TRANSFER CERTIFICATE Admission No:………19-20 1. 2. 3. 4. 5. 6. 7. 8. 9. Name of the Pupil Name of the Father Name of the Mother Nationality Religion/Caste/Mother Tongue Date of Birth According to the Register Class in which pupil last studied (in words) Subject studied, compulsory or elective Whether failed if so one/ twice in the same class. 10. 11. 12. 13. Date of Admission in the school with class Whether qualified for promotion to higher class. Whether pupil has paid all the dues to the school. Whether the pupil was in receipt of any fee concession; if so nature of such concession. Date of Pupil’s last attendance at school Date on which the name was struck off the rolls of the school. Date of Application of Certificate Reason for Leaving Date of issue of Certificate Number of the school days up to date. Number of the school days the pupil attended. Whether NCC Cadet/ Boy Scout/Girl Guide Games Played or other extra- curricular activities in which the pupil usually took part and the proficiency therein. General Conduct Medium Of Instruction Any other Remarks. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Date: T.C Ref No: DPS-KLM/TC/AY (19-20)/22-…. - ………………………………………… Signature Head of School