100345

SLC No. ...........

MIDDDLE SCHOOL
School Name :SHIVERAMADADA MIDDLE SCHOOL
Block :LAXMI NAGAR :
District : KARNATAKA
UDISE Code :96049502006 Department School Code : 23574

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2005-2006 )

437
File No. ............ Date of issue 10-03-2006
.............

HAKIM S. ASLAM KHAN

Pupil's NameMr. .............
08/10/1974
Date of Birth ...............
90346
Student Registration No. (SRN) .......... No. in Admission Register 100346/2
.......

Name of Father/Guardian Mr. S.ASLAM

.............. KHAN
ALIMABEEVI
Mother Mrs. ..............

HAKIM.S
Certified that ............... 2005-06
attended this school up-to .............. 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
9th in this school.
in Class ..........

1. He/she was examined in ......... and

a. Was allowed/promised promotion to Class , 9th

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 NO 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 SHIVER 95% 95% 6
10-03-2005 10-04-2006 TILL
AMADADA
MIDDLE SCHOOL

Date of issue10-05-2006 Signature and seal of Head Institution

 90345
SLC No. ............

For Scholarship-Holders Only

Kind of scholarship NILL Value 0 Year of award 0

Date up-to which drawn 0 . By whom payable 3050

Note: Entries checked and found correct:

Signature and seal of Head Institution

For office use only:

Certified that Ms. HAKIM .S

............... S/o-D/o- ward of Mr. S.ASLAM KHAN
.................. and a student

of the Third class who left the SHIVRAMDADA MIDDLE SCHOOL School (School

Code 23574 )MUDALAGAI Block,KARNATAKA District with Transfer Certificate No. ...............
90345 Dated10-

03-2006 has joined the class 8th Of 23574 School (school code

), District MUDALAGAI on KARNATAKA His/her date of

birth mentioned in the Transfer Certificate is10-03-2005.

Signature and seal of Head Institution