Form-4

HOSTEL SUBSIDY

                                                         (Certificate from school authority)

                  ___________________________________________School (Name of the  School and place)

       1.      Name of boarder  _______________________________________________

       2.      Name of parent __________________________________________________

       3.      Class to which admitted ____________________________________________

       4.      Date of admission in the hostel ________________________________________

       5.      Period during the year for which the child would continue to stay in the hostel

                                       _____________________________________________________

                                                   FROM                                                        TO

       a)
       b)
       c)
       d)

        Dated  ____________________                 Principal/Head Master/Head Mistress.

                                        

                                                                                            (STAMP OF THE SCHOOL)

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