KU No.

.272026 APPENDIX - 16
(Rule 88, Chapler Il1)
FÖRM OFTRANSFER CERTIFICATE ORIGINAL
1. Trasfer Certificate No. 0d SriChaitanya E.M. High Scho0r
) Name of the School (Place District) B.Thandrapadu - KURNOOL.
Dis No. 3942/B1/2013 Dt.30-10-2013
b) Highest Class in the School R.J.D of School Education, Kadapa
c) I Non-Government Class upto which rccogniscd no. & : VI to X Classes 2013-14 to 2017 18
Date of recognition orders
NANGAM A1 RAGHUNATH kUNAR
2. Name of the Pupil
RAHA LIRGAI AH
3. a)Name of the Parent or Guardian
CNDHUHATHI
b) Name of the Mother NDLAN- HÊNDo-JANGAM
4. Nationality and Religion
5. Whether the candidate belongs to the Scheduled Caste, BC-A
Scheduled Tribe or Vimuktha Jathis or Other socially and
cducationally Back-ward classes specified in the Andhra Pradesh
Educational Rules or is he a convert from the Scheduled Qy-o5- d0o0 TWentySvtA
Castes or the Scheduled Tribes if so, the pariculars thereol. Hay- To IHousnnd
6. Date of birth (in words) as entered ip p nRegister.
7. a) Class in which the pupil was arig at thgs TENTH
leaving. (in words)
b) (i) First Language TELU GU
(ii) Second Language HNDI
c) () Course offered (i.e. whethar ademic oureated
bikurçated copufse) ACADENIC
and the subject offered unke
RAL
ENEK ENGLISH
(i) Whether studied composite or eneral 4 m TGluGU.
8, Mother Tongue - Medium of instruction- optrant
9. Date of admission or promotion to that class ld-o6-do13
(The year to be entered in words).
10. Class and year in which the pupil
was first admitled into the yIUSJO13
school.
II. Whether qualified for promotion to a higher
class YES
presented for the S.S.L.C. or H.S.C.. S.S.C.
(in the case of pupil stated)
course if study or passed or not has to be
fees due to the school. :
12. Whether the pupil has paid all the
13. a) Whether the pupil was in receipt of any
scholarship. (Nature of the scholarship to
be specified)
b) Whether the pupil was in receipt of any
concession. (Nalure of concession to be specified)
during
14. Whether the pupil has undergone Medical Inspection
the first-year of report. (To be specified)
15. Personal Marks of
ldentification
HoE ON THE RIGHT HAND
0 4 BAA CK
4 BLA CK MOE ON THE LEFT ARH
) school.
16. Date on which the pupil actually left the 04-06dol6
17. Date on which application for Transfer Certificate was made
Parent or Guardian.
on behalf of the pupilby his / her
Certificate
18. Date of Transfer :
19. CONDUCT
20. Allendance in the class of leaving number of days present
a) No. of days present
:

:
(96
b) Total No. of working days :
of the School.
21. Signature of the Head

the stale of Andhra Pradesh.

Note: In case the pupil is leaving teas sler
counter s1gnatu:
Certificate will not be valid without the SriChaitanya E.M. Schoo
the Inspecting Officer concerned. B.Thandrapadu, Kurnool.