ANNEXURE TO GOYT OF INIDIA MINISTRY OE DEEENCE
OM No, 4 (o.522285 (CIV D DATED O1 MARI19641
FORM "3"
Ihis is to ceti'y that MrKunuri SO DO Shri
D Cmployec of the Min of Defence
BRDB) Cot of India Unit () APO is studying
C'luss
Since. ..(date of joining he School).
(Name of the School & Locatlon)
His her date of Birth in Sehool recurds is
(in words)
03.Cerified that the school is recognized by the cducational authoritics/
department of the state (Name of the stat)
04 His/her date of ndmission school
05. Certiicd that the student is not in receipt of any iovt Scholarship reccipt to the cxtent of
RS.
06. Certified that the student docs not enjoy the concession of frec lodging and
free boarding in addition to tuition fce being not ree.
07. Certitied that the student remain on the roll of the sehool during the vacation pcriod From
.Io. .and helshe is still on the roll ut the school did not
absent himsclfhersclf from the school without propcr leave for a period not excceding on month.
08 Certify that the academic year of the school is from
.to....
Place
(Slgnature of Principal/ Headmaster!
Headmistress or Head of School with
Dated .... School ubber stamp)