102 APPENDIX - 16 (Rules 99.
Chapter ll) ORIGINAL
FORM OF TRANSFER CERTIFICATE
Transfer Certificate No.
a.
Name of the School, Place622olb
and District
Admission No.
SRI PRAGATH1 vioyANkETHAN
b. Highest Class in
the School
C. If Non
Government,
recognised Class
No. &date of upto which
RCND:1084 Aat 06,S-0220,
2. Name of the Pupil recognition orders.
3
3
EDA GO0U pALLAvL
Name of the Parent or
4
Guardian E. RAMAppA
Nationality and Religion IA DIAN - HTNDHO
5 Whether the candidate belongs to Scheduled caste,
or Vinukiha jathis or other socially and Scheduled Tribe
Classes specified in the Andhra Pradesh educationally Back-ward BC- A VADDE
he a has Convert from the
Scheduled CastesEducational Rules or is
or the Scheduled
Tribes. If so, the particulars thereof. Admission Register.
6 Date of Birth (in words) as entered in the
Admission Register ANO
7 a. Class in whigh he pupieading at thiousan eignt
8
the time of y ie worde
First Langhage
9 C. Second Landuage Telug
LU
d. Optional Subjes
8 Mother Tongue Madüm.of instruction
9. Date of admission to that lass
(The year to be entered in words)
1 10. Class and year in which the pupil was first
admitted into the school
1 11. Whether qualified for promotion to a Higher class
S.S.L.C/
(in the case of Pupil presented for the
H.SC. or S.S.C. whether the pupil has been dec
1 lared eiigible for college course of study or
passed or not, has to be stated.)
12. Whether the pupil has paid all the fees due to the school
1 a. Whether the pupil was in receipt of any
scholarship (Nature of the scholarship to be specified): yes
1
13. Whether the pupil was in receipt of any concession
(Nature of concession to be specified) NO
14. Whether the pupil has undergone medical specified)
inspection during the year - First or repeat (to be Educatian
15. Personal Marks of ldentification
i.
left the school
16. Date on which the pupil actually
certificate was
933:9020
17. Date on which application for Transfer
parent or Guardian:
made on behalf on pupil by his/her
18. Date of the Transfer
Certificate DO9- 10
19. CONDUCT
20. Attendance in the class of leaving,
Number of days present
Total number of working days
Saikaca
stamp
Signature of the Head of the School with