SLC No.

12569974
High School
School Name : ADARSH HIGH SCHOOL SATROD KHAS
Block : Hisar - I District : Hisar
UDISE Code : 06120604504 Department School Code : 22034

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2018-2019 )

File No. 17/809 Date of issue 21-May-2019

Pupil's Name Mr. AJAY

Date of Birth 01-Jan-2001
Student Registration No. (SRN) 1604750259 No. in Admission Register 1243

Name of Father/Guardian Mr. RAJESH

Mother Mrs. BIRMA DEVI

Certified that Mr.AJAY attended this school up-to 20-May-2019. 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 Tenth in this school.

1. He/she was examined in Tenth 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 03-Apr-2018 20-May-2019 03-Apr-2018 354 0 0
SCHOOL To
SATROD 20-May-2019
KHAS

Date of issue 21-May-2019 Signature and seal of Head Institution

 SLC No. 12569974

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. AJAY S/o-D/o- ward of Mr. RAJESH and a student of the Tenth class

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

I Block, Hisar District with Transfer Certificate No. 12569974 Dated 21-May-2019 has joined the

class Of School (school code

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

the Transfer Certificate is 01-Jan-2001.

Signature and seal of Head Institution