ST.
MATTHEW HIGH SCHOOL
School Leaving Certificate
Student’s Name: ___________________________ Serial No: _________________________
Student ID (EMIS)_____________________Father’s Name ___________________________
Date of Birth
Date of Birth (in
words):____________________________________________________________________
Enrolled in Class: ________________________________________ Section: ____________
Result if student has appeared in final exam______________________________________
Enrollment No
School’s Total days Total days Total days as per
BEMIS code Present in Absent in Attendance in Current Class Admission and
for issuing current year current year current year Withdrawal
Register
Reason of leaving school: _____________________________________________________
Student’s Character: _________________________________________________________
If student is availing scholarship
When the payment is made: __________________________________________________
Incharge Signature Headmaster Signature
___________________ ____________________
Full Name Full Name
___________________ ____________________
Issue Date _____/______/________
ADRESS