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SHRI RADHA BIHARI PUBLIC SCHOOLBehind M.G. Polytechnic, Agra Road, Hathras (U.P.) 204101(Affiliated To C.B.S.E, Affiliation No.-2133166) | School Code - 61240 |
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SR-No. : | Admission No. : |
1. Name of Student :
2. Fathers/Guardian's Name : Mr.
3. Mother's Name : Mrs.
4. Category :
5. Caste :
6. Religion :
7. Address :
8. Nationality : Indian
9. Date of birth : 01-01-1970
10. Class in which the pupil last studied (in figures) :
(In words):
11. Result :
12. Whether failed, if so, once/twice in the same class :
13. Whether qualified for promotion to the higher class :
If so to which class (In Fig.) :
14.Subjects Studied :
15. Month upto which the pupil has paid school dues :
16. Any fee concession availed of, if so, the nature of such concession :
17. Total No. of working days :
18. Total No. of working days present :
19. Games played or extra curricular activities in which the pupil usually took part (mention achievement level therein) :
20. General conduct :
21. Date of Application for certificate :
22. Date of issue of certificate : 05-Dec-2023
23. Reasons for leaving the school :
24. Any other remarks :
Sign of Class Teacher | Checked by office Incharge | Principal with seal |