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Exemption Application for Disabled Students

This document is an application for students with disabilities seeking exemptions and concessions for the Board of Intermediate Education exams in Andhra Pradesh. It collects information about the student's name, disability type, percentage of disability, any previous exemptions received, and the specific exemptions or concessions being requested. The principal verifies the student's disability and supports granting the exemptions applied for. The completed form is submitted to the Board of Intermediate Education by the Regional Inspection Officer.

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lakshmikanth
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125 views1 page

Exemption Application for Disabled Students

This document is an application for students with disabilities seeking exemptions and concessions for the Board of Intermediate Education exams in Andhra Pradesh. It collects information about the student's name, disability type, percentage of disability, any previous exemptions received, and the specific exemptions or concessions being requested. The principal verifies the student's disability and supports granting the exemptions applied for. The completed form is submitted to the Board of Intermediate Education by the Regional Inspection Officer.

Uploaded by

lakshmikanth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

BOARD OF INTERMEDIATE EDUCATION, ANDHRA PRADESH, HYDERABAD

Application for grant of exemption and concessions to Blind, Deaf, Deaf & Dumb and
Physically Handicapped ,suffering from DYSLEXIA and Mentally Handicapped candidates
(To be filled in by the candidate)

1) Name of the candidate : _________________________________


2) Father’s Name : _________________________________
Affix latest
3) Mother’s Name : _________________________________ passport size
photograph
4) SSC. [Link]. & Month & Year : _________________________________ of the
Candidate
5) Name & Place of the College : _________________________________
Studying and District

6) Class & Group studying : MPC / BPC / CEC / HEC / VOCATIONAL:


I year : Admission No: __________________
II year : Previous [Link]: _______________
Month & Year: __________________

7) Nature of Disability : ____________________________________________

8) Percentage of Disability : ____________________________________________

9) Whether original Medical Certificate : ____________________________________________


along with a xerox copy enclosed

10) Have you obtained any Concession : ____________________________________________


or Exemption at SSC level?
If so, furnish a copy of the order

11) In case of Deaf, Deaf & Dumb, : ____________________________________________


suffering from DYSLEXIA and
Mentally Handicapped candidates.
If they were exempted from any
Language / subject, enclose SSC
certificate xerox copy

12) Mention the type of Exemption / :


Concession required.
a) _________________________________________
b) _________________________________________
c) _________________________________________
d) _________________________________________

13) In case of Deaf, Deaf & Dumb, : ____________________________________________


suffering from DYSLEXIA and
Mentally Handicapped candidates.
Mention the Language of the
candidates under Part-I or II for
which exemption is required
Signature of the candidate
(To be filled in by the Principal)
I have personally verified and found that the candidate is Blind / Deaf / Deaf & Dumb /
Physically Handicapped, suffering from DYSLEXIA and Mentally handicapped candidates . The
percentage of disability is _________%. Original certificate issued by the District Medical Board, the
orders of concessions granted at school level, SSC true copy are enclosed herewith. The concessions and
exemptions applied for by the candidate may please be granted.

Signature of the Principal


Submitted to the Secretary, BIE.

Signature of the R.I.O.

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