SSLC CERTIFICATE OF SPECIFIC LEARNING DISORDER 2020

Annexure C 2 CERTIFICATE OF SPECIFIC LEARNING DISORDER Signature of the Student Thumb impression I Dr…………………………………………………….hereby certify that……………………… ……………………………………………….whose date of birth is…………………………… of …………………………………….. class…………………………of…………………………. School, Son/Daughter of………………………………………………………………….whose Signature and thumb impression is given above is suffering from learning Disorder.  With imparirment in reading  With impairment in written expression  With impairement in mathematics  Combined. The following supporing documents are attached (Strike whatever is not applicable)  Request of parents  Report of teachers  Report of remedial education teacher  Assessment report of clinical psychologist in the prescribed format (Annexure 2) CERTIFICATE ISSUED ONLY FOR AVAILING SSLC EXAMINATION CONCESSIONS FOR THE YEAR…….. Place: Signature of the Psychiatrist Date: Name & Designation Register Number Signature of Hospital Superintendent Office Seal

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