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The document is a request from a parent to the principal of Apeejay School in Faridabad to issue a school leaving certificate for their ward. It includes details about the student such as admission number, name, father's name, classes attended, exams taken, current class, extracurricular activities, and reason for leaving. The principal is asked to fill in the student's attendance records and subjects studied. Other departments are to provide clearance that fees and equipment have been returned.

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khushi sachdeva
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148 views1 page

Certificate Format

The document is a request from a parent to the principal of Apeejay School in Faridabad to issue a school leaving certificate for their ward. It includes details about the student such as admission number, name, father's name, classes attended, exams taken, current class, extracurricular activities, and reason for leaving. The principal is asked to fill in the student's attendance records and subjects studied. Other departments are to provide clearance that fees and equipment have been returned.

Uploaded by

khushi sachdeva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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The Principal

Apeejay School
Faridabad

Subject: Issue of School Leaving Certificate

Please issue School Leaving Certificate to my ward whose particulars are as given below as he/she will not be
continue his/her studies in your school.

1. Admission No. ________________________________


2. Name of Student ________________________________
3. Father’s Name ________________________________
4. Last Class/Section attended ________________________________
5. Annual Board Examination Last Taken ________________________________
6. Year of Examination ________________________________
7. Present Class/ Section attended ________________________________
8. Games Played ________________________________
9. Participation Extra Curricular activities if any ________________________________
10. Achievement level therein ________________________________
11. NCC Cadet/Boy Scout/Girl Guides
(Details to be given) ________________________________
12. Date of application for School Leaving Certificate ________________________________
13. Reason of Leaving ________________________________

I hereby declare that all the above given particulars are correct.
Date: ________________ (Signature of Parent)
Name: _______________________
Telephone No.: ________________
(To be filled by Class Teacher)
Class & Section _____________________ Total Attendance as on date ___________out of __________
Subjects offered 1. _________________ 2. ___________________ 3. _______________________
4. _________________ 5. ____________________ 6. _______________________
Date: _____________________ Signature of Class Teacher
Name : ________________

(Clearance Certificate)
Accounts Deptartment: Fees paid upto _________________________ Transport ____________________
Library _______________Games & Sports ________________ Band _____________NCC _______________
Science Deptartment Physics ____________ Chemistry _________ Bio __________ Comp Sci. __________
Art _________Music __________Home Sci. __________ Medical ___________ Electronics _____________

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