6ule 6t6001

Serial No. 2020/33281303207/1370754 Gsys 61600T.

|Admission No. 1179

BLipsTG Ta, uotofls Bvbls Gi6Dp GOVERNMENT OF TAMILNADU

DEPARTMENT OF SCHOOL EDUCATION
TRANSFER CERTIFICATE

01 () uaefulcit Guuiy (Name of the School)

GEETHA MATRIC HSS MUTHYAPURAM
f private schoolrecognition number)
32-M-0056-0514
(a) augatL LOTAJLLU (r) 56vol otaJL LD e) gerfub
(Revenue District) (Educational District) (Block)
THOOTHUKKUDI Thoothukudi Thoothukudi Rural
0o)LteoDtaujlcor Guuiy Name of the Student gHLflav (in
0Tamil)
() seAasfo (in English, in block letters) : ANNA SWATHIS
03 ) s505Llcot GuLIiT (Father's name) :SELVARAJ MURUGAN M
) suflco Guuy (Mother's name) | JANATHAS
04 Gpfu Doo Loppid wgiD (Nationality & Religion) INDIAN-Refer Community Certificate issued
|by Revenue Authorities
05 OTD (Community) Refer Community Certificate issued by
Revenue Authorities
Refer Community Certificate issued by Revenue
Authorities
uTeRsOTLD(Jsoot/ Gu001/ LpotpmiD uIT6louD) Gender (Male
/Female / Transgender) Female
apps GsB, otsooIiy Gsijésmsu uCaig 261TOTUg
07 (6t6016o6gyib 6TLgDBgb) 01-Dec-2002 - ZERO ONE - ONE TWO -
Date of Birth
as
entered in theITWO THOUSAND TWO
Admission Register (In figure and words)
0R 26lu HmubgistoT 65 SH6DILLUITGTTS GMs6T (Personal.) AMOLE ON THE RIGHT WRIST
marks of identification)
)A SCAR ON THE CHIN
04-Jun-2018 - FOUR JUNE TWO THOUSAND
9
oNTGOI6T uGTeflulo GsijëssiuLL G5A wppo GsijssiuLL
aGUy GL5605 6TLgbBm) 6TLg5a Date and standard EIGHTEEN
of admission of student (year in words)
|() Lonsotaiy usiteflcou 6lG dsugio GbTBB uigBgI
10 1955 0GUy (s1600TG06lgyjiD 6tLgEBgb) (Standard in which
|the Student was studying at the time of leaving XII
School. (in figure and words)
()Gpouomovés 6v6 steola), Gsi 1EA50bs LuATLLIOGla
|HBTaUGI GuTgIÉsEBÓuGll avaug5 Gpmfipasovo (If Higher
Secondary Course, the Course offered ie., General General Education
Education or Vocational Education)
@) Qungiéssávoluimulsat ugA II GgsG ()-B0
GsyiEGB0BB 6MGUULù uTLEBOT Loppio ulpg Guom (In PHYSICS- CHEMISTRY BIOLOGY
|the case of General Education the Subject offered MATHEMATICS
under Part III Group A & Medium of Instruction)
|055 2Li JGLIUDGS G5J#él Gup 5E5 260LJGJgr?
11 /@ao 6hlnGas. (Mention whether qualified : Refer Marksheet
for promotion to next higher class (Yes/ No)
LDT600T LUgUy 256l5 Glgtms SlovaugEI UIuy 6LL6001F6
5jm 6]G5gojLD GUpaugn? (S560T
12 nuaGs) (Whether the Student6laug56TEE5 was in receipt of NIL
any Scholarship or Educational Concession; nature of
the scholarship to be specified)
LDCT GOOTOUIT BLUL5 B6U6.lut600T 1g6) LDGEGIOJ uwasG
13 Gsotpougr? (Whether the
Student has undergone 23-Jan-2020
medical inspection during the last academic year)
LOCTGODTOJT 860AuTESù uotTefls aGsm6 LfiGs C5A (Last
date on which the Student attended the school) 24-Mar-2020
 1s LDTODTOjleoi 56mgLOUSDOILLÓ GOOD
The Student's conduct and character

|16 (Date of application for Transfer Certificate) 17-Jul-2020

Terminal Class
(Reason for applying for Transfer Certificate)
17Lot m stsiao Cs (Date of Transfer Certificate) 27-Jul-2020
18 0TTAiT 61 (Student EMIS ID) :3328130320702269

uaipg Guom
(Period of Study) (Classes Studied) First Language) (Medium ofInstruction)
2018-2020 XI-XII Tamil English

uarefils 5meLDLn&Ijuflet6DEE@umiuD, (Quui, es wing Au Ch hl{

19 GTTl BBnyuL6OT)
Signature of the Head Master (with Name, Date and PRINCIPAL22 2
Geetha Matric.Hr. Sec. School
School Seal) Muthiahpuram, Thoothukudi-5
*6yimsgsEI Denus whpuD sLLmus esaueil aflenuë aLLb 2009, wbgib aAsi, 2011-6aiui5

G5ML (Note)
) uLesso Bi5 unDD 6Tshsy Dosgi GgiuiuGb (Erasures and unauthenticated or fraudulent alterations
in the Certificate will lead to its cancellation).

2) 65utULbLGaucoorBb. Fs0D51pleot uflasThEb 6M5GluTULLDLL, BTIB5 UGTrGtl5 z0UMuLTEjuI&y

GUnputety (Should be signed in ink by the Head of the institution who will be held responsible for the
Correcthess of the entries).

GupGpai utSjGtOJufla 2mAGom

DECLARATION BY THE PARENT IGUARDIAN
GDCn, aflsms s16001 2 (P50 7 a6guaT aTsotGI,5GEBGT ußla GlsULUUL GlaTeT 6laughiEsoT Efuneotoa stoot n

I hereby declare that the particulars recorded above against items from 2 to 7 are correct and that no
change will be demanded by me in the future.

Ana Swath S lo8/oe10 S Janata 1lo8/2020

LoT6o01ufleoI 60650uUuD Qupéprg / uITS5ETAJGujlot sDs@utUuDb
Signature of the Student
Signature oftheParent/Guardian