12, wromaiy unin 2,p6AZAprons (9) adeSls egyenn s
egie4b Cuppaurr (oisen Burpoops @pISGa) : eed Kn
‘Whether the pupil wasn receipt of any scholarship
(Nature of the scholarship to be specified) or
any educational concession
13, oremai usrel agi phe vospE gylades
scnpron (eppé sieve: seg 21EdG Coo
‘Whether the pupil ias undergone Medical Inspection
Ifany during the academic year (first or repeat to be
specified)
14, wremaij udrefioow LQ flodu C56
Date on which the puj
18, eramastde Updacgh eemesér pLfeoped
ThePupifsconductandcharacter God...
ses SSO RA
1 dsb tect eaceentage Sop tm
wdeh Cock dcennahe tp
Dutsonwhich sppeton fr Tent Certs was Be OB QIAN D
randy on Dai tas paTAEy peer eave
17, unppé enenpipyien Cp6)
Date ofthe Transfer Certificate
18. unis sents
Course of Study
defer Guu Beech 4oG| UBbs GLY | yp op | weap Gong
Name of the School Academic | Standard(s) | First Language | Medium of
Year ‘Studied Instruction
19. udrahs geomeounAfuticr coaCumind Cog)
ppb usrefl cpppleerus ce
Signature ofthe Headmaster with dateand
School sel
Guba 2 HAs 7 aenpigicren Doriimenag «PCy usa QaiucuOcrer Serpe sfurerenas
serge, asiisrasfa saudflo orppd cgay Cot aomCLen cexgid » psuahisdlndn.
hereby declare thatthe particulars recorded agains items 2 to 7 are correct and that no change will be demanded
by me in future.
Aadhar No.:A]6[5[7[1[o [714 [7]4]/]_ Emits No.: [B[3|3[e]e|e lolol loB lob [3le14]
42.
toremrait ons Cuma Quiptpni s1coergy ancien one Qusrtand
(Signature of the Student) (Signature of the Parent/Guardian)
¢ oe)