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ae Pa ee eT e MURBAD TALUKA DUYYAM SHIKSHAN SANSTHA CONDUCTED VEER HUTATMA BHAI KOTWAL HIGH SCHOOL MHASA i tof (No any changes in this cerieme shall be made except bythe muthrlyisuing is and my iaingmen this requicement is liable to involve the imposition of penalty such as that of rustication LEAVING CERTIFICATE CURT WL, ROSE A /co-ca/azcon ite 2eMoNRLe) [Vide Rule 17, Chapter Il, Section Ill of the Secondary School Code} Register No. 2029 Serial No. 2OG1 1. Name ofthe pupil in full evar Doortlsig Bhaspeciars eee 2. Caste and sub-C: ly inthe is : sand sub-Caste, only inithe case pupi 7 as Sadie r. belonging to Backward Classes and category among Bdckward Classes (eg. S. C/S.T. ete.) 3. Nationality iPad 4. Place of Birth Leghevaas'(Sateaon) Tel Dhsubad, 5. Date of birch Month and year according to the Christian era both in words and figures Tivenitveth Tune Nivetern wintiy-one 22:06: 194) —s © 6, Last School attended Aaekay fh Lule Lasunc (Kent etl 7. Dateofadmission 2-06 06 8. Progress (208 9. Conduct Goor 10. Date ofleaving schoo] 2/oS- 2e0 , 11, Standard in which studying and since when <40- 1XPA Calrath> Ke Seong 2007 12, Reason ofleaving school #kccatdiaan's 13, Remarks _Detornad 1 std- ixth eyes connie) exon . font. 2008 Certified that the above information is in accordance with the School Ri ‘egister. Checked by La pend ETT Fes end fA WORE Foren Le Srv, Date 2g/o7/)9 by N.B.: 1) Entries regarding the date of birth ‘according to the Christian era and the New National cal (ie. Standard) in which stadying columns \ and $S ofthe leaving certificate should be made bot 2) These entries shall be in manuscript and typewritten 3) Accelerated Promotion eamed by the pupl during hisher school career should be specified in the Ramarks column indicating the standard year and the schoo! in which the sccslerated promotion was given, 4) Inthe case of pupil on bor on or after Sst April $)]* the date of birth shall also be entered according to the New ‘National Calender.

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