EDUCATION DEPARTMENT - KARNATAKA STATE
TRANSFER CERTIFICATE
Edn: 80 No a.a•
(For Primary /High / Higher Secondary Schools)
1. Name of the School:
c - 576230
Admission No. 3 Cumulative Record No.
2
Name of the Pupil in Full
RASKSH BHETTY
5. Place of Birth s : 7 Distnct g: UDUP?
6 Taluk 3ru0: KUNDAUR 8. Slate Rt: KORNAAkA
9. Sex on : MELA 12. ReligionGF: HiU
10. Natonality o4rats Socim 13. Sub Caste wxaJ:
11. Caste : UNTS
14. Name of the Father 30do tio: SURAyANNA SAemy
15. Name of the Mother RWO I : pfVAkI StETTY
16. Whether the candidate belongs to Scheduled Castes 17. Whether qual1fied for promotion to the standard
of Scheduled Tribes ar xSD 3 R
18. Date of Birth (in figures and Words) Siesnd, [Link]
19. Standard in which the pupilwas reading at the time
of leaving the School (in words)
20. In the case of Pup1l of Higher Standards 26. Whether Med1cally Examined or not
(a) Languages Studied: 27. Date of Pupil's last attedance at School,
(b) Electives Studied: 28. Date of which the application for the transfer
Certificate was received
21. Med1um of Instructions:
tkonalg
22. Date of Admission or Promotion to that Class or 29. Date of Issue of the Transfer Certificate
I69A
23. Whether all Balance of foos paid or not 30. Number of School days up to the Date of leaving
SROdabe ?
24. Fee concessions, f any (nature and period to be 31. Number of School days the pupil attended
specified) adood E2
25. Scholarship if any (nature &period to be specified) 32. Character and Conduct
Note:This Translor Certilicate wil be issued on application
God.
made by the Perent or the Guard1an
Senatyeh Head ol tho Tnstitution
