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Application for School Leaving Certificate: Format and 8 Samples

Updated

The format for an application for school leaving certificate, eight samples for common cases and the documents schools usually ask for.

By · Editorial policy

School & College LettersEnglish
Application for school leaving certificate format and samples
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An application for school leaving certificate is a formal request to the principal asking the school to issue the certificate that records your admission and leaving dates, class last attended, date of birth and conduct. Mention your full name, class, admission or general register number, the year you left and the reason, such as admission to a college, polytechnic or new school. Confirm that you have cleared all dues.

This guide explains what the certificate is, how it differs from a TC in some states, the format, a fill-in letter and eight samples for common situations.

Key Takeaways

  • Address the principal of the school you are leaving or have left.
  • Write the subject “Application for school leaving certificate”.
  • Give your admission or general register number, class and year of leaving.
  • State the purpose and confirm that fees and library books are cleared.
  • For corrections or duplicates, attach proof such as a birth certificate or an FIR/lost report copy if the school asks.

What Is a School Leaving Certificate?

A school leaving certificate (often called SLC or LC) is an official record issued when a student leaves a school. Colleges, polytechnics, ITIs and other schools ask for it at admission. It also serves as proof of date of birth in many official processes.

School leaving certificate vs transfer certificate

In several states, such as Maharashtra and Gujarat, state board schools call this document the “Leaving Certificate”. In contrast, CBSE and many other schools call it a “Transfer Certificate” (TC). In practice, both record the same details. Therefore, use the name your school uses; if you are moving to another school, our application for TC guide has samples for that case.

PointSchool leaving certificateTransfer certificate
Common name inMaharashtra, Gujarat and several state boardsCBSE, ICSE and many state boards
Main useCollege or polytechnic admission, age proofAdmission to another school
Issued whenStudent leaves after completing a class or midwayStudent transfers to another school
Key detailsAdmission number, class, dates, conduct, date of birthSame, plus dues and subjects studied
School leaving certificate and TC compared

Application for School Leaving Certificate Format

PartWhat to write
To,The Principal, school name, city
DateDate of writing
SubjectApplication for school leaving certificate
SalutationRespected Sir/Madam,
Paragraph 1Name, class, division, admission or GR number, year of passing or leaving
Paragraph 2Purpose and confirmation that all dues are cleared
RequestKindly issue the certificate at the earliest
ClosingYours obediently / Yours faithfully, name, phone
Application for school leaving certificate: format

Write Your Application for School Leaving Certificate

Fill in the fields on the right. The letter updates as you type, and you can copy, print or save it as a PDF.

To,
The Principal,
[School name],
[City]

Date:

Subject: Application for school leaving certificate

Respected Sir/Madam,

I, [your name], was a student of [Class X, Division B] in your school, with admission (GR) number [GR number]. I [passed the SSC examination in March 2026].

I need the school leaving certificate [for admission to junior college]. I have cleared all school dues and returned the library books.

Kindly issue the certificate at the earliest.

Thanking you.
Yours obediently,
[your name]
Mobile: [mobile number]

Fill your details

The letter updates as you type. Nothing is saved.

8 Samples

Sample 1: Application for school leaving certificate after Class 10

To,
The Principal,
New English School,
Pune

Date: 17 October 2026

Subject: Application for school leaving certificate

Respected Sir,

I, Aditya Kulkarni, studied in Class X-B in your school (GR No. 8421) and passed the SSC examination in March 2026.

I need my school leaving certificate for admission to the eleventh standard in a junior college. I have cleared all dues.

Kindly issue the certificate at the earliest.

Yours obediently,
Aditya Kulkarni
Mobile: 98XXXXXX61

Sample 2: After Class 12 for degree admission

To,
The Principal,
Vivekanand Higher Secondary School,
Nashik

Date: 17 October 2026

Subject: Request for leaving certificate after HSC

Respected Madam,

I, Sakshi Deshmukh, passed the HSC (Science) examination from your school in 2026. My GR number is 3310.

I have secured admission to a B.Sc. course, and the college has asked for my original leaving certificate. Kindly issue it at the earliest.

Yours obediently,
Sakshi Deshmukh

Sample 3: For polytechnic or ITI admission

To,
The Headmaster,
Government High School,
Rajkot

Date: 17 October 2026

Subject: School leaving certificate for polytechnic admission

Respected Sir,

I, Jay Makwana, passed Class 10 from your school in 2026 (GR No. 1172). I have been selected for a diploma course at the Government Polytechnic, Rajkot.

Kindly issue my school leaving certificate, as I must submit it before 25 October.

Yours obediently,
Jay Makwana

Sample 4: Correction of date of birth

To,
The Principal,
St. Joseph’s High School,
Nagpur

Date: 17 October 2026

Subject: Correction of date of birth in school leaving certificate

Respected Sir,

My school leaving certificate (GR No. 5566) shows my date of birth as 12 August 2010. However, my birth certificate shows 21 August 2010.

I have attached a copy of my birth certificate. Kindly correct the date in the school records and issue a revised certificate.

Yours faithfully,
Tanmay Wagh

Sample 5: Correction of name spelling

To,
The Principal,
Saraswati Vidyalaya,
Thane

Date: 17 October 2026

Subject: Correction of name in leaving certificate

Respected Madam,

My name is printed as “Priyanka Jadav” in my leaving certificate (GR No. 2045). The correct spelling, as per my Aadhaar and mark sheet, is “Priyanka Jadhav”.

Kindly correct the spelling and issue a fresh certificate. Copies of both documents are attached.

Yours faithfully,
Priyanka Jadhav

Sample 6: Duplicate certificate (original lost)

To,
The Principal,
Modern High School,
Aurangabad

Date: 17 October 2026

Subject: Application for duplicate school leaving certificate

Respected Sir,

I passed Class 10 from your school in 2019 (GR No. 7788). I have lost my original leaving certificate while shifting house.

I request you to issue a duplicate certificate. I am ready to submit an affidavit or a lost document report, and to pay the required fee.

Yours faithfully,
Sachin Pawar
Mobile: 99XXXXXX43

Sample 7: Written by a parent

To,
The Principal,
Little Angels School,
Kolhapur

Date: 17 October 2026

Subject: School leaving certificate for my son

Respected Madam,

My son, Om Patil, studies in Class IV-A (GR No. 9123). We are shifting to Belagavi next month because of my job.

Kindly issue his school leaving certificate by 5 November 2026. I have paid the fees up to October.

Yours sincerely,
Rahul Patil (Father)
Mobile: 97XXXXXX09

Sample 8: Former student needing it years later

To,
The Principal,
Zilla Parishad High School,
Satara

Date: 17 October 2026

Subject: Request for school leaving certificate (passed in 2012)

Respected Sir,

I studied in your school from 2007 to 2012 and passed Class 10 in March 2012. I did not collect my leaving certificate at that time.

I now need it for a government job document verification. Kindly issue it from the school records. My mark sheet copy is attached.

Yours faithfully,
Ganesh More

Documents Schools Usually Ask For

DocumentWhen needed
Written applicationAlways
No-dues slip (fees, library, lab)Most schools
Copy of mark sheetAfter Class 10 or 12
Birth certificate copyFor date of birth correction
Aadhaar or ID copyFor name correction or identity check
Affidavit or lost report copyFor a duplicate certificate
Fee for duplicateVaries by school
Documents with an application for school leaving certificate

Rules and fees vary between schools and boards. Ask the school office for its checklist before you submit your application for school leaving certificate.

Mistakes to Avoid

  • No GR or admission number. The office finds your record using this number.
  • Pending dues. Clear fees and library books first, or the school may hold the certificate.
  • No purpose. State why you need it, especially for duplicates.
  • Signing with a different spelling. Use your name exactly as in school records, except when asking for a correction.

Related Guides

For other requests to the school head, see our application to principal samples. If you only need proof that you are currently enrolled, read about the application for bonafide certificate. The formal letter writing guide explains the general layout.

Frequently Asked Questions

How do I write an application for school leaving certificate?

Address it to the principal. Write the subject “Application for school leaving certificate”, then your name, class, GR or admission number and year of passing. State the purpose, confirm that dues are cleared and request the certificate.

Is a school leaving certificate the same as a TC?

They record similar details. Some state boards call it a leaving certificate, while CBSE and many schools call it a transfer certificate. Use the name your school uses.

How long does it take to get a school leaving certificate?

Many schools issue it within a few working days after dues are cleared. Duplicates and corrections may take longer.

Can I get a duplicate school leaving certificate?

Yes. Apply to the principal, explain that the original is lost and submit an affidavit or lost report if the school asks. Some schools charge a fee.

Can the date of birth be corrected in a leaving certificate?

Schools can correct errors with valid proof such as a birth certificate. Some boards need the correction approved by an education officer, so ask your school.

Can a parent apply for the certificate?

Yes. Parents usually apply for younger children and sign as parent or guardian.

Before You Submit

Check your application for school leaving certificate for the GR number, year of leaving and purpose. Keep a photocopy of the certificate once you receive it. More formats are in our school letters section.

Related letters