Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 166 views

    B Nhfce/ôB Oft Bza 162 J/: 162 A 20 Days

    Uploaded by

    parveensinwer
    This document appears to be an application form for issuance of a duplicate certificate and result card. It provides instructions for students to fill out personal details like name, father's name, registration number, etc. It specifies that the application must be attested by authorized education officials like the head of the applicant's school or education board. It also mentions fees to be paid and stipulates that the duplicate certificate will be issued within 20 days if all details are correctly provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    B Nhfce/ôB Oft Bza 162 J/: 162 A 20 Days

    Uploaded by

    parveensinwer
    166 views3 pages
    This document appears to be an application form for issuance of a duplicate certificate and result card. It provides instructions for students to fill out personal details like name, father's name, registration number, etc. It specifies that the application must be attested by authorized education officials like the head of the applicant's school or education board. It also mentions fees to be paid and stipulates that the duplicate certificate will be issued within 20 days if all details are correctly provided.

    Original Description:

    PSEB FORM DUPLICATE CERTIFICATE

    Original Title

    13_115

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document appears to be an application form for issuance of a duplicate certificate and result card. It provides instructions for students to fill out personal details like name, father's name, registration number, etc. It specifies that the application must be attested by authorized education officials like the head of the applicant's school or education board. It also mentions fees to be paid and stipulates that the duplicate certificate will be issued within 20 days if all details are correctly provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    166 views3 pages

    B Nhfce/ôB Oft Bza 162 J/: 162 A 20 Days

    Uploaded by

    parveensinwer
    This document appears to be an application form for issuance of a duplicate certificate and result card. It provides instructions for students to fill out personal details like name, father's name, registration number, etc. It specifies that the application must be attested by authorized education officials like the head of the applicant's school or education board. It also mentions fees to be paid and stipulates that the duplicate certificate will be issued within 20 days if all details are correctly provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    s;dhe [dk

    Application Form $ noih ckow


    Issuance of Duplicate Certificate cum Result Card

    gk;goN

    v[gbhe/N ;oNhfce/N ikoh eoBk ew Bshk ekov b?D bJh


    Notification Service No :- 162 a
    (o{oh jdkfJsK fgSb/ gzB/ s/ gVQ)

    BNhfce/B ;oft; Bza 162 J/


    :- 20 Days

    Stipulated Time

    BN L u?Z e fb;N nB[;ko ckow u?Z e eo fbnk ikt/.

    ;kJh cN

    ch; 600$-o[gJ/ gqsh ;oNhfce/N


    ; X ch; 1000$- o[ gJ/ gqs h rbsh
    ch; dk t/ otk

    fibQ/ dk BK

    vkfJoh Bz aaaaaaaaaaaaaaaaaaaaaaaaaaa

    ;EkB
    oew
    o;hd Bzpo
    fwsh

    ob Bzpo
    gqhfynk
    ?B$;kb

    fwsh aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    (f;zrb ftzv)
    e/; Bz L

    gqhfynkoEh dk BK aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa


    fgsk dk BK aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    wksk dk BK aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    d[gosh ;oNhfce/N b?D dk ekoB aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    fibQK $ ;e{b dk BK aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    T[whdtko dk gZek gsk aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa fibQk aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    Student Details in English (IN CAPITAL LETTER)
    Name
    Fathers Name
    Mothers Name
    Reg. No.
    Date of Birth

    Aadhar No

    Mobile No

    Phone No

    STD Code

    School Name

    Bsh/ dk t/otk
    Bshk
    gk;
    c/b
    ezgkoNw?AN

    gqkgs nze
    e[AZb nze

    doik
    gfjbk

    1 aaaaaaaaaaaaaaaaaaaaaaaaa

    4 aaaaaaaaaaaaaaaaaaaaaaaaa

    7 aaaaaaaaaaaaaaaaaaaaaaaaa

    d{ik

    2 aaaaaaaaaaaaaaaaaaaaaaaaa

    5 aaaaaaaaaaaaaaaaaaaaaaaaa

    8 aaaaaaaaaaaaaaaaaaaaaaaaa

    shik

    3 aaaaaaaaaaaaaaaaaaaaaaaaa

    6 aaaaaaaaaaaaaaaaaaaaaaaaa

    9 aaaaaaaaaaaaaaaaaaaaaaaaa

    g{o / ft/

    w?A ;Zu/ fdbA fpnkB eodk$eodh jK fe fJj ckow w?A y[Zd Gfonk j? ns/ w/o/ tZbA fJ; ftZu fdZs/ ;ko/ t/ot/ doZ[;s jB. i/eo fe;/ gZXo s/
    T[goes sZEK ftZu eJh rbsh gkJh iKdh j? sK w?A y[d fizw/tko jtKrk$jtKrh ns/ w?A ckow ;woZE nfXekoh sA jh s;dhe eotk fojk$ojh jK.
    gqhfynkoEh d/ g{o/ j;skyo (nzro/h ftZu)

    gqhfynkoEh d/ g{o/ j;skyo (gzikph ftZu)

    s;dhe
    w? s;dhe eodk$eodh jK fe w? fpB?eko B{z ikDdk$ikDdh jK ns/ fJj n;b gqhfynkoEh j?, fi;dh cN
    s;dhe eo fdZsh rJh j?. fpB?eko B/ w/oh jkoh ftZu j;skyo ehs/ jB.
    gZdth ns/ g{ok gskaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    j;skyo
    fwsh aaaaaaaaaaaaaaaaaaaa wpkJhb Laaaaaaaaaaaaaaaaaaaaa
    (dcsoh wjo)
    e/t b dcsoh tosA bJh

    ikoh ;oNhfce/ N ew Bshk ekov


    dk bVh Bzp o

    ckow ftZu doi ehs/ t/ot/ ns/ nvzvk


    eohizvk th gVskb/ rJ/ jB.

    (1) ;oNhfce/N
    (2) Bshk ekov

    vhaJhaUa$i{a ;jkfJe

    gZso ftjko bJh BK ns/ g{ok gsk


    BKaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    fgsk dk BK aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    g{ok gsk aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaafgzB ev aaaaaaaaaaaaaaaaa
    cB$wpkJhb BzL-aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa

    ;jkfJe

    ;[govzN

    ;oNhfce/ N G/ i D dk t/o tk
    ofi;Nov Bza
    R P

    I N

    fwsh

    gZso ftjko bJh BK ns/ g{ok gsk


    BKaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    fgsk dk BK aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    g{ok gsk aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaafgzB ev aaaaaaaaaaaaaaaaa
    cB$wpkJhb BzL-aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa

    ***** ezfgT{No ;? Zb *****

    ckow GoB ;pz X h jdkfJsK


    1)
    2)

    3)

    4)

    5)

    6)
    7)
    8)
    9)

    10)

    tZy-tZy gqhfynktK (ebk;K) bJh nbZr-nbZr ckow Gfonk ikt/ .


    fpB?eko ckow ftZu ;ko/ t/ot/ fit/A nkgDh iBw fwsh, BK, wksk$fgsk dk BK ns/ ofiNq/;B Bzpo nkfd fXnkB
    Bkb fpBQK fe;/ efNzr sA Go/rk. ckow ns/ cN fJe jh ;woZE nfXekoh tZbA s;dhe eotk e/ G/i/ ikD. eJh th
    ftnesh fe;/ jo tZbA fpB? gZso$ckow Bjh d/ ;edk. fJj ckow n;b gqhfynkoEh tZbA jh Goe/ G/fink ikt/.
    ckow ns/ c N s;dhe eoB tkb/ ;woZE nfXekoh.
    T)
    gzikp ;e{b f;Zfynk pov d/ w?Apo iK ;jkfJe ;eZso iK T[; d/ pokpo iK T[Zgob/ nfXekoh, n?ri?efNt
    w?fi;No/N, ;oekoh$wkBsk gqkgs (J/fvv) ;e{bK$ekbiK d/ w[Zyh, gzikp oki dhnk :{Bhtof;NhnK d/
    gqc?;o, ;hBhno ;?ezvoh (12thA q/Dh) bJh ;oekoh$wkBsk gqkgs (J/fvv) ;hBhno ;?ezvoh ;e{bK$
    ekbiK d/ w[Zyh ns/ vhaghankJha d/ vkfJo?eNo$fvgNh vkfJo?eNo$;jkfJe vkfJo?eNo.
    n)
    fibQk f;Zfynk nc;o iK ;oeb f;Zfynk nc;o, Gkosh ;?fBeK s/ T[jBK d/ pZfunkA d/ e/; ftZu :{fBN d/
    nfXekoh ns/ n?chbhJ/fNv ;e{bK d/ w[yh e/tb nkgD/ ;e{bK d/ ftfdnkoEhnk d/ ckow jh s;dhe
    eoBr/.
    (J)
    T sA fJbktk pkjob/ okiK d/ fpB?eko nkgD/ ckow nkgD/ fibQ/ d/ fibQK f;Zfynk nc;o$n?r?efNt
    w?fi;Nq/N$sfj;hbdko sA th s;dhe eotk ;ed/ jB.
    (;)
    fgSb/ fJZe ;kb ftZu gqhfynk gk; eoB tkb/ T[whdtko e/tb nkgD/ ;e{b$ekbi w[Zyhnk sA ckow
    s;dhe eotk e/ G/iD.
    (j)
    gzithA /qDh dk d[gosh ;oNhfce/N b?D bJh d[gosh ckow ns/ ;pzXs ;e{b d/ dkybk ofi;No dh cN
    ekgh pbke gqkfJwoh f;Zfynk nc;o sA s;dhe eotk e/ G/ih ikt/.
    (-) uzv hrVQ d/ ftfdnkoEhnK bJh LT sA fJbktk fbQk f;Zfynk nc;o ns/ uzvhrVQ fty/ ;fEs ;oekoh$wkBsk gqkgs (J/fvv) $ekbiK d/ w[Zyh.
    ch; L(T)
    pDdh ch; pov d/ w[Zy dcso ftZu e?hno gk; iwQK eotk e/ ckow Bkb n;b o;hd brkJh ikt/.
    iK
    pDdh ch; p?Ae vokcN okjhA th ;eZso, gzikp ;e{b f;Zfynk pov d/ Bkw i n?;a J/a n?;a
    Bro$uzvhrV fty/ ndk jD :r jt/, G/ih ik ;edh j?. wBhnkovo$g;Nb nkovo okjhA G/ih
    ch; ;theko BjhA ehsh ikt/rh/.
    i/eo 20 fdBK d/ nzdo ;oNhfce/N ew Bshk ekov gqkgs Bjh j[zdk sK gzikp ;e{b f;Zfynk pov, ftZfdnk
    GtB, c/i-8, n?;aJ/an?; Bro (wjkbh) 160062 dh d[gosh ;oNhfce/N Bkb ;pzXs kyk Bkb g{o/ t/oftnK
    ;fjs gZso ftjko ehsk ikt/.
    ;kb 2001 sA gfjbK d/ BshfnK dhnk Bshk hNK T[gbZpX Bk jD eoe/ nzeK ;fjs Bshk ekov BjhA G/i/ ik
    ;ed/, fJ; eoe/ e/tb T[whdtko tZbA bJ/ ftfnk ftZu gk; iK c/bQ jh do;kfJnk ikt/rk.
    so[ZNh tkb/ e/;K ftu gqhfynkoEh tZbA so[ZNh d{o eotkT[D T[gozs jh d[gosh ;oNhfce/N ew Bshk ekov ikoh
    ehsk ikt/rk.
    d[gosh ;oNhfce/N$Bshk ekov b?D bJh G/ih rJh ch; fe;/ th jkbs ftu tkg; Bjh ehsh ikt/rh .
    fJe tko d[gosh ;oNhfce/N$Bshk ekov ikoh jD T[gozs i/eo eJh gqhfynkoEh d[pkok d[gosh ;oNhfce/N ew
    Bshk ekov b?D dh wzr eodk j? sK T[; ;{os ftu T[j n?ri?efNt w?fi;Nq/N sA s;dhe jfJnk jbchnk fpnkB
    th g/ eo/rk fe T[; tZbA gqkgs ehs/ d[gosh ;oNhfce/N ew Bshk ekov dh d[otosA Bjh ehsh ikt/rh.
    i/eo eJh gqhfynkoEh$fpB?eko so[ZNhnK tkb/ e/;K ftZu dcso tZbA ikoh gZso$nzfsw :kd gZso d/ ikoh jD sA
    1 wjhB/ d/ nzdo$sZe eJh ekotkJh BjhA eodk sK T[; d/ d[gosh ckow Bz{ dkyb dcso eo fdZsk ikt/rk ns/ w[V
    sA BtK d[gosh ckow BthA ch; gqkgs jD T[gozs jh ekotkJh ehsh ikt/rh.

    ;oNhfce/N ftZu ;X bJh bVhAd/ d;skt/ ns/ jdkfJsK L1a

    2a

    3a

    4a

    gzithA (i/eo pov sA ehsh jt/) nZmthA, d;thA ns/ pkoQthA ebk; d/ ;oNhfce/N; dhnK ;woZE nfXekoh
    sA s;dhe ehshnK cN ekghnK BZEh ehshnK ikD ns/ fi; ebk; ftZu ;X wzrh rJh jt/ T[; ebk; dk
    dk n;b ;oNhfce/N BZEh ehsk ikt/.
    ;pzXs ebk; fi; ftZu ;X wzrh rJh jt/ d/ dkybk ykfoi ofi;No dh ekgh ;e{b ns/ ;pzXs fibQk w?B/
    io, y/soh dcso, gzikp ;e{b f;Zfynk pov sA s;dhe eotk e/ Bkb brkJh ikt/. i/eo T[; (dkybk
    ykfoi ofia) ftZu eJh efNzr j? sK fJ;B{z ;oekoh$J/fvv ;e{b d/ gqhfynkoEh ;pzXs fibQk f;Zfynk
    nc;o (DEO) sA ns/ n?chbhJ/AfNv$n?;;hJ/fNv ;e{b Bkb ;pzXs gqhfynkoEh gzikp ;e{b f;Zfynk pov d/
    fJzukoi n?chbhJ/B$n?;;hJ/B iK ;pzXs fibQk w?B/io sA gqsh j;skyo (Counter Sign) eotk e/
    BZEh eoB.
    i/eo d;thA ns/ pkoQthA ftZu nzro/ih d/ pdk ftZu so[ZNh j? sK nkXko ekov$Bkysh ekov$gk;goN$
    vokfJftzr bkJh;?A; dh s;dhe[dk cN ekgh Bkb brkJh ikt/. fiZE/ dcso io{os ;wMdk j?, bV
    nB[;ko dkybk ykoi ofi;No th wzrtkfJnk ik ;edk j?.
    ;e{b d/ Bkw dh ;X bJh ;e{b w[Zyh sA ;e{b d/ b?No g?v s/ fi; ;?B ;w/A ;pzXs fpB?eko T[; ;e{b dk
    gqhfynkoEh ;h, T[; ;w/A ftZu i ;e{b dk Bkw ;h, fbytke/ Bkb BZEh ehsk ikt/.

    BN L- ;oNhfce/N e/tb n;b gqhfynkoEh B{z jh d;sh fdZsk ikt/rk iK fdZs/ gs/ s/ ofia vke okjhA
    G/i fdZsk ikt/rk. ofi;Nov vke okjhA G/i/ d[gosh ;oNhfce/N dh gj[zu dh fzw/tkoh pov dcso dh
    BjhA jt/rh.

    u?Ze fb;N
    d[ gosh ckow GoB ns/ gq kgs
    1a
    2a
    3a
    4a
    5a
    6a

    eoB ;wQ /A j/m fby/ fbyhnK jdkfJsK nB[;ko ckow u?Ze eo fbnk ikt/ L-

    ckow fpB?eko tZbA y[d Gfonk ikt/.


    ckow ftZu ;ko/ t/ot/ fpBQK fe;/ efNzr sA Go/ jJ/ jB.
    ckow ftZu ch; dk t/otk fit/A o;hd Bzpo, fwsh ns/ oew nkfd Gfonk j? ns/ n;b o;hd ckow Bkb
    BZEh j? (fpBQK ch; iK xZN ch; tkbk ckow gqkgs BjhA ehsk ikt/rk).
    ckow ns/ cN dBA fJZeA jh ;woZE nfXekoh sA s;dhe jB.
    gZso ftjko bJh gsk ckow ftZu fdZshnK dtK EKtk s/ Gfonk j?.
    ckow ftZu gqhfynkoEh B/ gzikph ns/ nzro/h ftZu g{o/ j;skyo ehs/ jJ/ jB.

    i/ eo ;oNhfce/ N ftZu ; X eotkT[D h j? sK j/m fbyhnK jdkfJsK nB[; ko d;skt/ u? Ze eo bJ/ ikDL1a
    2a
    3a

    fi; ebk; d/ ;oNhfce/N ftZu ;X eotkT[Dh j?, dk n;b ;oNhfce/N BZEh j?.
    fizBQK ebk;K d/ ;oNhfce/NK d/ nkXko s/ ;X eotkT[Dh j? (nZmthA, d;thA ns/ pkothA) d/ ;oNhfce/N dhnK
    ;woZE nfXekoh sA s;dhe [dk ekghnK BZEh jB.
    dkybk ykoi ofi;No dh s;dhe [dk ekgh. (jdkfJsK w[skpe)

    4a

    nkgDk ns/ ;X nB[;ko jo bVhd/A Bkys ;pzXh ;p{s BZEh jB.

    BN L i/eo T[es jdkfJsK nB[;ko ckow ezgbhN BjhA j? sK ckow gqkgs BjhA ehsk ikt/rk.

    You might also like