SLC No.

13990107
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: 2020-2021 )

File No. 1011 Date of issue 12-Jun-2021

Pupil's Name Ms. JIGYASA

Date of Birth 26-Feb-2006
Student Registration No. (SRN) 1604285010 No. in Admission Register 1374

Name of Father/Guardian Mr. NARENDER KUMAR

Mother Mrs. RANI

Certified that Ms.JIGYASA attended this school up-to 11-Jun-2021. 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
Admission withdrawal
attendance attendances attendance taken
during the during the during the during the
current school current current current
year school year school Year school year
1 ADARSH HIGH SCHOOL 14-Apr-2020 11-Jun-2021 14-Apr-2020 364 0 0
SATROD KHAS To
11-Jun-2021

Date of issue 12-Jun-2021 Signature and seal of Head Institution

 SLC No. 13990107

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. JIGYASA S/o-D/o- ward of Mr. NARENDER KUMAR 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. 13990107 Dated 12-

Jun-2021 has joined the class Of School (school code

), District on His/her date of

birth mentioned in the Transfer Certificate is 26-Feb-2006.

Signature and seal of Head Institution