1. MOUNT ST MARY’S SCHOOL
75, PARADE ROAD, DELHI CANTT.
APPLICATION FOR TRANSFER CERTIFICATE
(PLEASE FILL IN BLOCK LETTERS)
NAME OF STUDENT :________________________________________________________________
GENDER (MALE/FEMALE) :________________ DATE OF BIRTH :________________________
STUDENT NO :________________ PRESENT CLASS & SECTION:____________
JOINED IN CLASS :________________ DATE OF JOINING :____________________
LAST DATE OF ATTENDANCE:_______________ DATE OF LEAVING :_____________________
FATHER’S NAME:_____________________________________ PH.NO :__________________________
MOTHER’S NAME:_____________________________________PH.NO :____________________________
REASON FOR WITHDRAWING: _____________________________________________________________
_____________________________________________________________________________________________
ADDRESS FOR COMMUNICATION:__________________________________________________________
_____________________________________________________________________________________________
PLACE:_________________ SIGNATURE( FATHER) :____________________________
DATE :_________________ SIGNATURE (MOTHER) :____________________________
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CLEARANCE
CO-ORDINATOR’S SIGNATURE :______________________________________
LIBRARIAN’S SIGNATURE :______________________________________
SCHOOL FEE :__________________________ BUS FEE:_____________________________
INFORMATION FROM CLASS TEACHER
LAST DATE OF ATTENDANCE :____________________________
NO. OF STUDENTS IN THE CLASS AFTER THIS T.C:____________________________
CLASS TEACHER’S SIGNATURE AND DATE:____________________________
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FOR OFFICE USE ONLY
APPLICATION FOR T.C. SANCTIONED: PRINCIPAL :______________________ Date:___________
T.C.NO:____________ ADMISSION NO:_____________REG.VOL.NO:_________PAGE NO:__________
NAME:___________________________________________ SIGNATURE :_____________________________
