jpUKHURI HIGH g
P.o- KuariPukaurti
_Dist-Darrai
TRANSFER /LEAVING CERTIFICATE, x,
RTI B
Certified that sa ALE
Os hetttieener nl hema Blea. Ha
Tanwn..thlin paleen.......Po.... alles... dan
left the Kuaripukhuri High School on thes? 0 -tl “2223 His/ter date of birth according
(0 the Admission Register of the school is .21-1ek" DY....... He/She was reading in
Pint ten pe te SG Steen
Auntie no a8
Hi sieve stration No.
been paid viz.; fees upto. ef i2ee
Character -. Gane
Reasons for leaving :
i) Unavoidable change ofresidence
i) I health.
iil) Completion of School Course.
iv) Option of Guardian
oar OM
Head Mud en Se
ate 4 (of {o Auspreiaig 001 R \
Place-Office of the Head Master Pe Kua ‘ipukhuri