Annexure – C 1 CERTIFICATE FOR CHILDREN WITH LEARNING DISABILITY FOR S.S.L.C. MARCH 2020 1. Name of the Pupil : ………………………………………………. 2. Age & Date of Birth : ………………………………………………. 3. Gender : ………………………………………………. 4. Personal Identification Marks : i. …………………………………………………………….……………… ii. ……………………………………………………………………………. 5. Name of Father/Guardian : …………………………………………………… 6. Signature/Thumb impression of the Pupil : ………..…………… After verifying the notebooks, answer sheets of previous examinations and his academic performance including reading and writing and arithmetic calculation skills, it is informed that he/she is having some learning backwardness even after conducting remedial teaching methods. Signature with Date & Name of Class Teacher The assessment of class teacher is verified and recommended for IQ assessment and certification. Signature with Date &Name of Resource Teacher under IEDSS Place: Date: School Seal Countersigned by Headmaster with office seal Kum/Kumari ……………………………………………………………………., Std X student of ……………………………………………………….. …………………………………………………………………….. (school) is assessed by me and is certified that he/ she is having …………………………. intelligence with an IQ of …………………… . Learning skills assessment shows that he/she is having Learning Disability in the area of ……..………………………. (Specify Dyslexia, Dysgraphia or Dyscalculia). Place: Date: Office Seal Signature Name & Official Address of Clinical Psychologist with Reg. No. [ASSESSMENT/TEST REPORT SHOULD BE ATTACHED] Must affix latest Photograph here Contd…. 32 On the basis of academic evaluation and assessment report as given above, it is hereby certified that Kum/Kumari………………………………….., Std.X student of ………………………………………… …………………………… (School) is having Learning Disability in the area of ……………………………………… (Specify Dyslexia, Dysgraphia or Dyscalculia). He/she may be provided with the following examination concessions in the S.S.L.C. March 2020 Examination: 1. …………………………………………………………………………. 2. …………………………………………………………………………. 3. …………………………………………………………………………. 4. …………………………………………………………………………. 5. …………………………………………………………………………. Place: Date: Signature Name & Official Address of Govt. Psychiatrist (not below the rank of Asst. Surgeon) THIS CERTIFICATE IS ISSUED ONLY FOR AVAILING S.S.L.C. EXAMINATION CONCESSIONS FOR THE YEAR 2020 Examination concession to children with Learning Disability in S.S.L.C. Examination 2020 CHILDREN WITH LEARNING DISABILITY ARE NOT ELIGIBLE FOR GRACE MARK Service of Scribe or Interpreter (Any One) will be permitted Dyslexia i) Additional time of 10 minute per hour per paper ii) Assistance of an Interpreter, if necessary Dysgraphia: i) Additional time of 10 minutes per hour per paper ii ) Exemption from either – Malayalam or English and also Hindi if necessary . Instead, they can opt for subjects like a) Computer Education b) Horticulture c) Catering and d) Drawing & Painting. Since there are two papers in Malayalam, any two of the subjects have to be selected while exempting Malayalam iii) A scribe will be permitted, if required Dyscalculia: i) Exemption from Mathematics and permitted to opt subjects from Computer Education, Ratton Work , Vocal Music, Instrumental Music ii) Assistance of an interpreter for mathermatics only, if required iii) Permitted to the simple calculator, if necessary iv) Additional time of 10 minutes per hour per paper