ChildId: 1510271455

ORIGINAL

Appendix-16,Rule-99,Chapter-III
Transfer Certificate(SSC AC-YEAR 19-20) Admin.No: 1206

1. (a)School UDISE 28201690647

(b)School Name and Address JOHNS HS JMD
(c)Highest class in the School 10
(d)Class up to which the School is Recognised 10
(e)Date of Recognition Order 01/01/2002
2. (a)Name of the Pupil CHINNA KOMERLA SIVA SAI KRISHNA
(b)Gender Male
(d)Ration Card Number NILL
(e)Name of the Mother CHINNA KOMERLA VIJAYA LAKSHMI
(f)Name of the Father/Gaurdian CHINNA KOMERLA OBULESU

n
(g)Nationality Indian

io
(h)Religion Hindu

at
(i)Caste BC-A
(j)Sub Caste BC-A

uc
(k)Caste Certificate Number NILL
(l)Date of Birth 05/08/2004
3. (a)Class in which the pupil was First Admitted into the
school
9 Ed
(b)Year in which the pupil was First Admitted into the 15/06/2015
ol
school
(b)Personal marks of identification 1 A BIG BLACK MOLE ON THE LEFT EAR
ho

(c)Personal marks of identification 2 A BIG BLACK MOLE ON THE RIGHT HAND

4. (a)Class in which the pupil was studying at thetime of 10
Sc

leaving the school

(b)Date of promotion /Admission into that class 24/07/2020
(c)First Language -
of

(d)Second Language -
(e)Mother tongue Telugu
t
en

(f)Vocational Course Opted NILL

5. (a)Date on which the pupil actually left the School 18/03/2020
tm

(b)No of days present out of working days 190

6. Date of the Transfer Certificate issued 14/09/2020
ar

7. Conduct of the pupil Satisfactory

ep
D

8. Signature of the Head of the School

Note:**In case the pupil is leaving the State of Andhra Pradesh, this Certificate has to be counter signed by the Deputy Educational Officer concerned