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KENDRIYA VIDYALAYA SANGATHAN
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-- -'AHMEDABAD REGION· ~ '. -

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II GVANDEEp KENOAIYA VfDYA~AYA OAMPUS , Sector - 30,
GANDHINAGAH- 3B~030{GUJARA~)

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3 ~ Natlonaltty ........•. ~.~Q.................................................................................................. _
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4 'Whether the candidate belongs to Scheduled Caste or Scheduled Tribe .•...•~ ii ••••••••••••••• ~.

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6· .~:~te,.o~ .Bir~h (. in Christia. n .~ra) a:cording to Admis~ion Aegiste~~ .... ;:5.:',:.1 su.:'.zaQ..:.Ji•• :.:.:f .... ~.... ~.
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7 Class In . ..
which the puPil last studied (111
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10 fuliFI Subject Studied u •••• ~ ~. -e~.~lJIH........ . ~.~~

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iJ Whether qualined for promotion to higher class, jf $~, to whief:\ class :: u ; •••••••••

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12 Month UP~~~iCh ·the pupil has paid schools ouss.. 3;"~ ~~. ! "1.'1
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13 -Any fee concession availed if $0" the nature of such concession ~ ,.........•....................
.14 ~~~~q;l .. ~~Total No. of Working daYs 3:J.L muJ.::l.~~.. .. .
15 ~ ~ forof~~.m w Total No. of Working days preserlt.~e}.~ ~ ' .
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16 Whether N.C.C. Cadet/Boy Scoutl'Girl Guide (details may be givsn) :-:: .

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i 7 G:~nies played or e~~itl.curricul®r acti'lcitle$ in whi,2h tISH~ pupil usuat~y: took part (mentfon achievement level therein)

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. 19 ~ ~ ~.~~~,f;u <h1 ftIf~ D~te of appn~~t~on for certifica~~.~,.::~~ ~:~ ..
20 ~ ~ ~ q,)1hlf~ Date of Issue ~f ce~tlflcate •.•.••..•. ~ •.•~ ••.•::i.9·,.··············;,T·· ..~:t..... . .
l 21 ~ ~ omq)T1lJ! Reasons for leaVing t~e schifl.PI.~~ s.:~.!. .
22 ~~ An:! other rernark$ ~.~eJ!........................................... '" . . .
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S·ig. of Class Teacher· '.- _. . Ch,eckedlly _ . ..
.'. . .'. (full na.me and desi,g,naUon) ! _i{leiIPpal.
(T~ansfer:Gertificate Should be issued only under the signatures of the regular Prin'cipall Grade IL In~b~f the '
~rincip~1 the Transfer Certificate issued by the Vidyalaya Shoutd be counter signed by the Chairman«.t ¥,iA~.,a I
.. CommlUeer
. * Oi$tric~I:StElte/Nationalflntematkmal level. . . ,,-. _~Hl'.Pf~~~,
Shahi¥g. Abmedab
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