SCHOOL LEAVING CERTIFICATE
Book No.
Sr. No.
Admission No.
118
118

4406
1. Name of Pupil
2. Father's Name
3. Mother's Name
4. Nationality
5. Date of First Admission in the School with Class
6. Date of Birth (in Christian Era) According to Admission Register (in Figure)    
7. Class in Which the Pupil last Studied (in Figure)
8. School/Board Annual Examination last taken with Result
9. Whether Failed, if so Once/Twice in the same class
10. Subjects studied: 
11. Month up to which the Pupil has Paid School dues
12. Total No. of Working Days
13. Total No. of Working Days Present
14. Whether NCC Cadet/ Boy, Scout /Girl Guide (Details may be Given)
15. Game played or Extra-curricular Activities in which the Pupil usually took part (Mention Achievement Level 
16. General Conduct
17. Date of Application for Certificate
18. Date of Issue of Certificate
Religion
MR. MADAN BISHT
SMT.  KAMLA DEVI
Indian                                   
07/07/2021
 SIXTH  SEPTEMBER  TWO THOUSAND FOUR
(in words)
(in words)
  XII 

02-09-2023
04 -09-2023
19. Reasons for leaving the School
20. Any Other Remarks
HINDU
there in)
English
Accountancy
Business Studies
iv)
i)
ii)
iii)
v)
vi)
.                
.                            
.                   
Principal
Class Teacher
Checked by Designation

JYOTI	

.TWELFTH PASS.	...............................................
Physical Education
Economics

06/09/2004
R K INTERNATIONAL SCHOOL.............................
...............................NO................................................................

    204                                                                     
226                                                                                   
Mar.2023.................................................................................................

NA	                                         
NA                                                                                                                
Good                                                                                                 
 Parent's Desire                                                                          
No