SLC No.

10645787
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. 359 Date of issue 05-Apr-2017

Pupil's Name Ms. REENA KUMARI

Date of Birth 20-Apr-2003
Student Registration No. (SRN) 1604175485 No. in Admission Register 1460

Name of Father/Guardian Mr. MADAN SAW

Mother Mrs. SAVITA DEVI

Certified that Ms.REENA KUMARI attended this school up-to 04-Apr-2017. 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 Seventh in this school.

1. He/she was examined in Seventh 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 04-Apr-2017 01-Apr-2016 279 0 0
SCHOOL To
SATROD 04-Apr-2017
KHAS

Date of issue 05-Apr-2017 Signature and seal of Head Institution

 SLC No. 10645787

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 Ms. REENA KUMARI S/o-D/o- ward of Mr. MADAN SAW and a student of

the Seventh class who left the ADARSH HIGH SCHOOL SATROD KHAS School (School

Code 22034 ) Hisar - I Block, Hisar District with Transfer Certificate No. 10645787 Dated 05-

Apr-2017 has joined the class Of School (school code

), District on His/her date of

birth mentioned in the Transfer Certificate is 20-Apr-2003.

Signature and seal of Head Institution