SLC No.

13270353
High School
School Name : ADARSH HIGH SCHOOL SATROD KHAS
Block : Hisar - I District : Hisar
UDISE Code : 06120604504 Department School Code : 22034

SCHOOL LEAVING CERTIFICATE

( Academic Year: 2019-2020 )

File No. 942 Date of issue 14-Jul-2020

Pupil's Name Ms. TAMANA

Date of Birth 11-Sep-2004
Student Registration No. (SRN) 1604098106 No. in Admission Register 1301

Name of Father/Guardian Mr. SUBHASH

Mother Mrs. NEELAM

Certified that Ms.TAMANA attended this school up-to 29-Apr-2020. 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 Tenth in this school.

1. He/she was examined in Tenth 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
Admission withdrawal
attendance attendances attendance taken
during the during the during the during the
current school current current current
year school year school Year school year
1 ADARSH HIGH SCHOOL 04-Apr-2019 29-Apr-2020 04-Apr-2019 336 0 0
SATROD KHAS To
29-Apr-2020

Date of issue 14-Jul-2020 Signature and seal of Head Institution

 SLC No. 13270353

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. TAMANA S/o-D/o- ward of Mr. SUBHASH and a student of the Tenth class

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

I Block, Hisar District with Transfer Certificate No. 13270353 Dated 14-Jul-2020 has joined the

class Of School (school code

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

the Transfer Certificate is 11-Sep-2004.

Signature and seal of Head Institution