Generating your PDF, please wait… Certificate Details School & Certificate Info School Name Taluka: District: SEMIS Code Certificate No Place of Issue School AttestationStudent’s Full NameFather’s NameGender— Select Gender —MaleFemaleCasteAdmission DateDate of school leaving Complete Student Information1. Full Name (Block Letters):2. Father’s Name & Occupation:3. Date of Birth:Date of Birth in words:4. Birth Registration No. (B-Form):5. Religion:Select from a list— Select a Religion —IslamHinduismChristianitySikhismBuddhismJainismAhmadiyyaZoroastrianism (Parsi)JudaismBaháʼà FaithKalashAtheist/AgnosticOther6. Current Address: Detailed Academic Record1. Last school attend:Enter by date instead of name2. Class in which studying/PassSelect from a list— Select a Class —1st2nd3rd4th5th6th7th8th9th10th3. Academic Session:4. G.R No.:5. Examination Year:6. Remarks:PassFail Reason for LeavingReason:— Select a reason —PassedTransferredPromotedRelocationCompleted SchoolingName of New School: AuthorizationPrincipal’s/H.M Name:Class Teacher’s Name:School Contact (for Verification): Premium Preview 2 Download Premium Preview 2 Preview 4 Download Preview 4 Preview 5 Download Preview 5 Preview 6 Download Preview 6 Preview 8 Download Preview 8 Preview 10 Download Preview 10 Preview 11 Download Preview 11 Live Preview