SLC No.

14587020
Government Senior Secondary School
School Name : Government Model Sanskriti Senior Secondary School Bhurawas
Block : Salhawas District : Jhajjar
UDISE Code : 06150400403 Department School Code : 3245

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2018-2019 )

File No. 33 Date of issue 27-Jan-2022

Pupil's Name Mr. VIKASH

Date of Birth 26-Aug-2001
Student Registration No. (SRN) 1410527014 No. in Admission Register 3185

Name of Father/Guardian Mr. SANJAY KUMAR

Mother Mrs. SUMITRA DEVI

Certified that Mr.VIKASH attended this school up-to 05-Jul-2018. 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 Government Model Sanskriti 21-Apr-2018 05-Jul-2018 21-Apr-2018 65 0 0
Senior Secondary School To
Bhurawas 05-Jul-2018

Date of issue 27-Jan-2022 Signature and seal of Head Institution

 SLC No. 14587020

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

who left the Government Model Sanskriti Senior Secondary School Bhurawas School (School

Code 3245 ) Salhawas Block, Jhajjar District with Transfer Certificate No. 14587020 Dated 27-

Jan-2022 has joined the class Of School (school code

), District on His/her date of

birth mentioned in the Transfer Certificate is 26-Aug-2001.

Signature and seal of Head Institution