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NAME

MOTHER'S NAME

FATHER'S NAME

Nationality

WHETHER THE PUPIL BELONGS TO SC/ST/OBC CAT...

D/O/B ACCORDING TO THE ADMISSION REGISTRATION

WHEATHER THE STUDENT IS FAILED

SUBJECT OFFERD

CLASS IN WHICH THE PUPIL LAST STUDIED

SCHOOL/EXAMINATION LAST TAKEN WITH RESULT

QUALIFIED PROMATION TO THE NEXT HIGHER CLASS

STUDENT PAID ALL THE AMOUNT OF THE SCHOOL

WHETHER PUPIL WAS IN RECEIPT OF ANY FEE CONCESSION, IF SO THE NATURE OF SUCH CONCESSION/ क्या विद्यार्थी को कोई शुल्क रियायत प्रदान की गई थी, यदि हाँ, तो उसकी प्रकृति ।

क्या विद्यार्थी एन0सी0सी0 कैडेट, स्काउट है? विवरण दे : WHETHER THE PUPIL IS NCC CADET/BOY SCOUT/GIRL GUIDE (GIVE DETAILS):

DATE ON WHICH PUPIL'S NAME WAS STRUCK

NO. OF MEETINGS UP TO DATE

NO. OF SCHOOL DAYS THE PUPIL ATTENDED

REASON FOR LEAVING THE VIDYALAYA / विद्यालय छोड़ने का कारण

सामान्य आचरण/GENERAL CONDUCT

कोई अन्य टिप्पणी/ANY OTHER REMARKS

DATE OF ISSUE OF CERTIFICATE