Simple School Leaving Certificate Sample.
Sai Bahuudeshiy Sanstha Sanchalit
K. G. PAWAR PRATHMIK & MADHYAMIK VIDYALAYA
Satgaon (Dongri) Tal. Pachora, Dist. Jalgaon
LEAVING CERTIFICATE
UDISE NO.
-
BOARD-STATE BOARD
Sr. No.:
S.S.C.INDEX No.S-
Gen Reg.No.:
Student ID. No.
-
UID No. (AdharNo.)
-
Name of the Students in Full
Yogesh
Madhukar
Amrutkar
First Name
Middle Name
Last Name
Indian
Mother Tongue :
Marathi
Hindu - Wani
Caste & Sub Caste :
Mother’s Name
Pramila
Nationality
Religion
5 6 0
Palce of Birth
Dhule
Tal :
Dist :
State: Maharashtra
Country: India
Date of Birth :
2
9
0
7
1
9
7
8
Month & Year according to
the
christain Era both in words
Twenty Ninth July Nineteen Seventy Eight.
and figures
Last School attended & Std.
Date of Admission & Std.
Progress
Date of Leaving School
V.R.V.S (W) Mumbai
1
5
0
7
2
0
1
9
Good
3
Std: 10th
Conduct : Good
1
0
5
2
0
2
0
Standard in Which Studying
Std : X th
and since When
Since : June 2019
Reason of Leaving School
Sent up for S.S.C Exam held March 2020 (Passed)
Remarks :
Tenth
Dues Nil
Certificate that the above infomation is in accordance with the School Register.
Date :- 19 / 08 / 2020
Class Teacher
Clerk
Head Master
Note : (Any change made in this certificate will betreated as illegal and neccessary legal action will be taken.)