EVALUATION OF TC'S 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 Name of the students as entered in Educational Certificate 2 Name of the Parents / Guardian 3 Address 4 Occupation 5 Date of Birth 6 Sex Male / Female 7 Class to which the student was previously studying 8 Class to which the student seeks admission 9 The name of the school in which the student desires to join 10 Whether he / she has enclosed the Transfer Certificate and Mark sheet 11 Whether the T.C has been countersigned by the educational officers concerned (for 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. www.pallikalvi.in Students | Teachers | Parents | Administration Page 1 of 1