Leaving Certificate No. 1332 ORIGINAL LDUPLIGATE— No. chi cofiticate shall bemade the author itand any inti is y isla stl be made eceny ty issuing it and any intingement ofthis requirements liable to IP ccc vaio te No 8 a of i order ofan of cognition period of engin & te uhoriy is mentioned below the name ofthe School. INDEX No. 26-03.002 Yé0e Sr.No. 02. of 2096- 209] Kankavli Education Society. Kankavli. S. M. Junior College of Science & Commerce, Kankavli. Kankavii - 416602, Dist : Sindhudurg (Maharashtra) (Permanent Recognised by Dy.D.E. Kolhapur, Under No.S-2/K. R. 324205, dt.- 31-12-1985) 1 _Jame of the Pupil in Full waliye Ye lagen na! 2 Name ofthe Mother 3 MotherTongue © 4 Caste and sub-caste in the case of pupil Hindu Kumbhac belongingto Backward classes and category of Backward classes eg S.C/S-T/VJ.&N.T) 5 Nationality Qrdian 6 >" Place of birth Harkul 84 7. Date of birth month and year according Niockecs january Nindesn nirchy duo to the Christian era, and the new National rs Calender, both in words and figures z 8 Last Secondary School attended S-o-Hidscheol Kankavh - 9. Dateofadmission Vas 7:0: 10 Progress ic VW onduet Ge : 12 Dateofleaving the Schoo! / Junior College Q)s- 10 13. Std. in which studying and since when Std SAT [seis since June 2004 © 14 Reason of leaving School / Jr. College sent up fer Hse/sci, Exar» Feb: 2010 15. Remarks Passed in same Exar: Certified that the above information is in accordance with the School /Jr. College: “ID Checked by Wallan — anti | Noi jteiicae so oncvesen wcag bbe rer el DaBl.Ir. College of°oe andthe ‘Stndar) in which studying im olan ol get Ts Senses 0 Gore. Kankavit, ; ae j