THE JAMMU AND KASHMIR BOARD OF SCHOOL EDUCATION
NEW CAMPUS, BEMINA
APPLICATION FORM FOR CORECTION IN PARTICULARS OF CERTIFICATES OF CLASS 10TH/11TH/12TH
1. Registered Particulars:
a. Name of the Applicant:- In Capital Letters . Applicant must Affix
Note: here her/his Latest
b. Father’s Name:- In Capital Letters . Pass Port Size Digital
Photo Graph which
c. Mother’s Name:- In Capital Letters .
The shall
d. Registration NO.:- . be attested by the
correction Head of the
form is e. D.O.B:- . Concerned School.
meant for 2. Other Information:
correction
a. Permanent Address:- :- with land mark .
in Name /
Parentage b. Contact No:- .
/ Caste/ 3. Academic Information:
D.O.B, [Link]. Class Roll No. Year and Session Result
provided 01. 10th
there is 02.
any 11th
transcription
03. 12th
al error in 4. Correction applied for ( fill only required column in which the correction is sought
the [Link]. Particulars From To
particular 01. Applicant’s Name
s of the 02. Father’s Name
candidate 03. Mother’s Name
in 04. Date of Birth
Primary, 05. Registration No.
Middle, 06. Caste
High class
or Board 5. Reason for correction sought(Details with documentary evidence)
Registered
records.
6. Prescribed processing Fee of Rs. deposited Vide Bank Slip No.
dated (Non-refundable)
DECLARATION-CUM-UNDERTAKING by the candidate
I (the applicant) hereby declare that the
correction applied for is based upon genuine reasons and the information furnished
by me in this Form is correct. Nothing has been concealed or presented in a
fabricated manner. I, further, undertake that the decision of the Correction
Committee of the J&K BOSE shall be final, acceptable and binding upon me.
Dated:- . Signature of the Applicant
FOR VERIFICATION AND ATTESTATION OF THE HEAD OF THE CONCERNED INSTITUTION
This is to Certify that ; S/O;D/O:
Mother’s Name:
R/O bearing Board Registration
No: , D.O.B. (in figures) (in words)
was on Rolls in our Institute from
upto . His/Her particulars were verified by relevance of the
available record and were found correct. The photograph of the applicant is also
verified and attested.
Place:- . Seal and Signature of the
Date:- . Head of the Institution
