| 1. Name of Pupil |
: |
#NAME# |
| 2. Mother's Name |
: |
#MOTHER_NAME# |
| 3. Father's / Guardians Name |
: |
#FATHER_NAME# |
| 4. Date of Birth according to Admission Register |
: |
#DOB#
(#DOB_IN_WORDS#) |
| 5. Nationality |
: |
#NATIONALITY# |
| 6. Whether the pupil beongs to ST / SC / OBC |
: |
#CATEGORY# |
| 7. Date of First Admission in the School with Class |
: |
#ADMISSION_DATE# (#ADMISSION_CLASS#) |
| 8. Class in which the pupil last studied |
: |
#COURSE_BATCH# |
| 9. School / Board Annual Examination last taken with result |
: |
#LAST_EXAMINATION# |
| 10. Whether failed, if so once / twice in the same class |
: |
#IS_FAILED# |
| 11. Subject Studied |
: |
#SUBJECT_STUDYING# |
| 12. Whether qualified for promotion to the higher class, if so to which class |
: |
#PROMOTION_CLASS# |
| 13. Month upto which the student has paid school dues |
: |
#FEE_PAID_UPTO# |
| 14. Any fee concession availed of, if so, the
nature of such concession |
: |
#FEE_CONCESSION_AVAILED# |
| 15. Total No. of working days |
: |
#WORKING_DAYS# |
| 16. Total No. of working days present |
: |
#PRESENT_DAYS# |
| 17. Whether NCC Cadet / Boy Scout / Girl Guide (details may be given) |
: |
#NCC_SCOUT# |
| 18. Games played or co-curricular activities in which the pupil had usually taken part (Mention
achievement level therein) |
: |
#CO_CURICULLAR# |
| 19. General Conduct |
: |
#CONDUCT# |
| 20. Date of Application |
: |
#APPLICATION_DATE# |
| 20. Date of Issue |
: |
#CERTIFICATE_DATE# |
| 21. Reasons for leaving the School |
: |
#REASON# |
| 22. Any other remarks |
: |
#REMARKS# |
Certified that the above particulars are in accordance with the School Register.