EDUCATION DEPARTMENT KARNATAKA
TRANSFER CERTIFICATE
(FOR PRIMARY / MIDDLE / HIGHER / SECONDARY / MULTI-PURPOSE SCHOOLS )
School Reg No : STS Number : TC No :
1. Name of School 20. In the case of Pupil of Higher Standard
a) Language Studied :
b) Electives Studied : --
2. Admission No :
3. Cumulative Record No : --
21. Medium of Instruction
4. Name of the Pupil in Full
22. Date and Class of Admission to school
5. Place Of Birth 6. Taluk
7. District 8. State 23. Whether the Balance Fee Amount is paid or not?
9. Sex :
24. Fee Concessions, if any (nature & period to be
10. Nationality specified)
11. Caste : - --
12. Sub Caste : - 25. Scholarship if any (nature & period to be specified)
--
13. Religion :
14. Name of the Father :
26. Whether Medically Examined or not
15. Name of the Mother
27. Date of Pupils last attendance at the School
16. Whether the Candidate belongs to Schedule Caste or
Tribe
28. Date on which the application for the Transfer
Certificate was received
17. Whether Qualified for Promotion to a Higher Standard
29. Date of Issue of Transfer Certificate
18. Student Date of Birth ( in figure & words )
In figure : 30. Number of School Days upto the date of leaving
In words :
31. Number of School Days the Pupil attended
19.Standard in which the pupil was studying at the time of
leaving the School (in words) 32. Character & Conduct
Date :
Place : Signature of the Principal (with Seal)