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School Leaving Certificate Request Form

The document is a request from a parent to the principal of Apeejay School in Faridabad to issue a school leaving certificate for their ward. It includes details about the student such as admission number, name, father's name, classes attended, exams taken, current class, extracurricular activities, and reason for leaving. The principal is asked to fill in the student's attendance records and subjects studied. Other departments are to provide clearance that fees and equipment have been returned.

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khushi sachdeva
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0% found this document useful (0 votes)
505 views1 page

School Leaving Certificate Request Form

The document is a request from a parent to the principal of Apeejay School in Faridabad to issue a school leaving certificate for their ward. It includes details about the student such as admission number, name, father's name, classes attended, exams taken, current class, extracurricular activities, and reason for leaving. The principal is asked to fill in the student's attendance records and subjects studied. Other departments are to provide clearance that fees and equipment have been returned.

Uploaded by

khushi sachdeva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

The Principal

Apeejay School
Faridabad

Subject: Issue of School Leaving Certificate

Please issue School Leaving Certificate to my ward whose particulars are as given below as he/she will not be
continue his/her studies in your school.

1. Admission No. ________________________________


2. Name of Student ________________________________
3. Father’s Name ________________________________
4. Last Class/Section attended ________________________________
5. Annual Board Examination Last Taken ________________________________
6. Year of Examination ________________________________
7. Present Class/ Section attended ________________________________
8. Games Played ________________________________
9. Participation Extra Curricular activities if any ________________________________
10. Achievement level therein ________________________________
11. NCC Cadet/Boy Scout/Girl Guides
(Details to be given) ________________________________
12. Date of application for School Leaving Certificate ________________________________
13. Reason of Leaving ________________________________

I hereby declare that all the above given particulars are correct.
Date: ________________ (Signature of Parent)
Name: _______________________
Telephone No.: ________________
(To be filled by Class Teacher)
Class & Section _____________________ Total Attendance as on date ___________out of __________
Subjects offered 1. _________________ 2. ___________________ 3. _______________________
4. _________________ 5. ____________________ 6. _______________________
Date: _____________________ Signature of Class Teacher
Name : ________________

(Clearance Certificate)
Accounts Deptartment: Fees paid upto _________________________ Transport ____________________
Library _______________Games & Sports ________________ Band _____________NCC _______________
Science Deptartment Physics ____________ Chemistry _________ Bio __________ Comp Sci. __________
Art _________Music __________Home Sci. __________ Medical ___________ Electronics _____________

Common questions

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The parent's signature is crucial as it signifies consent and verification of all provided details, ensuring the application is submitted with legal accountability and parental approval. It also serves as an official request from the family to formally withdraw the student from the school .

Stating the reason for leaving, such as relocation or a switch in educational focus, could impact the processing speed of the application and the approach by school administration. Understanding the reason can help tailor support for the student's transition and resolution of any issues .

Accurately listing the subjects undertaken ensures that the student's academic profile is complete and reflective of their interests and competencies. This completeness helps in the proper evaluation for future academic placements or transfers to other educational institutions .

To obtain a school leaving certificate, parents must submit a formal request to the school, detailing specific information about the student, such as admission number, student and parent's name, last class attended, and extracurricular activities participated in. The application should be signed by the parent and requires the class teacher to verify and sign off on the student's attendance, subject choices, and other clearances from departments such as accounts, transport, and library. Additionally, reasons for leaving must be provided .

The attendance record, verified by the class teacher, is included in the application form, indicating the number of days attended out of total school days. It ensures the student's attendance is consistent with the school’s requirements, potentially impacting the processing of their application .

Detailed records of games played and extracurricular activities highlight the student’s holistic development and involvement beyond academics. These details emphasize the student's diverse skillset and achievements, which could positively reflect in future academic or career opportunities .

Extracurricular activities require documentation of participation and achievement levels, which must be accurately filled in the application. This information may influence clearance processes from relevant departments, like Games & Sports and possibly impact the student's overall record .

The clearance certificate section ensures that the student has fulfilled all obligations to the school. It confirms that fees have been paid, and all borrowed materials or equipment, such as those from the library or sports department, are returned. This step prevents any outstanding issues that could delay the issuance of the certificate .

Parents might struggle with accurately providing detailed information such as admission numbers, exact participation records in extracurricular activities, or gathering necessary signatures and clearances from diverse school departments within a specific time frame .

The class teacher is responsible for verifying and signing off on the student's class and section details, total attendance, and subjects offered. They ensure all academic records are accurate before the certificate can be issued .

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