SLC No.

10730662
High School
School Name : ADARSH HIGH SCHOOL SATROD KHAS
Block : Hisar - I District : Hisar
UDISE Code : 6120604504 Department School Code : 22034

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2016-2017 )

File No. 12/371 Date of issue 12-Apr-2017

Pupil's Name Ms. MONIKA

Date of Birth 28-Sep-2003
Student Registration No. (SRN) 1604149415 No. in Admission Register 1475

Name of Father/Guardian Mr. RAJ KUMAR

Mother Mrs. SUNITA DEVI

Certified that Ms.MONIKA attended this school up-to 12-Apr-2017. He/she has paid all sums due
to the school, and was allowed on the above date to withdraw his/her name. He/she was reading
in Class Seventh in this school.

1. He/she was examined in Seventh and

a. Was allowed/promised promotion to Class ,

b. Passed the examination in the highest class available in the school, OR
c. Left the school mid-session to join a different school, OR
d. Failed in subject(s)
Note: (please tick and fill whichever is applicable)

The following particulars are certified to be correct according to the registers of the school and the
certificate's produced from previous school attended during the school year:
No School Date of Date of Date of No. of total Pupil's Leaves taken
Admission withdrawal attendance attendances attendance during the
during the during the during the current
current school current current school year
year school year school Year
1 ADARSH HIGH 01-Apr-2016 12-Apr-2017 01-Apr-2016 286 0 0
SCHOOL To
SATROD 12-Apr-2017
KHAS

Date of issue 12-Apr-2017 Signature and seal of Head Institution

 SLC No. 10730662

For Scholarship-Holders Only

Kind of scholarship Value Year of award

Date up-to which drawn . By whom payable

Note: Entries checked and found correct:

Signature and seal of Head Institution

For office use only:

Certified that Ms. MONIKA S/o-D/o- ward of Mr. RAJ KUMAR and a student of the Seventh class

who left the ADARSH HIGH SCHOOL SATROD KHAS School (School Code 22034 ) Hisar -

I Block, Hisar District with Transfer Certificate No. 10730662 Dated 12-Apr-2017 has joined the

class Of School (school code

), District on His/her date of birth mentioned in

the Transfer Certificate is 28-Sep-2003.

Signature and seal of Head Institution