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Signature of Class Teacher Checked By Principal Seal Sl No.: 80 Admission No.:2166 _________________________________________________________________________________________________ 1. Name of Pupil : SHUCHI HEMANT DALWADI _________________________________________________________________________________________________ 2.Mother's Name : Nehha Dalwadi _________________________________________________________________________________________________ 3. Father's Name : HEMANT DALWADI _________________________________________________________________________________________________ 4. Nationality: INDIAN _________________________________________________________________________________________________ 5. Whether the Candidate belongs to Schedule Caste or Schedule Tribe: GEN _________________________________________________________________________________________________ 6. Date of First Admission in the school with class: IV _________________________________________________________________________________________________ 7. Date of Birth (In Christian Era) according to Admission Register [in figures] : 04/02/2003 _________________________________________________________________________________________________ 8. Date of Birth according to Admission Register [in Word] : Fourth of February Two Thousand and Three _________________________________________________________________________________________________ 9. Class in which the pupil last studied (in figures) : VIII _________________________________________________________________________________________________ 10. School/ Board's Annual Examination last taken with result : CBSE _________________________________________________________________________________________________ 11. Whether failed, if so once/twice in the same class : - _________________________________________________________________________________________________ 12. Subject Studied : Computer,English,Gujarati,Hindi,Mathematics,Music,Science & Technology,Social Science _________________________________________________________________________________________________ 13. Whether qualified for promotion to the higher class. If so, to which class [in Figure] : YES, STD. IX (NINTH) _________________________________________________________________________________________________ 14. Month upto which the pupil has paid school dues/paid : PAID _________________________________________________________________________________________________ 15. Any fee concession availed of, if so the nature of such concession : - _________________________________________________________________________________________________ 16. Total number of working days : 188 _________________________________________________________________________________________________ 17.Total number of working days present : 154 _________________________________________________________________________________________________ 18.Whether NCC Cadet/Boy scout/Girl Guide : - _________________________________________________________________________________________________ 19.Gamed played or extra-curricular activities in which the pupil usually took part : - _________________________________________________________________________________________________ 20.General Conduct : GOOD _________________________________________________________________________________________________ 21.Date of application for certificate : 20/03/2017 _________________________________________________________________________________________________ 22.Date of issue of certificate : 20/03/2017 _________________________________________________________________________________________________ 23.Reason for leaving the school: PARENT'S REQUEST _________________________________________________________________________________________________ 24.Any other remarks : _________________________________________________________________________________________________

SHUCHI HEMANT DALWADI Nehha Dalwadi HEMANT DALWADIudgamschool.net/udgamschoolapp/Impdoc/2012562_Transfer.pdfINSTRUCTIONS REGARDING ISSUE / COUNTERSIGNATURE OF TRANSFER CERTIFICATE

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Signature of Class Teacher Checked By Principal Seal

Sl No.: 80 Admission No.:2166_________________________________________________________________________________________________1. Name of Pupil : SHUCHI HEMANT DALWADI_________________________________________________________________________________________________2.Mother's Name : Nehha Dalwadi_________________________________________________________________________________________________3. Father's Name : HEMANT DALWADI_________________________________________________________________________________________________4. Nationality: INDIAN_________________________________________________________________________________________________5. Whether the Candidate belongs to Schedule Caste or Schedule Tribe: GEN_________________________________________________________________________________________________6. Date of First Admission in the school with class: IV_________________________________________________________________________________________________7. Date of Birth (In Christian Era) according to Admission Register [in figures] : 04/02/2003_________________________________________________________________________________________________8. Date of Birth according to Admission Register [in Word] : Fourth of February Two Thousand and Three_________________________________________________________________________________________________9. Class in which the pupil last studied (in figures) : VIII _________________________________________________________________________________________________10. School/ Board's Annual Examination last taken with result : CBSE_________________________________________________________________________________________________11. Whether failed, if so once/twice in the same class : -_________________________________________________________________________________________________12. Subject Studied : Computer,English,Gujarati,Hindi,Mathematics,Music,Science & Technology,Social Science_________________________________________________________________________________________________13. Whether qualified for promotion to the higher class. If so, to which class [in Figure] : YES, STD. IX (NINTH)_________________________________________________________________________________________________14. Month upto which the pupil has paid school dues/paid : PAID_________________________________________________________________________________________________15. Any fee concession availed of, if so the nature of such concession : -_________________________________________________________________________________________________16. Total number of working days : 188_________________________________________________________________________________________________17.Total number of working days present : 154_________________________________________________________________________________________________18.Whether NCC Cadet/Boy scout/Girl Guide : -_________________________________________________________________________________________________19.Gamed played or extra-curricular activities in which the pupil usually took part : -_________________________________________________________________________________________________20.General Conduct : GOOD_________________________________________________________________________________________________21.Date of application for certificate : 20/03/2017_________________________________________________________________________________________________22.Date of issue of certificate : 20/03/2017_________________________________________________________________________________________________23.Reason for leaving the school: PARENT'S REQUEST_________________________________________________________________________________________________24.Any other remarks : _________________________________________________________________________________________________

INSTRUCTIONS REGARDING ISSUE / COUNTERSIGNATURE OF TRANSFER CERTIFICATE

Transfer Certificate should be issued only under the signatures of the regular Principal / Vice Principal

and it should be countersigned by an officer not below the rank of District Inspector of Schools / Deputy

Director of Education / Education Officer of the Education Deptt. of the State / Union Territory

concerned. In case of a student migrating from one CBSE affiliated school to another CBSE affiliated

School the transfer certificate of a previous school of such a student may be countersigned by the

Regional Officer / Astt. Secretary / Section Officer of the Board or the Assistant Commissioner of the

Kendriya Vidyalaya Sangathan or the Deputy Director, Navodaya Vidyalaya Samiti in India or an officer

of the Board at the Head Quarters and by the First Secretary / Attache / Cultural Attache or an equivalent

officer of the Embassy / High Commission of India in the concerned country in respect of students

studying in an affiliated school of CBSE situated outside the country and the student shall not be admitted

to a school without such a counter signature. Assistant Commissioner, Kendriya Vidyalaya Sangathan

have also been authorized to countersign the Transfer Certificates issued by the School run by Directorate

General, Boarder Security Force.

VERIFICATION OF TRANSFER CERTIFICATELink – www.udgamschool.com/transfer-school-leaving-certificate