SLC No.

14354880
High School
School Name : RED ROSE HS SISHWALA
Block : Dadri District : Charkhi Dadri
UDISE Code : 06130601903 Department School Code : 20587

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2021-2022 )

File No. RRM@Sept Date of issue 03-Sep-2021

Pupil's Name Mr. AMIT

Date of Birth 14-May-2006
Student Registration No. (SRN) 1516237043 No. in Admission Register 959

Name of Father/Guardian Mr. PAWAN KUMAR

Mother Mrs. MUNESH

Certified that Mr.AMIT attended this school up-to 03-Sep-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 Tenth in this school.

1. He/she was examined in Tenth 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 RED ROSE HS SISHWALA 01-May-2021 03-Sep-2021 01-May-2021 100 0 0
To
03-Sep-2021

Date of issue 03-Sep-2021 Signature and seal of Head Institution

 SLC No. 14354880

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 Mr. AMIT S/o-D/o- ward of Mr. PAWAN KUMAR and a student of the Tenth class

who left the RED ROSE HS SISHWALA School (School Code 20587 ) Dadri Block, Charkhi

Dadri District with Transfer Certificate No. 14354880 Dated 03-Sep-2021 has joined the

class Of School (school code

), District on His/her date of birth mentioned in

the Transfer Certificate is 14-May-2006.

Signature and seal of Head Institution