Admission No.
Name of the Institution. :
STUDY CERTIFICATE
This is to Certify that Sri / Smt. / Kum…………………………………………………………………..
S/o./D/o./W/o.…………………………………………………………………………………………………………..……
Belongs to ……………………………………………….. Village ……………………………………………….... Taluk
……………………………………………...... District. He /She has studied in ……………………….…………...…
………………………………………………… School from ……………………………… to …..…………………………
From ………………………………………. Standard to ……………………………………………… Standard and
Passed ………………………………………. Standard in the year ………………………………….
His /Her Date Of Birth ……………………………………………………………………………
His /Her Record No & Date …………………………………………………………………….
Date Of Leaving School …………………………………………………………………………..
This Certificate issued according to records of our School.
Signature & Seal of the Head Master
Date : ………………………….
Palce : …………………………
Signature Of AEO/ D.D.P.I with Seal
Note :If the Candidate studied in more than one school,
They have to produce separate Certificate