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APPLICATION FOR LEAVING CERTIFICATE

To

The Principal,

YASHAVANTRAO CHAVAN INSTITUTE OF SCIENCE, SATARA  

Date: 08-01-2025

ISSUE Date: 08-01-2025

Subject :- Application for getting leaving certificate.

Respected sir,

With reference to the above subject, I, , Studying in () course in academic year . I would like to request to get my Leaving certificate reason of ________________________________________________________________

Birth Place ____________, Tal. ____________, Dist. ____________.
Address(with pincode): ____________________________________
Contact No:
Email: .

Year of Admission First Time in College : .    Pass out Year : .

Kindly issue me the Leaving certificate. This is for your kind information and necessary action.

Thanking You.

HOD Remark : _______________________________________

HOD Sign : ________________

Remark : ________________________________________________________________________

Registrar,
YASHAVANTRAO CHAVAN INSTITUTE OF SCIENCE, SATARA  

The Principal,
YASHAVANTRAO CHAVAN INSTITUTE OF SCIENCE, SATARA  

1. Copy of the Mark Sheet of the Last University Examination

2. I-Card Xerox

3. NO DUES Certificate from the Concerned Departments.

4. A Xerox of the Receipt of Fees paid for Admission taken in the New College/Institute.