Certificate Of Exemption printable pdf download

Certificate Of Exemption

Revision of Rule 46 "Rules and Programme for Secondary Schools" in relation

to exemption from Irish - Circular Letter M10/94

Certificate of exemption

Name & address

_________________________________________

of school

_________________________________________

School number:

____________

Type of school Secondary [ ] Vocational [ ] Community/Comprehensive [ ]

[Tick as appropriate]

Name of pupil:

_____________________________

Pupil no:

_____________________________

Date of birth:

_____________________________

Name and address of psychologist:

_____________________________

Date of report:

_____________________________

Name & address of medical specialist:

_____________________________

Date of report:

_____________________________

I certify that the above-named pupil has been granted an exemption from the study of

Irish in second level education in accordance with the terms of Rule 46, section

______ , of the Rules and Programme for Secondary Schools.

The exemption has been granted on the following grounds:

_________________________________________________________________

Signature:

________

Date: ____________________

[Manager/Principal]

Certificate Of Exemption