School Code71510Book No.SR. NoAdmission NoPEN NO.Affiliation No.2133281Renewed upto2027Registration No. of the candidate (in case Class- IX to XII)Name of the PupilMother’s NameFather’s NameNationalityIndianWhether the pupil belongs to SC/ST/OBCNoYes, SCYes, STYes, OBCD.O.B.(in figures)D.O.B. (in words)Whether the student is failed ?NoYesSubject offeredENGLISH, HINDI, MATHS, SCIENCE, S.ST.,Class in which the pupil last studiedSchool/Board Annual examination last taken with resultCBSE, PASSEDWhether qualified for the promotion to the next higher class?YesWhether the pupil has paid all dues to the school?YesNoWhether the pupil was in receipt of any fee concession ? if yes, show the nature of such concessionNOWhether the pupil is NCC Cadet/Scout/Guide?NODate on which pupil’s name was stuck off the rolls of the schoolReason for leaving the schoolPARENT'S REQUESTNo. of meetings upto dateNo. of school days pupil attendedGeneral conductGOODWhether school is under Govt/Minority/Independent CategoryIndependentAny other remarksNO.Date of issue of certificateSubmit