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This document is a Leaving Certificate issued by Government Polytechnic in Jharkhand, certifying the details of a student who has completed their course. It includes personal information, course details, and academic performance. The certificate is signed by the issuing clerk and the principal, along with the institution's seal.

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Aditya Thakur
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8 views2 pages

Code

This document is a Leaving Certificate issued by Government Polytechnic in Jharkhand, certifying the details of a student who has completed their course. It includes personal information, course details, and academic performance. The certificate is signed by the issuing clerk and the principal, along with the institution's seal.

Uploaded by

Aditya Thakur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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[EMBLEM OF JHARKHAND GOVT. / JUT / INSTITUTION LOGO]

GOVERNMENT POLYTECHNIC, [CITY NAME], JHARKHAND


(Affiliated to Jharkhand University of Technology, Ranchi)
(Approved by AICTE, New Delhi)
Address: [Full Address of the Polytechnic], Pin Code: [XXXXXX]
Email: [[email protected]] | Phone: [0651-XXXXXXX]
-----------------------------------------------------------------------------------

**LEAVING CERTIFICATE**
(May also be titled: TRANSFER CERTIFICATE / COURSE COMPLETION
CERTIFICATE)

Certificate No.: JUT/PLC/[Year]/[Unique Serial No.] Date of Issue:


[DD/MM/YYYY]

This is to certify that


Shri/Ms. .....................................................................
Son/Daughter of Shri ............................................... and
Smt. ..............................................
was a bonafide student of this institution.

His/Her details as per our records are as follows:

1. **Name of Student:** [FULL NAME OF STUDENT IN CAPITAL LETTERS]


2. **Father's Name:** Shri [FATHER'S NAME]
3. **Mother's Name:** Smt. [MOTHER'S NAME]
4. **Date of Birth (as per records):** [DD/MM/YYYY]
5. **Jharkhand University of Technology (JUT) Registration No.:** [JUT
Registration Number]
6. **Institution Roll Number:** [Polytechnic Roll Number]
7. **Course Enrolled:** Diploma in [NAME OF ENGINEERING BRANCH, e.g., Mechanical
Engineering]
8. **Duration of Course:** 3 Years (or as applicable, e.g., Lateral Entry 2 Years)
9. **Date of Admission to the Institution:** [DD/MM/YYYY]
10. **Date of Leaving the Institution:** [DD/MM/YYYY]
11. **Class/Semester up to which studied:** [e.g., VI Semester / Final Year]
12. **Whether qualified for promotion to a higher class:** [Yes/No/Not Applicable
if completed]
13. **Reason for Leaving:** [e.g., "Completion of Course," "Transfer to another
institution," "Personal Reasons"]
14. **Academic Performance/Result (if applicable):** [e.g., "Successfully completed
the Diploma course and was awarded the Diploma in First Class," or "Appeared for
the Final Semester Examination, results awaited," or "Passed V Semester"]
15. **Conduct and Character during stay at the institution:** [e.g., "Good,"
"Satisfactory," "Excellent"]
16. **Dues paid to the institution:** All dues paid / No dues pending.

We wish him/her all the best for his/her future endeavors.

[Signature of Issuing
Clerk/Dealing Assistant]
Checked by

**(SEAL OF THE INSTITUTION)** **[Signature of the


Principal]**
**Principal**
Government Polytechnic, [City Name]
Jharkhand
-----------------------------------------------------------------------------------

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