Form-X for Social Welfare For the awardees in Physical Efficiency Performances

FORM-X

(For the awardees in Physical Efficiency Performances conducted
By the Ministry of Education and Social Welfare)

GOVERNMENT OF INDIA/MINISTRY OF EDUCATION
AND SOCIAL WELFARE

Certified that Shri/Smt/Kumari____________ _______Son/wife/daughter of Shri _____________resident of __________________(Complete address) ____represented the ______________ School Team in the game/event of _____________in National competition held at _____________________from ________to_______.

The Certificate is being given on the basis of records available in the office of the Ministry of Education and Social Welfare.

Place____________	Signature_____________
	Name________________
Date_____________	Designation___________
	Name of University______
	Address______________
	Seal

NOTE:- This Certificate will be valid only when signed personally by the Secretary or other Officer in overall charge of Physical Efficiency in the Ministry of Education and Social Welfare.

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