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24 views1 page

TC

Uploaded by

skhan5583
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Kidzee…….

Address….
SCHOOL LEAVING CERTIFICATE
Serial No.__________ Date of Issue ________________

Name of Child:
_______________________________________________________________________

Father’s Name:
_______________________________________________________________________

Mother’s / Guardian’s Name:


___________________________________________________________

Date of Birth: _____________________


In words:

Date of Admission: _____________________ Class (on admission): _____________________

Nationality: Indian / _________________

RESIDENTIAL ADDRESS
Flat / House No.: _____________________ Building Name
____________________________________ Street / Road
_________________________________________ Town / Locality___________________ City
_______________________________ State ____________________________ PIN _____________

Class in which presently studying: ____________________

Sports / Games Co-curricular


Participated activities participated

Participation in Total school Number of Session


other Activities working days days present

General Conduct: Excellent / Very Good / Good / Average School fee


paid up to month
Any other Remarks
____________________________________________________________________

Reasons for leaving school ________________________________________________________


____________________________________
Countersigned by Signed b
Prepared & Checked by: __________________
(Centre Coordinator)

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