SLC No.

13270358
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. 947 Date of issue 14-Jul-2020

Pupil's Name Ms. VANDANA BHARTI

Date of Birth 14-Jul-2004
Student Registration No. (SRN) 1604052076 No. in Admission Register 1287

Name of Father/Guardian Mr. SHASHI BHUSHAN DAS

Mother Mrs. SHARDA DEVI

Certified that Ms.VANDANA BHARTI 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. 13270358

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. VANDANA BHARTI S/o-D/o- ward of Mr. SHASHI BHUSHAN DAS 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. 13270358 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 14-Jul-2004.

Signature and seal of Head Institution