"KNOWLEDGE IS POWER"
(No change in any entry in this certificate shall be made except by the authority issuing and any ringment
of this requirement is liable to involve the imposition of penalty such as that of rustication)
Gopalrao Patil Shikshan Prasarak Mandal's
New Kalwa High School, Kalwa, Thane
Registration No. MAH 303, Thane --Society Regn. Act XXl 1860--Public Trust No. F-227 (Thane)
Recognition No. Permanently by the State Government of Maharashtra vide letter No. 3872/49756/E dt. 13-6-72
LEAVING CERTIFICATE
(Vide Rule 17, chapter II,
section III, of the Secondary School
Code)
Serial NO. 822654 Register No. _
1 Name of the pupil in full
2 Caste and sub-caste only in the case of pupils
belonging to Backward classes and category
among Backward Classes (e. g. S. C/S T. etc.
3 Nationality
4Place of Birth
5 Date of
birth, month and year according to the Christian era, both in words
And figures
6 Last
School attended
7 Date of admission
8 Progress
9 Conduct
10 Date of leaving school
11 Standard in which
Date Clerk / class Teacher Head
Masterand since when
studing
N BReason
12 : 1) Entries regardingschool
of leaving the date of birth according to the Christian era and the New National calendar and the
standard in which studding in column 5 and 11 of the leaving certificate should be made both
in figures and in words.
2)
13 These
Remarkentries shall be in manuscript and typewritten'
Certified thatpromotion
3)Accelerated the above information
earned is during
by the pupil in accordance withcareer
his/her school the School
should beRegister
specified in the Remark
column. Indicating the standard, year and the school in which the accelerated promotion was given.
4)In the case of pupils born or on after 1st April 1967 the date of birth shall also be entered according to the
New National Calendar.