FORMAT
SCHOOL NAME
LEAVING CERTIFICATE
Register No:
Certificate No:
1
Name of pupil in full
2
Mother’s Name
3
Mother Tongue
4
Cast with Sub Caste
5
Nationality
6
Place of Birth
7
Date of Birth in Figures & Words
8
Last School Attended
9
Date of Admission
10
Study Progress
11
Standard in which studying and since
12
Reason of Leaving School
13
Remarks
Certified that the above information is in accordance with the school Register
Place:
Date:
School seal
Principal