(No Change in entry in this certificate shail be made except by the authority issuing if and any Jinfringoment of the nail liable to involve the imposition of a penalty such as that of restrication.) (HIGHER SECONDARY SCHOOL) VED ROAD, SURAT-395 004. 052 No. _.. SCHOOL NO. 196 oe (SEE RUL 13 IN CHAPTER IX FOR THE GRANT IN AID CODE GtrdiseNo, 88-215" GRNo/ wari. : LEOBG ayeratefl Medium / wer + (Gasau 60 eee Full Name of the Student (Sumame firs Ved bichas IBhencwesl Raul yz su (ozs yer) Religion and Cast -Hindat Meche Mopethy af a Mother's Name ae “tt Hex of inigiioeen ME sot 2am (maga Fre aa) Date of Birth (in tigures and wort pe hin leno Merch Avg Atinedy Ferd) Bardlad sqaure wr and (arissral 24° atveri) Last School Attended Abr P SiO RE. _Serrad—_ eeui ore da A de wee Date of Admission qin ine) — ; £0] 6] 4 (8) vate of Leaving schoo! waa aur“ (ee ale) - am, seu aud, Bho S In which Standard he/she studying & Since when ? gu Aer eur sO 7 sue 7 (10) Reason for Leaving Schoo! anu oaug, 120. (11) Progress / wala (12) Conduct / adsis (13) Remark / Radwils Date: jam of 20) 1S {arty that the sbove information is verified by sue wre seal ad BB gp ig casera yee bag wip mg