EVALUATION OF TCS FROM OTHER STATES / CERTIFICATES GIVEN BY CBSE / ICSD APPLICATION FOR EVALUATION (Other states in India

and certificate given by CBSE/ICSD) (a court fee stamp for Rs.2/- (Two) should be affixed ) 1 2 Name of the students as entered in Educational Certificate Name of the Parents / Guardian

Address

4 5 6 7

Occupation Date of Birth Sex Male / Female

Class to which the student was previously studying Class to which the student seeks 8 admission The name of the school in which the 9 student desires to join Whether he / she has enclosed the 10 Transfer Certificate and Mark sheet Whether the T.C has been countersigned by the educational officers concerned (for 11 CBSE Regional Officer concerned for ICSE Assistant Secretary, New Delhi 12 Remarks Place : Date: Signature of the Parent / Guardian

The above student will be admitted in the class as requested by the parent if necessary order as issued evaluating the certificate. The Boy / Girl satisfy the age rules.(in case age exemption is required it should be indicated specifically) Seal of the School Signature of the Principle with date

Eligible for admission in Std.

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