19-20/LeavingCertificate Prati… · Created Date: 6/17/2019 7:10:07 AM

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Lokmanya Tilak Educaon Society Bohra Central School, Parola Affilaon No. 1130243 Shrinathaji Nagar, Parola Dist:- Jalgoan-425111 ,Parola-425111 Phone No :02597222751 / 0259222651 ...LEAVING CERTIFICATE... No Change in any entry in this cerficate shall be made execpt by the authority issuing it, and any infringement of this requirement the imposion of penalty such as that of ruscaon Serial. No : 147 UDISE.No : 27031305035 G.R. No : 38 1. Name of Pupil in full: Pal Prak Pankaj 2. Father's Name : Pankaj 3. Mother's Name : Sangita 4. Naonalist: Indian Religion: Hindu Caste: Kunbi 5. whether the candidate belongs to Schedule Caste or Schedule Tribes : NO 6. Date of first admission in the school with class : 20/04/2009 1st Std. 7. Date of birth(in chrisan Era) according to Admission Register : (In Figures): 07/08/2003 (in Words) : Seventh August Two Thousand Three 8. Place of Birth: Jalgaon 9. Class in which the pupil last studied(in figures) : 10th (in Words) : TENTH 10. School/Board Annual Examinaon last taken with results : CBSE 11.Subjects Studied: 1. ENGLISH 2. HINDI 3. MATH 4. SCIENCE 5. 6. COMPUTER 12. Whether qualified for promoon to higher class : Yes if so, to which class(in fig.): 11th (in Words.): ELEVENTH 13. Any concession availed of: If so, the nature of such concession : No 14. Total No. of working days : 220 14. Total No. of working days present : 216 15. Whether NCC cadet/Boy Scout/Girl Guide(details may be given No 16. Games played or extra curricular acvies in which the pupil usually took part(menon achievement level therein) : Sports 17. General conduct : Good 18. Date of applicaon for cerficate : 10/06/2019 19. Date of issue for cerficate : 17/06/2019 20. Reasons for leaving the school : PARENTS REQUEST Bohra Central School, Parola Signature of Class Teacher Checked By Principal SOCIAL SCIENCE

Transcript of 19-20/LeavingCertificate Prati… · Created Date: 6/17/2019 7:10:07 AM

Page 1: 19-20/LeavingCertificate Prati… · Created Date: 6/17/2019 7:10:07 AM

Lokmanya Tilak Educa�on Society

Bohra Central School, ParolaAffila�on No. 1130243

Shrinathaji Nagar, Parola Dist:- Jalgoan-425111 ,Parola-425111

Phone No :02597222751 / 0259222651

...LEAVING CERTIFICATE...No Change in any entry in this cer�ficate shall be made execpt by the authority issuing it, and any infringement of this requirement the imposi�on

of penalty such as that of rus�ca�on

Serial. No : 147 UDISE.No : 27031305035 G.R. No : 38

1. Name of Pupil in full: Pa�l Pra�k Pankaj

2. Father's Name : Pankaj

3. Mother's Name : Sangita

4. Na�onalist: Indian Religion: Hindu Caste: Kunbi

5. whether the candidate belongs to Schedule Caste or Schedule Tribes : NO

6. Date of first admission in the school with class : 20/04/2009 1st Std.

7. Date of birth(in chris�an Era) according to Admission Register :

(In Figures): 07/08/2003 (in Words) : Seventh August Two Thousand Three

8. Place of Birth: Jalgaon

9. Class in which the pupil last studied(in figures) : 10th (in Words) : TENTH

10. School/Board Annual Examina�on last taken with results : CBSE

11.Subjects Studied: 1. ENGLISH 2. HINDI 3.MATH 4. SCIENCE 5. 6.COMPUTER

12. Whether qualified for promo�on to higher class : Yes

if so, to which class(in fig.): 11th (in Words.): ELEVENTH

13. Any concession availed of: If so, the nature of such concession : No

14. Total No. of working days : 220 14. Total No. of working days present : 216

15. Whether NCC cadet/Boy Scout/Girl Guide(details may be given No

16. Games played or extra curricular ac�vi�es in which the pupil usually took

part(men�on achievement level therein) : Sports

17. General conduct : Good 18. Date of applica�on for cer�ficate : 10/06/2019

19. Date of issue for cer�ficate : 17/06/2019

20. Reasons for leaving the school : PARENTS REQUEST

Bohra Central School, Parola

Signature of Class Teacher Checked By Principal

SOCIAL SCIENCE

Page 2: 19-20/LeavingCertificate Prati… · Created Date: 6/17/2019 7:10:07 AM