SLC No.

10452052
High School
School Name : ADARSH HIGH SCHOOL SATROD KHAS
Block : Hisar - I District : Hisar
UDISE Code : 6120604504 Department School Code : 22034

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2016-2017 )

File No. 348 Date of issue 16-Sep-2016

Pupil's Name Mr. SUNIL

Date of Birth 14-Nov-2000
Student Registration No. (SRN) 1604859831 No. in Admission Register 1417

Name of Father/Guardian Mr. SATISH KUMAR

Mother Mrs. SUKHA DEVI

Certified that Mr.SUNIL attended this school up-to 14-Sep-2016. 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 Eighth in this school.

1. He/she was examined in Eighth 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 taken
Admission withdrawal attendance attendances attendance during the
during the during the during the current
current school current current school year
year school year school Year
1 ADARSH HIGH 01-Apr-2016 14-Sep-2016 01-Apr-2016 129 0 0
SCHOOL To
SATROD 14-Sep-2016
KHAS

Date of issue 16-Sep-2016 Signature and seal of Head Institution

 SLC No. 10452052

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. SUNIL S/o-D/o- ward of Mr. SATISH KUMAR and a student of the Eighth class

who left the ADARSH HIGH SCHOOL SATROD KHAS School (School Code 22034 ) Hisar -

I Block, Hisar District with Transfer Certificate No. 10452052 Dated 16-Sep-2016 has joined the

class Of School (school code

), District on His/her date of birth mentioned in

the Transfer Certificate is 14-Nov-2000.

Signature and seal of Head Institution