TRANSFER CERTIFICATE
Affiliation No………… School Code……………..
Book No………… Sl.No: Admission No……………
1. Name of Student:
2. Mother’s Name:
3. Father’s /Guardian’s Name:
4. Nationality:
5. Whether the candidate belongs to Scheduled Caste or Scheduled Tribe or OBC: ……………….
6. Date of first admission in the School with class:
7. Date of birth (in Christian Era) according to Admission Register
(in figures)………………….. (in words) …………………………………………………..
8. Proof for Date of birth submitted at the time of admission …………………………………
9. Class in which the pupil last studied (in figures) (in words)
10. School / Board Annual examination last taken with result:
11. Whether failed, if so once / twice in the same class:
12. Subjects studied: 1. 2.
3. 4.
5.
13. Whether qualified for promotion to the higher class:
14. Month up to which fees paid :
15. Total No. of working days :
16. Total No. of working days present:
17. Any fee concession availed of,if so,the nature of such concession:
18. Whether NCC Cadet/Boy Scout/ Girl Guide (details may be given):
19. Whether school is under Govt./Minority/ Independent Category:
20. Games played on extracurricular activities in which the pupil usually took part (mention achievement
level therein):
21. Date of application for certificate :
22. Date on which pupils name was struck off the rolls of the school:
23. Date of issue of certificate :
24. Any other Remarks:
I hereby declare that the above information including Name of the Candidate, Father’s Name, Mother’s
Name and Date of Birth furnished above is correct as per school records.
Date …………………….. Signature of the Principal
SCHOOL SEAL
