APPLICATION FOR ADMISSION TO AN EDUCATIONAL AND SERVICE INSTITUTION IN

THE UNITED STATES (U.S.A), CANADA, NEWZELND, AUSTRALIA, U.K., GERMANY &
ALL CONTRIES

SCHOOL RECORD
(TRANSCRIPT)
(To be filled (By Type) out by School Use one or more sheets for
each institution attended)
Name of application SHOP
FATHERS NAME

SHOPSTUDENTS NAME

(Underline Family Words/Names)

Name and Address of institution at which course listed below were taken:
SARDAR PATEL VINAY MANDIR, BORSAD,DIST.ANAND,
GUJARAT, INDIA
(Name of Institution)
(Country)

Date of Entrance: April-2004

A123318

(Town or city)

Date of Leaving

(Month)(Year)

(State)

March-2005
(Month)(Year)

(Sheat No.)
Certificate, diploma or degrees received from institution named above
Secondary School Certificate Examination March: 2005
Gujarat Secondary and Higher Secondary Educational Board,
Gandhinagar
(Give month and year received)
Note. Kindly indicate below the system of grading highest obtainable
grade & lowest passing marks.
1.All subjects Carry 100 Minimum marks
50%marks

4.Grade 1-

2.Pass-35%Distinction-70%
45%marks

5.Grade 11-

3.Examption-50%
6.Grade III-36%All other
Successful candidate Note :Entry below all the information requested for
each of the subject which will have been completed before beginning
studies in the United States (U.S.A.)/Canada/New

Zealand/Australia/U.K./Germany. Enter subject in chronological order. An

evaluation will be made on the basis of the statement made below.

Period in
which
subject was
taken

From

To

April
2004

Mar
ch
200
5

Subject

Num
ber
of
Mont
hs
take
n

Hours per week

Lectures
Receptio
n
(Theory)
01_GUJARATI
9
16_ENGLISH LL
9
25_SOCIAL
9
STUDIES
27_SCIENCE
9
28_MATHEMATICS
9
30_SANSKRIT
9
102_COMPUTER
9
EDUCATION
TOTAL MARKS OBTAINED
399/700

Examinati
on passed
with mark
obtained
&
percentag
e

2.15
3.00
3.45

Laborat
ory
Filed
work of
drawing
-

065/100
055/100
056/100

3.00
3.45
2.15
1.30

1.30

050/100
035**/100
076/100
062/100

/ MARKS OUT OF

RESULT
: PASS
ATTEMPT
: FIRST
GRADE
: TWO
PERCENTAGE : 57.00

Official Seal of
_____________
The school

Signature
Official Title _____________

Address
Date: / /20
_____________

_____________

Signature
(Applicant)