__________省 __________（縣）人，身份證號__________________________，于 年 9 月至 年 7 月在本校高中修業期滿，成績合格，已發畢業證準予畢業, 畢業證號：________________。因其個人保管不善，不慎遺失，要求證明。經學校核實，特發此證。
This is to certify that the student, sex _____, Born on,
Provincial (county) person, ID No. ________________, From September to July of, he completed his senior high school studies in our school, passed the examination, and was granted a graduation certificate. The graduation certificate number is ________________. If it is lost due to improper personal custody, it shall be proved. This certificate is hereby issued after verification by the school.
________ specific date