Text
Text
SINo: 27/16
child decideod
I. (a) Name of the School|
Name of the Edocational District
Name of the Revenue District
Name of the Pupil (in block lessers)
Name of the Father or Mocher of the Pupil
Nationality and Religion
Community wbether be'ibe belongs to
(a) Adi Dravidar (SC) ce (S.T)
(0) Backward Class
(e) Most Backward Class
(d) Converted to Christianity from
Scheduled Caste or
(e) Denotified Coe
Sex
Date of Birth as cotered in the Admission
Register in figures and words.
8 Personal marks identificatica
Date of admission and standard in which admined
10 Standard in which the pupil was stadying at the
time of leaving (in words)
11 Whether qualified for procsocion to higher standard
12 Whether the pupil was in receipt of any scholarship
(Nature of the scholarship to be specin
13 Whether the pupil has undergose Medical
repeat to be Specified)
14. Date on which the pupil actually left the school
15 The pupil's conduct and character.
16 Date on which application for transfer certificate
was made on behalf of the pupil by the parent or guardian :
Ad. No: 2329 / 14
COVT ENMINT OF TAMEL NADU
DEPARTMENT OF SCHOOL EDUCATION
TRANSFER CERTIFICATE
Recognised by the Director of School Educatico
KALVI ULAGAM
SIVANANDAM HIGH SCHOOL
Kilithappartaral, Katpadi, Velloro-632007.
TIRUPATTUR
VELLORE
MOHAMMED YOUSUFF B
BASHEER AHMED
INDIAN, MUSLIM
Refer the Community Certificate
issued by the Authority
MALE
12.07.2003
(Tweaty Ninth - November - Nineteen Ninety Nine)
1. A sole on the more
scar on the right leg
09.05.2014, Ninth Standard.
(Two Thousand Fourteen)
TENTH STANDARD
NO, DETAINED
NO,
YES,
31.05.2016
GOOD
20.08.2016
22.08.2016
18. Course of study.
School Name
Kalvi Ulagam
Sivanandam High School,
Vellore-632007.
Academic Year(9)
Standard(s) Studied
Fint Language
Vicduum of instruction
2014 - 2015
2015 - 2016
IX Std
Tamil
Tamil
and school seal
mh 282:08-2216
dudd
cratioes in the Certificates will lead to its cancellation.
institution, who will be held responsible for the correctness of the
Decharation by the Pareat or Gaadjia: ! bereby dcclara dur de perticultrs recorded
againt items 2 to 7 are correct and that Do