Student Leave Certificate
Section : PRE PRIMARY SECTION Student Gr. No. : 102625 LC. No. : 999 Education Year : 7
Student Name : KIYANSH SANJAY RATHOD
Religion & Cast :
Birth Place : Surat
Birth Date : 30/11/-0001
Last School Name :
School Admission Date (With Std.): 30/11/-0001   Standard Nursery
School Leave Date : 05/08/2025
Current Std & Since : Standard Nursery    Since In 01/08/2025
Leave Reason : test
Progress : Good
Conduct : Good
Total Working Days : 12  Out of Present Days: 2
Fee Paid or Free? : Yes
Comment : test
Note : No change in any entry in this certificate shall be made except by the issuing authority. Any infringement of this requirement is liable to involve the imposition of a penalty such as restriction. Fill with ink.
Certified that the above information is in accordance with the School Register.
Date : 05/08/2025
Class Teacher Signature
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Observer Signature
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Principal Signature 
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