SHRI RADHA BIHARI PUBLIC SCHOOL

Behind M.G. Polytechnic, Agra Road, Hathras (U.P.) 204101

(Affiliated To C.B.S.E, Affiliation No.-2133166) | School Code - 61240

TRANSFER CERTIFICATE
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