APPLICATION FOR Leaving Certificate

From : Mr./Ms.
Address :
Contact no. : (R) (M)
Date of Application :

The Principal,

N.E.S. Ratnam College,

Bhandup (w),

Mumbai – 400 078.


I am / was a student of class during the academic year with Roll No

I passed / Failed / did not appear at the Examination held by the college / Board in March / October, with Roll No / Seat No in the said examniation

Kindly issue my leaving Certificate

(Signature of Parent / Gaurdian)
Yours Sincerly,


(Students Signature)

Type the above number: