Education Department of Karnataka State ‘TRANSFER CERTIFICATE (For Primary / High | Higher Secondary Schools) | ‘Schoo! Dice No. | ‘4. Mame ofthe Schoo! : 2 Admission No. | [4 tame of the Pupi in Ful: 6 Pupite Aadhar Card No. : (Ya. natonany 8. Religion: 12, Name ofthe Father: ‘Audhar Card No.: 14. Whether the candidate belongs to | ‘Scheduled Castes or Scheduled Tribes : 18. Date of Bith (in figures and words): Place of Bith: 17. Standard in which the pupl was reading atthe time ‘of leaving the schoo! (in words) 18. Inthe case of Pupl of Higher Standards (2) Languages Studied: (0) Electives Stud : 120. Date of Admiesion or promotion ‘to that clas or standard 21. Whether the pup has paid all the foe due tothe school: 22, Scholarship it any (nature) and period ‘toe specified: 28. No.of Schoo! days up ‘to the date of leaving: 23, Feo concessions, any 728. No.of Schoo! days nature and period tobe specified) ‘the pupll attended = 130, Charactorand Conduct: Signatur ofthe Head Master [NOTE : The Certificate should be granted cn requstion from parent or guardian incase of dupicate copies onthe ground thatthe ogra is lost, penal oe of 1 rupee in the Higher Secondary, Mull purpose school and 25 Passe incase of Middle and Primary School should be colecied (See Education Ful No. 38). ‘SR RAMTATVA BOOK DEPOT, GANPAT GALL BELAGAVE PHO UR0§ (GOVT APPROVED)