P H O N ES 01 1-233 1 1 6L8,6L9,620, FAX I OLL-233L62L4

CBSE AFFILIATION NO 273OOO9

Website:www.modernschool. net

scHool tD 2026L26

MODERN SGHOOLBARAKHAMBA ROAD, NEW DELHI-11OOO1

(Recognised by Directorate of Education, Delhi AdministrationAffiliated to Central Board of Secondary Education, New Delhi)

scHooL LEAVTNG/rnnrusFER CERTI FICATE

TC Serial No : 00068 Admission No: 91556

Certified that SRISHTI AGRAWAL Daughter of ANJALI AGRAWAL and

YATEESH AGRAWAL was admitted to the Modern School, New Delhi on

0110412016 vide Admission No.91556 and left the school on 0110412020

She was then studying in class lX and all dues have been paid in full.

Her date of birth according to the admission register is (in figure) 1110812005

(in words) Eleventh August Two Thousand Five

She bears good moral character.

(The following additional information must be supplied if the scholar left theschool at the end of the School Academic Year)

Promotion has been : NOT APPLICABLE

\a$Af,2H:Verified by (Name \\"Jr.+.i.,.. q^,..r...-,.. )

(All entries have been verifiedDated: OL(O4|aOaO

Note: lnter State cases are to be countersigned by Education Officer, Zone No XXVI, Dte. OfEducation, District Central, Plot No 5, Jhandewalan,Karol Bagh, New Delhi-110005

PRINCIPAL