NAT

FORM
Transter Certificate
OF
TRANSFER CERTIFICATE
No
a Name of the Scnool %/201-L 12Agmission
Balayeh 340l2002O
Piace and No.
District
bHighestClass in the School Valaua t u
JId Non Government,
elap gnised
Namec the Pupil
No. & date ot
Class upto which
recognition orders
D.Dis.No. 4006 A3/2011 dt. 17.11-2011
of the R, J, D's KAPAPA.
3 . ANIL KUMAR [8.P.
the Parent or Guardian
4
Natonality and Religion NARAVANAPPA
Whether the candidate
belongs Scheduled caste, Scheduled
orVinuktha Jathis or other
to
Tripa
Inainn- inau-ChaKali
Classes socially and educationally Back-ward
he a hasspecified in the Andhra Pradesn Educationa Rules ar s eTHER-
convert from the
Tribes. If so, the Scheduled Castes or
the Scheau
OTHER:-Ced
SHI VAMMMA
SHIVAMMA
particulars thereof Admission
6 Date of Birth (in Regster
words) as entered in the
Admission Register 08-08
7.
08 08 I997g*h Apuk Ninel
neSen
a. Class in which tho
the time of
pupil w ANO
leaving (in wg
b. First Language XTEth clas)
C. Second Language

d. Optional Subjects

8 Mother Tongue
Medium ot
in'soS
aths-SAcnie- Soual Sltde
9 Date of admission to that
Class
(The year to be entered in words)
10. Cass and year in which the pupil was tirst
Tth Jme 20
admitted into the school
11. Wnether qualified for
1- ro7
promotion to a
in the case of Pupii presented for theHigher class Apecd Dubie C xanuyad
H.SC. or S.S.C. whether the pupil has S.S.L C
been dec
ared eligible for college course of
study or
passed or not, has to be stated)
12 Whether the pupil has pad ali the tees due to the scho
a Whether the pupil was in
receipt of any
scholarship (Nature of the scholarship to be specited)
13. Whether the pupil was in receipt of
any concoss on
(Nature of concession to be specified)
14 Whether the pupil has undergone medical
inspection during the year Frst or repeat (to be specif ed
.

15. Personal Marks of ldentification

i back mek an the iea

16. Date on which th9 pupil actualy left the school
pGl 2O2
17.
Date which appicatericatoaued ,
on
2! e5-2212
made on
behaifon pupil by his enaia,Guardian
18 Date ot the Transfer Certifiate 2-8-O-2012
19 CONDUCT
20. Attendance in the class of leHED - MASTk
Sarselony
Number ot days present BALAY ECU VIDYALAYA
Total number of working
daygiNDUPUR (AP) HEAD MASTER
21 Signature of the Head of the School with stamp BALAYESU VIDYALAYA
HINDUPUB (AP.)