BONAFIDE CERTIFICATE

to students of
[Ref: Tamil Nadu Admission to Undergraduate Courses on preferential basis
Government Schools Act, 2021 (Tamil Nadu Act No.14 of2021).]

This is to certify that Selvan/SeM-. -iR~8LIYLL,.c: iK~UuN,, , J.J; J.e. .z: !R. L,-----1..:B::.....,__ _ _
_ _ __

_ _ residing at
S/o or-E)fe._ _ _ _..L.8~a:.L!H~e~J?.--_ _ _ _ _ _ _ _ _ _ _ _

kowe N (rtl)IV R
___ __.Standard to _ _v~'~'''---_Standard from the academic
has studied from___,I

year 1999 to :2.007 in PuN6 konan ,9;yµg ,

Aided/ Self
Medium Financed Section
Year of Type of School* (To be filled by
Class Name of tf'le School of Study
Study Aided Schools Only)

XII
XI

IX

VIII .!l.cOb- PvHb -kona.n3 iy~,r &,ov T JO\ml' )

4f'"'.:'"'P
-
.1001
!1006"-
puHb GtovT '°'m,J -
VII .QC Ob
koncu->g, ),'lN(

VI !2.001/-- puH~ ton:w, g 'Y14'¥ &,ov T ~mi) -

!2-DOo-
!200.3- nrnU -
V !:2-. t:>O If-
pv1-1s ko na.ng, yu "f &tovT
.2..00.2 -
PVNl> 1<onttn.9iyt.t rt 6-,ovT T~rn,) -
IV !2..0Q3

III
2.0DI - PvH6 ko neu>3; yu 'Y &!ovT 7c:i.mi ) -
!l-002-

II
~000- PUH.{; l<onan ~; yu '1 &,rJV , Thm, I -
12-DO} ....
iqqq_
I PvH6 )<ona ng,'yu i &tovT "Tam,J
!:l-000 allar
rporation School/Municipal School/Adi Dravidar and Tribal Welfare School/K
*Choose one of the following - (Government Panchayat Union School/Co nts/Gover nment Aided/Matriculation/CBSE/ICSE/Nursery and
nt School/Other Schools Managed by Governm ent Departme
Reclamation School/Forest Departme
Primary)

study, medium of
Verified the above information in respect of the school last studied, year of
instruction and section type ith the records and found correct.
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Seal and Signature of tHe Heicf fea&,1eP-
Name of Head Teacher: P, VfN l,Llf'r£. Slt-N
Date : D 7.... o 2.. .... 20;)...lj-,