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Name of the Student _________________________________________________________

Fathers/Guardians name _____________________________________________________


Enrolment No: ______________Grade______________ Phone No. ___________________
(FOR OFFICE USE ONLY)

No Dues Certificate

Security Fee Details for the session

Class Teacher

Sec.

Library

Security

Phy. Ed. Teach

Local Fund

Physics Lab

Dev. Fund

Chemistry Lab.

Admin. Fee

Fine Arts Lab.

Tuition Fee

Exam Deptt.

Conveyance

Book shop

Practical Fee

Acctt. Deptt.

Other (if
any)

Hostel Incharg

Hostel Fee

ATTENDANCE REPORT

II

III

IV

Total

Meetings

Cheque No:

Out of

Bank

Till Date

Cheque
Date

Signature

Deposite
Date
Remark

TC Fee (Rs. _________/-) Received vide Receipt no: ___________ Dated : ____________ (Off. Asstt.) _______
TC No. ________________ Security & Fee Check No (S). ________________________________________
TC Issued date ______________________
Received by: (Full name) __________________________ Phone no: ________________________________
Signature with date: _______________________________________________________________________

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