TC.No :
Ad. No :
1. Name of Institution :
2. Whether the School is Govt, Aided or Recognised :
3. Name of the Pupil :
4. Name of parent/guardian and relationship of the
pupil to the guardian :
5. Identification Marks 1:
2:
6. Nationality:
7. Religion & Caste:
8. Whether the pupil belongs to SC/ ST/ OBC or whether
he/she is a convert from the SC/ ST if so Specify:
9. Date of Birth according to Ad. Register - In Figure:
In words:
10. Standard in which pupil was last enrolled :
11. Date of admission or promotion to that standard :
12. Whether qualified for promotion to a higher std :
13. Whether the pupil has paid all the fees due :
14. Whether the pupil was in receipt of fee concession :
15. Date of pupil`s last attendance at school :
16. Date on which the name was removed from roll :
17. Date of application for TC :
18. Date of issue of certificate :
19. Reason for leaving :
Place:
Date:
School Seal
Principal
COURSE AND CONDUCT CERTIFICATE
Certified that was a student in this institution in the Course with as optional subjects in the academic year .
During the course of study his/her character and conduct were found
Place:
Date:
School Seal
Principal
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