Mission International Academy
T.C Verification          

     T.C Sr. No.                

School No. :       61098      
Book No. :            
Sr. No.          
Admission No.          

Affiliation No.      2132693    
Renewed upto          
Status of School      SR. SECONDARY    

Registration No. of the candidate ( In Case Class - IX to XII )          

Name of the Pupil :           
Mother's Name :          
Father's Name :          

Nationality :          
Whether the pupil belongs to SC/ST/OBC Category :          

Date of birth according to the Admission Register (In figure / In Words ) :          

Whether the student is failed :          
Subject offered :          

Class in which the pupil last studied ( In words ) :          
School / Board Annual examination last taken result :          

Whether qualified for promotion to the next higher class :          
Whether the pupil has paid all dues to the school :          

Whether the pupil was in receipt of any fee concession, if so the nature of such concession :          

Whether the pupil in NCC Cadet / Boy Scout / Girl Guide ( give details) :          

Date of which pupil's name was struck off the rolls of the school :          

Reason for leaving the school :          

No. of meetings up to date :          
No. of school days the pupil attended :          
General conduct :          

Any other remarks :          
Date of Issue of certificate :          

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