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From,

Mr. Jeevan Suraj Kunwar


C/01, Himachal Co-Op Soc,
Plot No. 22, Sector No. 17,
Vashi, Navi Mumbai, 400703
Mob No. 8879663136

To, Date:- September 27, 2023


The Head Master,
Khadegolwali Convent English High School,
Khadegolwali, Kalyan (East), 421004.

Sub:- Application for Duplicate School Leaving Certificate.

Respected Principal,

With utmost I, Mr. Jeevan Suraj Kunwar, former student of Class X, would like to inform that I
was in possession of Original School Leaving Certificate. Unfortunately, the original certificate was
lost due to unforeseen circumstances.

Therefore, I kindly request your assistance in issuing the Duplicate School Leaving Certificate in
lieu of Original School Leaving Certificate No. 408, issued on 16th July, 2021.

Full Name : Jeevan Suraj Kunwar


Date of Birth : 27.02.2004
G. R. No. : 1685
Last Class Attended : 10th Standard, 2021
Student ID No. : 2011272110048070009
Year of Leaving : July, 2021

I appreciate your prompt attention to this matter and thank you in advance for your assistance.

Enclosures:- Sincerely,
Xerox Copy of L.C
______________
Jeevan S. Kunwar

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