DAV FERTILIZER PUBLIC SCHOOL
(Formerly Tatachem D.A.V. Public School)
(Under the aegis of DAV College Managing Committee, New Delhi)
An English Medium Co-ed. Senior Secondary School Affiliated to C.B.S.E., New Delhi
INDIRADHAM, BABRALA DISTRICT - SAMBHAL (UP) - 242021
Ph.No. ____________
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TRANSFER CERTIFICATE
Affiliation No.: School Code: Dated:
Book No.: S.No.:
Admission No.
1. Name of Pupil :
2. Mother's Name :
3. Father's /Guardian's Name :
Date of Birth (in Christian Era) according to
4. Admission & Withdrawal Register (in figure & words) :
5. Nationality :
6. Whether the pupil belongs to SC / ST /OBC Category :
7. Date of first admission in the school with class :
Class in which the pupil last studied (in figures &
8. words) :
School /Board Annual Examination last taken with
9. result :
10. Whether failed, if so once/twice in the same class :
11. Subject Studied :
whether qualified for the promotion to the higher class
12. if so, to which class (in figures & words) :
13. Month up to which the (pupil has paid) school dues :
Any fee concession availed of: if so, the nature of such
14. concession :
15. Total No. of working days in the academic session :
16. Total No. of working days pupil present in the school :
Whether NCC Cadet/ Scout / Guide (details may be
17. given) :
Games played or extra-curricular activities in which
the pupil usually took part (mention achievement level
18 therein) :
19. General Conduct :
20. Date of application for certificate :
21. Date of Issue of Certificate :
22. Reason for leaving the school :
23. Any other remarks :
Prepared By Checked By
Signature of Signature of Principal with
Class Teacher Official Seal