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Db!!atl A !!, !: Leavi G Certificate

This document is a Leaving Certificate issued by a recognized educational institution in Navsari, detailing the student's personal information, including name, date of birth, and mother's name. It confirms the student's admission date, progress, conduct, and the reason for leaving the school, which is to appear for an exam. The certificate is dated May 31, 2023, and emphasizes that no changes can be made to the entries without proper authority.

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jashtandel429
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45 views1 page

Db!!atl A !!, !: Leavi G Certificate

This document is a Leaving Certificate issued by a recognized educational institution in Navsari, detailing the student's personal information, including name, date of birth, and mother's name. It confirms the student's admission date, progress, conduct, and the reason for leaving the school, which is to appear for an exam. The certificate is dated May 31, 2023, and emphasizes that no changes can be made to the entries without proper authority.

Uploaded by

jashtandel429
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(Recognised by Education Department Gui. State) Reg. No.

: E/1471 /Navsari

r.43 ~dB!!atl~a~!!~,~! At. Partapore, Po. Magar, Chhapra - Magar Road, Ta. • 01st. Nasvar1 • 396 463.

LEAVING CERTIFICATE
I
Gen. Reg. No.: .9 2. t
Secondary section
(English Medium) INo.: 898
Note : No change in any entry in the certificate shall be made except by the authority issuing it and any infringement
of this requirement is liable to invoice the imposition of penalty such as that rustication .

fclatdl~ ,~ G111t :
Name of Student in Full : a del J as
lll<1~ G111l :
Mother's Name : "fa.I
a~ ~J 1111c,:
Race & Caste : Hi1tdLl
crc;tt ~en ( <11<jS1·NC<-t1) :
Place of Birth (Ta. Dist.) :

crG1t <11Aul (~iss, mJ ~10E111i) : £.l-10-eoo


Date of Birth (in Figures &Words) :
c obe.eS irwo
e<<.fl ~11(111 :
Last School :
• Jo.se h 'E-T.
El\JIC-t <11~"1 llQ~IG11 tll~I :
Date of admission with std. : 16 - o - e o 21 s;
11,,rc, / Progress :
G d
Qct'?i!J / Conduct :
G d
~llCAI l91Sllldl ctl~ut :
Date of leaving the School :
3 1 MAY 2023
sa, a1~t?111i ~? sa,~20? :
Standard in which studying and since when? : S -t d I o +h
.
wen, e,sa,~ !sl~m : \srnr UP rnR s~\rr1. u~
'\
nl\Anl\ l' V A! I II Anl'l ll <?Q0 --1
ITT\. ov11nu chlliVI 1v111n\.n1.:n.... L..:..}
Reason of leaving the School :
r ppeare or I oar, .xam arc . Q
1~eat No ... .. .. ~.?f.i:..~.9.~ . . . . . . . . . . . . .·
~•~• I Remarks : I
. . . . .
Certified that above information 1s in accordance with School Register

;I Date : 3 1 MAY ~D~o.£4.E4o 20 I e\6' \ \ 0 I ~ g ~ A A.AA"~

11
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