THE HINDU SENIOR SECONDARY SCHOOL No.1, II Main Road, Indira Nagar, Chennai - 600 020. Phone : 2490 1836 / 2445 1693 Fax : 044-2490 2210 (Affiliated to the Central Board of Secondary Education, New Delhi) CBSE Affiliation No. 1930045 School Code : 06930 JD — Gi Wo geese eS TON 1613 Admission No. 11.08... pean A: MANONMAN I 2. Father's / Guardian's Name Pp. BALAGA 3. Nationality indian 4. Whether the candidate belongs to Schedule Caste or Schedule Tribe. 5. Date of first admission in the Schoo! with class 25-02-2002 - 1-KG 6. Date of Birth (in Christian Era) according to Admission Register (in figures) and (in words) 16-10-1998 Gixtsenth October) 7. Class in which the pupil last studied (in figures) and (in words} Nineteen Hunded Ninety Eighe.) | Class Xi [ Toelfth] 8. School / Board Annual Examination last taken with “Board JiRnual Examination result Pass 9. Whether failed, ifso once/twice in the same class 10. Subjects studied English Core, Mathematics, Physics, Chemistry and Computer Kience 11. Whether qualified for promotion to the higher class, If so, to which class (in fig) and (in words) es 12. Month upto which the (pupil has paid) school dues paid Me, 2016 13. Any fee concession availed of: ifs, the nature of such _ concession 14, Total No. of working days 130 De 15. Total No. of working days present 180 De. 16. Whether NCC CadetBoy Scout/Gitl Guide (details may _ be given) 17. Games layed or ea cara aces in which te pupil usualy took part (mention achievement therein) james played 18. General Conduct Goop 19. Date of application for certificate 2354 Apiil Zoe 20. Date of Issue of certificate 21 MAY 2016 21, Reasons for leaving the school Completed Class Xi 22. Any other remarks as om : AR Prepared by : Prineipal VICE PRINCIPAL HINDU SENIOR SE CTTMANROAD.NOIRARAGEA "ADYAR, CHENNAI-600 020.