RoL no 1 31331|6 TMR CRDE g DE P4009 58 7 |19.07.

20a

GOVERNMENT OF TAMILNADU DEPARTMENT

OF SCHOOL EDUCATION
TRANSFER CERTIFICATE
ulcma STOT( Serial No)
2021/3327020480100016/4376760 Gajsms 6TGUOT ( Admission No) 1771
) UTTfluíl cor aluwy (Name of the School) CHSS GANAPATHIPALAYAM -33331800306

()5ofluurt usteril 6T60fl si, LIsÍToril råi6,8mJ STCOOT. (1f private

school, recognition number)

(9)GTú LoTOULLD(Revenue District)

TIRUPPUR

(F) 85 6u LoTJLLÒ (Educational District)

Palladam

(2)cr lwd(Block)
Palladam

() oTOROTOJl cor ALIuj(gúAsv) Name of the Student(in Tamil)

() agBd (in English, in block Ietters) SRIRAM K

() 5hm5uN sor ALIuwj (Father's name)

KALAILINGAM

( ) BTumflsr ALw (Mother's name) VITHYA

() uTSI5 TOUGUIÝl GOr GLIuj(Guardian's name) None

G5AuncoT LD IDDNIò ogh (Nationality &Religion) INDIAN-Refer Community Certificate

OT Ld (Community) Refer Community Certificate

Refer Community Certificate

uTlcOT tb ( 00T/ Qu OT/ eLD co pTLÒ LITOOarib) Gender (Male / Male

Female / Transgender)

Lbs C5B, omorauiy GajémBÚuBCALgd 26roTILIL4, 20-05-2004 (TWENTY MAY TWO THOUSAND
(T6OT GO0flgytò STLOBBb) Date of Birth as entered in the Admisslon FOUR)
Register (In figure and words)

8
LOsd IMoBISTGT ` I6 LUwmoms GMssT (Personal ()A mole near the right eye
identification marks)
( A sear on the left eyebrow

LoITOROTO usTGfluîsv GEj6súLLL G5B,GÚY LoId 06-06-2019 (SIX JUNE TWO THOUSAND
GLD (TcooT COfl gy id 6TO`BIb) Student's Admission date and NINETEEN)
Standard (year in words) XI

10 ()Omaorauý LIGTofl con uw ohLG& aEigub GBJËBd

uIgB8| 12-Class Twelve
b5 aGUY (TDoT COUlutò TY`Buth) (Standard th which the
Student was studying
at the time of
leaving School. ( Ii figure and words)

( GiOUglmavs sddl rofldu, GstbaBOi5

uTLÚAla General Education
5TOEI Gurgiósdsíl sdiUEi GgTAhzioî
Secondary Course, the Course offered ie., General Education or(If Higher
Vocational
Education)

PHYSICS/CHEMISTRYBIOLOGY/MATHEMATICS
(In the case of General Education the Subject offered under Part III Group A
& Medium of Instruction)

11
a5 2uj agüube5 C5jëA aup 56
n9sm GDuiGG. (Mention whether qualifleda.mLugT?|
Refer Marksheet
for promotion
next bigher class ( Yes/ No) to|
 n D a ) (Whether the Student recelved ny Scholarshlp orEducationa
Conceniong nature of the seholarship to be spelfied)

27-01-2021
QB sT [D ign? (Whether the Student hus undergone medleal inspection
during the prevlous neudemie yenr)

14
LoTeT U %60)L@unaú uGitGTfls aip cm8% L|dlbB G5B (1.ast| 24-04-2021
date on whieh the Student attended the school)

15 Lor00T OU Tfloor ML G0) 5 LJh LIGUOT LIIò (The Student's conduct and GOOD
character)

() Lommi #nor ø pCumfl ofl soor sooT LÚL 5 C5D (Date of 22-07-2021
npplieatlon for Transfer Certifleate)

Terminal class
(Reason for applying Transfer Certificate)

17LmbpÈ ETeglsjp GpB (Dateof TransferCertlicate) 22-07-2021

18 LoTOUT 6J GT6UOr (Student EMIS ID)

3327020480100016

56U0l
LIuUS cor o 8%1Tavh (Period ofu.65 UgÜYB6T (Classes Studied ps auol (First Language) uunb auor (Medium of
Study) Instruction)

2019 2021 KI. XII Tamil Tamil

os hiounflutor L ,(auut, G5S

o f i l uANgnURY)SiyaatuN e Head Master (with

Name,8and School Sea.120

at
APATA Siy Note) ULù (a), sGULT (Lom)
u L B MbE onpË FTsTgEP 9Tbsi 0FiwiuGio (Erasures and unauthenticated or fraudulent alterations in the Certificate will lead
to its cancellation).

Lombm Fnsdrgolsjflso SIgA55 5mauj OgTLjyOLu IBCuLGLsr pÚLiL slumiss1 6MsauruuLGarGa

Enorpolgr uDqno&G msouruÁLL, FTtbE LsTTS 5mvmnunaglucg Oumùumau(Shouldbesigaed ininakby
the lHead of the Institution who will be held responsible for the correctness of the entries).

auepmI ymgiBTaaflor apiDoryi(DECLARATION BY THE PARENT/GUARDIAN)

GioGav, uflsms srcoT 2 P5U7AU6guYsiTSTT@Tr 0%BGy uBa AriuÚILGTa ohlaugràissIT =glumorcmaJ STCOTDIà
a s D umpp agioy GesngomLeLor onorputà pmodr am®ul&Acper.
I hereby declare that the particulars recorded above against itenis from 2 to 7 are correct and that no change will be demanded by me in the future.

K.pm k. o95 w T
LoTGOTOUor smzOumÚLh Signature of the Student aupepmg/ wmSIsTurlsor smsaumÜu signature ofthe Parent
/ Cuardian