Students Name : | |
Father's Name : | |
Nationality : | |
Class : | |
Date of Birth : | |
Gender | Male Female Other |
Whether student belongs to SC/ ST : | |
Date of First Admission in School : | |
Class in which Admisison Taken (First Time) : | |
School/ Board Annual Examination last taken with result | |
Whether failed, if so once/twice in the same class | |
Subjects studied : | |
Whether qualified, if so then promoted to class : | |
Month upto which pupil has paid the school dues : | |
Any fee concession availed of: if so, the nature of such concession | |
Total no. of working day | |
Total no. of working day present | |
Whether NCC cadet/Boy Scout/Girl Guide | |
Games played or extra/curricular activities in which the pupil usually took part | |
General Conduct | |
Date of application for certificate | |
Date of issue of certificate | |
Reason for leaving the school | |
Any other remarks | |