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(Under The Aegis of Army Wetfare Education Society Regd. )
(CBSEAffitiation No. 1030020, School Code : 03357)
TC. NO 10118
ADMISSION NO 10618
Name of Pupil ARUNIMA GAHLOT

Mother SHIKHA GAHLOT

Father COL A S GAHLOT


Nationality INDIAN

Whether the Candidate belongs to


Scheduled caste or Scheduled Tribe NA

Date of first admission in the school with


Class 29/07/2009 V

Date of Birth (In Christian (ERA)


according to Admission Register (In 19/04/1999 Monday, April 19, 1999
Figures/Words)

Class in witch the pupil last studied/studying (In


Figure/Words) VI D
School/Board annual examination last
taken with result

Whether Failed, If so once/Twice in the


same class

Subject Studied ALL COMPULSORY

Whether Qualified for promotion to the


higher class : If so to which class Yes IN FIG Vt I IN WORDS .1eV(,Nztl

Month upto which the (Pupil has paid)


school Dues/Paid MAR 2011

Any fee concessii)nevailed of if so, the


Nature of such concession
Total No of Woiking'Days 215
Total No of wort<ing days present 211
Whether- NCC Cadet/Boy Guide (Detaits
may be given)

Games played or extra-curricular activities


in whitch the pupil usually took part
(Mention Achivement level therein)

General conduct GOOD

Date of Application for Certificate 10/03/201 1

Date of Issue of Certificate 18/03/2011


Reason for Leaving the School POSTING OF FATHER

Insurance Premium (VSK) paid upto 31/07/201 1

Any other remarks

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PRICIPAL, NEED NOT BE COUNTER SIG N ED BY STATE EDUCATIoN AUTHoRITY.
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AS THE SCHOOL AFFILATED TO CBSE AJMER VIDE THEIR CODE NO 10 OO2O, THIS SCHOOL LEAVING CERTIFICATE IS sIGNED.8V T#fGTNt
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