OFFICE OF THE DIRECTOR OF GOVERNMENT EXAMINATIONS, A.
P, HYDERABAD
Application for supply of Photostat copy cum Re verification of valued Answer Script
Latest Passport
size Photo of
Provisions included in Re verification: 1) Re totalling 2) whether marks for all answers are posted or the candidate
not.3) Re-verification as per the Scheme of valuation for only those answers which are either unvalued duly attested
or awarded Zero marks by the examiner. 4) Initial scrutiny will be done by single Examiner only and by Headmaster
in cases of discrepancies, Re Verification will be done by two independent examiners and third member concerned
will check and reconcile the marks.
1. Name of the Candidate
2. Hall Ticket Number (Enclose Copy) Month & Year:
1 1 M A R C H 2 0 1 1
3. School where studied with Address: 4. Address for communication:
S/o D/o C/o:
H.No / St.:
Vill / Town:
Mandal:
Dist:
Pin code:
5. Contact Phone No of the candidate:
6. D.D/ Banker’s cheque drawn in favour of the “Secretary to the CGE, A.P, Hyderabad” drawn in any
branch of S.B.I/ S.B.H @ Rs.1000/- per subject (or) through Challan to the following Head of Account.
0202- Education, Sports, Arts and Culture
01- General Education
102- Secondary Education
06- Director of Govt. Examinations
800- User Charges
(a) Amount: (b) D.D.No. / Challan No. Date: Name of the Bank or Treasury:
7) Subjects for which Photostat copy cum Re-verification is required. (Specify name of the subject)
First Language
Second language
English
Mathematics
DECLARATION
I hereby affirm that I will abide by the Rules of the Board of Secondary Education, A.P, Hyderabad and
the change in marks communicated if any, by the Board are final. I further affirm that I accept the revised
marks (whether increased or decreased) awarded to me. I will not claim the refund of the amount paid
towards Photostat copy cum Re-verification under any circumstances.
Place:
Date: Signature of the Applicant
CERTIFICATE
Certified that the Candidate Sri/Kum____________________________________who applied for supply
of Photostat copy of valued answer script is the same person who appeared for the SSC Examinations, March
/ June-2011. His/ Her identity has been verified with reference to the office records.
Signature of Headmaster with Office Seal.
Note: i) Enclose Xerox copy of Hall Ticket & Memo of marks, if not, the application will be summarily
rejected. ii) Need not apply for Recounting of marks, if applied for supply of Photostat copy of valued answer
script. iii) To be submitted directly at SSC Board or sent by Regd.Post to the Addl.Joint Secretary to the Director of
Govt. Exams, Chapel Road, Nampally, Hyderabad-500001 super scribing on the cover as “Application for
supply of Photostat copy cum Re verification of valued Answer Script” duly enclosing one self addressed
envelop and another cover with the address of the Headmaster concerned. The application should be received by
the SSC Board before the due date. The SSC Board is not responsible either for postal delay or for applications
received by Post after due date.