whether the candidate belongs to schedule casLe orschedule Eribe Date of first admission in the school with class
:
:
GENERAT
Dateof birth (in christian'Eral accordingto admission regiser (In
t/a4
/zolz,v figure) ZllOiliOaZ 1
(ln wordsJ: TWENTY NINE JULYTWO THOUSAND TWO
B Class in which rhe pupil last srudied (in figures) : 9 School/board annual cxamination lasttakcnwith rcsult: 10 Whether failed, if so once/twice in the same class : 11
Subject studied
12
Whether qualified for promotion to the higher dass
t
.
If so, to which class fln tig.):
13
VIII vrltpAssED, NEIVLooKCENTMLscHOOL
NO .ENG.,lrNDrIrArHs,scrENcE,so.scrENcE,sANsKRrr.
:
yES
tX
IX
: re nature of such concession:
Month up to which the fPupil has paid) school dues/paid
:
L5
Total No. of working days
16
Total No. of working days present
17
Whether NCC cadet/hoy Scout/Girs Guide[ details may he given):
,a
,11T._t tly_:i 1f took part (mention
:
:
-lii1
/?016
NIL
t93
extra-curricular activities in which the pupil achievement Ievel therein):
Any other remarks
X/OJ
1Z06
19 General conduct: 20 Date of application for certificare : 21 Date of issue of certificare: 22 Reasons for leaving the school :
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