Annexure ‘B’

Format for obtaining certificate from Head of Institute

To whom it may concern

This is to certify that (Name of student) _________________________________________

Date of Birth __________ ___Admission No____________ son/ daughter of (Parents Name )
__________________ _________________was a bonafide student of (name of school /
Institution ) ________________________________ _______________and she/he studied in
class ____________ in this school/ Institution during the previous academic year
____________ is affiliated / recognized by ______________________ and the affiliation /
recognition No- is __________________________.

 This is also certify that an amount of Rs.___________________________________(in words )

was incurred by his/her parents (name)____________________________ towards lodging and
boarding in favour student (Name )________________________ in the residential complex of
this school/ institution.

 To be scored out if not applicable .

Signature of Head of School/Institute

Stamp :-

Date:-