Signature of Class Teacher Checked By Principal Seal Sl No.: 1417 Admission No.:1206 _________________________________________________________________________________________________ 1. Name of Pupil : AARAV PARESH PATEL _________________________________________________________________________________________________ 2.Mother's Name : ANAL PATEL _________________________________________________________________________________________________ 3. Father's Name : PARESH PATEL _________________________________________________________________________________________________ 4. Nationality: INDIAN _________________________________________________________________________________________________ 5. Whether the Candidate belongs to Schedule Caste or Schedule Tribe: GEN _________________________________________________________________________________________________ 6. Date of First Admission in the school with class: JUNIOR KG _________________________________________________________________________________________________ 7. Date of Birth (In Christian Era) according to Admission Register [in figures] : 09/09/2003 _________________________________________________________________________________________________ 8. Date of Birth according to Admission Register [in Word] : Ninth of September Two Thousand and Three _________________________________________________________________________________________________ 9. Class in which the pupil last studied (in figures) : X _________________________________________________________________________________________________ 10. School/ Board's Annual Examination last taken with result : CBSE _________________________________________________________________________________________________ 11. Whether failed, if so once/twice in the same class : ---- _________________________________________________________________________________________________ 12. Subject Studied : Computer,English,Gujarati,Mathematics,Science & Technology,Social Science _________________________________________________________________________________________________ 13. Whether qualified for promotion to the higher class. If so, to which class [in Figure] : YES, STD. XI (ELEVENTH) _________________________________________________________________________________________________ 14. Month upto which the pupil has paid school dues/paid : PAID _________________________________________________________________________________________________ 15. Any fee concession availed of, if so the nature of such concession : ---- _________________________________________________________________________________________________ 16. Total number of working days : 200 _________________________________________________________________________________________________ 17.Total number of working days present : 178 _________________________________________________________________________________________________ 18.Whether NCC Cadet/Boy scout/Girl Guide : ---- _________________________________________________________________________________________________ 19.Games played or extra-curricular activities in which the pupil usually took part : ---- _________________________________________________________________________________________________ 20.General Conduct : GOOD _________________________________________________________________________________________________ 21.Date of application for certificate : 12/06/2019 _________________________________________________________________________________________________ 22.Date of issue of certificate : 13/06/2019 _________________________________________________________________________________________________ 23.Reason for leaving the school: CHANGING BOARD _________________________________________________________________________________________________ 24.Any other remarks : SEAT NO. 1103686 _________________________________________________________________________________________________