by Ni parent or gaurian 18. aataayiagss ’ ae Date of tacos cortcate vals pane es AME ay ‘Atiendence In the class of leaving . Number of days Presort 21. dedire Bitlis Oxbow Bdiba dong, Total number of working days 22. petheysien pets . Signature of the Head ef Schoo! ‘ Arpeddvan a ngiten Dyed wien, unter signed of the Inspecting offer concerned we rok Gack jes = gr eaetny caiman age coe 3 (Prom os Free GLucalis, K.R.R.Z.i i Hight School J we SKE gaan cab angiang Roayeud! wah NowgZoe BFE RESEE U A WN. G, Pau (Md! }, ee Pe ‘of the pupil saving the state of Andhes Pradesh the certficats wil not be valid without