ISABELLA DE ROSIS PUBLIC SCHOOL THEVARKAD, VARAPUZHA P. O. – 683517
Affiliation No: 931242 School Code: 76219
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| Admission No: ……….. | ||
| TRANSFER CERTIFICATE | ||
| 1. Book No: | …………………………………………………………………………… | |
| 2. Name of pupil: | …………………………………………………………………………… | |
| 3. Mother’s Name: | …………………………………………………………………………… | |
| 4. Father’s Name /Guardian’s Name: | …………………………………………………………………………… | |
| 5. Nationality: | …………………………………………………………………………… | |
| 6. Proof for Date of Birth submitted at the time of admission: |
…………………………………………………………………………… | |
| 7. Date of Birth (in figures): | …………………………………………………………………………… | |
| 8. Date of Birth (in words): | …………………………………………………………………………… | |
| 9. Whether the candidate belongs to SC,ST,OBC,OEC or any other: |
…………………………………………………………………………… | |
| 10. Religion: | …………………………………………………………………………… | |
| 11. Date of first admission in the school with class: |
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| 12. Class in which the pupil last studied (In figures and In words): |
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| 13. School/Board Annual Examination last taken with result: |
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| 14. Whether failed ,if so once /twice in the same class: |
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| 15. Subjects studied: | …………………………………………………………………………… | |
| 16. Whether qualified for promotion to the higher class if so ,to which class (in fig &in words): |
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| 17. Total No. of working days in the academic session: |
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| 18. Total No. of presence in the academic session: |
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| 19. Month up to which the (pupil has paid) school dues /paid: |
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| 20. Any fee concession availed of if so ,the nature of such concession: |
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| 21. Whether NCC Cadet /Boy Scout /Girl Guide (Details may be given): |
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| 22. Whether school is under Govt./ Minority/ Independent Category: |
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| 23. Games played or extra –curricular activities in which the pupil usually took part (mention achievement level there in ): |
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| 24. General conduct: | …………………………………………………………………………… | |
| 25. Date of Application for certificate: | …………………………………………………………………………… | |
| 26. Date of issue of certificate: | …………………………………………………………………………… | |
| 27. Reasons for leaving the school: | …………………………………………………………………………… | |
| 28. Any other remarks: | …………………………………………………………………………… | |
| Class Teacher | Checked By | Principal |