S A IR

-nIrE ANNEXURE -01

Ta.Ch Ki
DY AND MEDIUM CERTIFICATE OF THE STUDENT FROM
T-5912
D i s t . B e . a g e v

KARNATAKA
KAJA Shrilsbeimati GasavaraJ. Shon Ko Chaskar
whose son/daughter
wifckumar/kumariPeeiam .Bhaskar studicd at

MorarDeso Residend ial Sokrol,Majnlatom the date _u-2013

ofthe academic ycaro3- tothe
date - 6 o of the
academic ycar o s 1G from G to
passed his SS¬.examination in the ycar20|40

DETAILS OF HIS STUDIES AND EDUCATIONAL YEARS ARE AS UNDER:

Standard Ycar Medium Standard Y car Mcdium

std 8th std SotS 6 Eglsh
2 std 9h std
3dstd 10th std
4 std 11 /PUC-
5 std 12h /PUC-II
6th std
9013t English
7 7h std
aotu tSEgsh
Date Of Birth 8oS- A00
Admission No. & date lR|k}-13 date of leaving school
t-6-ao
This certificate issued as per school records
Datc: 1Ss&oso
Place: otalolt

NEMamamg
orsoToerso 925009
PRINCIPAL
Counter Signed By Me
ringpakBai ResiaLNHai bre
Block Educational Oflicer MaiaPalrEksdtutien Belgaum
&
Seal
 SHIRGA
ANNEXURE- 001
R.
*****.o

S.H.V
ENG.MED.
AOKAR
STUDY AND MMEDIUM CERTIFICATE OF TUE STUDENT FROM :LOwPRI.SCHOO
UGAR KHURD
KARNATAKA 316

Shri/shianeti 5asaL eD
whose son/daughter-avitc/kumar/kwmari
3hasa
Paitam, studicd at
SAR-Y
KHURD

SHEEag, Ane Sclno .rom thhe date O-C6 2e/G

of the acadcmic year2el6 tothe datc (o/os/2o1ß of thhc

academic ycar 2o l 7 = 1 8 from TX to nd

passed his S.S.L.C.examination

in the year }pai/ 2ot

DETAILS OF HIS STUDIES AND EDUCATIONAL YEARS ARE AS UNDER:

N Standard Y'ear Mediun Standard Ycur Medium

7 std 8th std
2 d std
9th std
T0 std
se
3 std
19 |E ýh
4T std 1T /PUC-
S std 12h /PUC-II
6 std
M
nc 7 std

Datc Of Birth O/oS/2062

Admission No. &date g / 2 e 1 date ofleaving school_ S21
This certificate is:sued as per school records

Date: O1o9/2e2
Placc: gpazEkupd

Head Mistress
S.H..V. Eng. Med. School,
e edo@saôrNs
CounterSienc By Me Principa/Y2R8MHSHerSigAikire
lock Educational Officcr Scal oIRSlituish-Belgav1
&
Seal
 PROFORMA FOR STUDY CERTIFICATE

address & telephone number of the institution.

Name, full postal
20 2 o
Date o9

B.ASAVRAJ 8HASKAR
Sri./Kum.KIA
This is to certify that
* a ************ ******** *******

sAVRAJ.S
S/o/D..BASAVRAJ. S BHASKAR
**** ***a *****
has studiedfrom.. ....

standard in institution from

standard to.. ..
******°°***************************** ** *****
our

0 18 to. .. academic years

**° **°*°°***

is..Kannadla as
The mother tongue of the candidate *** ******

of the institution.
per the Admission register
best of my knowledge.
The above details are true and correct to the

PRCi
wH
ROYAL PALAC P.U. COLLEGE
JAi
Ramateerth, JAi^HANDI-587301
erth Diet. 31aftlege Code: EB-259
Head of the institution
(Name in Block letters... .....)
Institution seal)

COUNT8AGAGDBY ME

Address, Seal & Office Telephone Number

of the block Educational Officer/ DDP1.
 PROFOFM A FOR STUDY CERTIFICATE
ME
I TAL AUTRE

L1ONF
E E THE STITUT
229o 20
htlom
L
ava 24 ha SKaT

200 2 ci3
e irln Fi7idu-Dhor
idate EaniCida

block lerers
Skrr T. B. BAOLGER Hr

SSseal & ofiice telepi b

1ucationalOtiret DDE