M01 Application For Duplicate Certificate
M01 Application For Duplicate Certificate
M01 Application For Duplicate Certificate
01
DIRECTORATE OF TECHNICAL EDUCATION, CHENNAI – 600 025
APPLICATION FOR DUPLICATE CERTIFICATE(S)
Institution Code Name of the Institution
E-mail ID
DETAILS OF IDENTITY PROOF ATTACHED (Self-attested xerox copy to be attached)
Tick Unique Number of the Document
Document Type
() (i.e. Driving License Number/Aadhaar Number/Voter ID Number)
Driving License
Aadhaar Card
Voter ID
Type of Duplicate Certificate(s)
Tick () Particulars Required Amount
Required
Diploma Certificate Month & Year of Passing
Mark Statement
DECLARATION
I, ____________________________________________________________________________________________________ son/daughter of
___________________________________________________________________________________________________________ residing at
the above mentioned address do hereby solemnly and sincerely affirm that the Diploma Certificate/Consolidated
Mark Statement/Combined Mark Statement/Mark Statement issued to me has irrevocably been lost/destroyed.
I file this declaration for the purpose of receiving duplicate certificate(s).
I will return immediately the duplicate certificate(s) to the Chairman, Board of Examinations, Chennai – 600 025
only my original certificate(s) is/are recovered later.
The facts stated are true and correct to the best of my knowledge and if found false by the Chairman, Board of
Examinations, I shall abide by the decisions of the competent authorities.
INSTRUCTIONS
o Application should be made only by the Candidate in the prescribed format and should be
sent to The Chairman, Board of Examination, Directorate of Technical Education,
Chennai – 600 025, through the institution in which the candidate is studying / studied.
o Xerox of the Certificate(s) for which duplicate certificate(s) are required (if available)
o Request for issue for Duplicate Provisional Certificate will not be entertained, since its
validity is until the receipt of Diploma Certificate.
o Fees as per existing rates are to be paid through Indian Bank Multi-utility Challan only.
No other mode of payment will be accepted.
o Fees once paid will not be refunded or adjusted for any other certificate under any
circumstances.
Duplicate Mark sheet (issued before 5 years and upto 10 years) 135
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