S     SENTINEL INTERNATIONAL SCHOOL

Ludhiana Chandigarh Bypass Bharthla Road Samrala.Distt. Ludhiana

(Model school of ABC Montessori)

Mobile No.77195-73546,87279-70546 E-Mail:sentinelschoolsamrala@gmail.com

http://sentinelinternationalschool.com

Nursery to VIII

SCHOOL LEAVING CERTIFICATE

Book No.________                                 Sr. No._________                                   Admission No.___________

1. Name of Pupil _____________________________________________________________________________

2. Father/Guardian’s name _____________________________________________________________________

3. Mother’s Name___________________________________________________________________________

4. Nationality_____________________________________________________________________________

5. Whether the candidate belongs to schedule caste or schedule tribe   __________________________________

6. Date of first admission in school _______________________________ Class_________________________

7. Date of Birth (In Christian Era) according to school records.

(In figures) _______________________________________________________________________________

(In Word)  _______________________________________________________________________________

8. Class in which the pupil last studied/is studying

(In figures) ______________________________________________________________________________

(In Word)______________________________________________________________________________

 9.  Performance in School/Board Annual Examination Last held     _____________________________________

10. Whether failed, if so once/twice in the same class    ______________________________________________

11. Subject studied_________________________________________________________________________

12. Whether qualified for promotion to the next higher class ________________________________________

      If so, to which class (in figures)_____________________________________________________________

13. Monthup to which the school dues have been paid   ______________________________________________

14. Any fee concession availed: if so, the nature of such concession ___________________________________

15. TotalNo.of working Days ________________________________________________________________

16. TotalNo.ofdays present  _________________________________________________________________

17. Whether NCC Cadet/Boy Scout/Girl guide(detail may be given) __________________________________

 _______________________________________________________________________________________

18. Games played or extra-curricular activities in which the pupil usually took part (mention achievement level therein)

 ________________________________________________________________________________________

19. General Conduct ______________________________________________________________________

20. Date of application for certificate ____________________________________________________________

21. Reasons for leaving the school ______________________________________________________________

22. Any other remarks     ______________________________________________________________________

_____________________________________________

  Signature of                                                                        Checked by                                                           Principal           

Class Teacher                                                       (State full name & designation)                                              SEAL