To be issued from CERTIFICATE FROM THE PRINCIPAL / HOD OF THE CONCERNED COLLEGE / UNIVERSITY
12th Class above
Name of the College/University: - ________________________________________ Photograph of
the Student to
Dispatch No: - ________________________________________________________ be attested by
the Head of
Date of Issue: - _______________________________________________________ the Institution.
Active Contact No. (Concerned College/Deptt.): - ___________________________
*****************************
I hereby certify that the student namely
S/O , D/O ________________________________________R/O__________________________________ is a Bonafide
Student of our Institute and is pursuing UG / PG / Integrated / Paramedical / ITI-DipIoma
Course (Tick the Course the student is enrolled) in our Institute. He/She is presently reading in
(____________________________semester with Course name) 1st / 2nd / 3rd / 4th / 5th Year
(Tick the Year) under Class roll no. / Enrollment no.________________________ in our Institute for
the Current Academic Session-2025-26.
Further I certify that our Institution is Government recognized, bearing Recognition
No: - ____________________ Dated:- ___________________ issued by_____________________
Signature of Headmaster /
Principal / Head of the Institution /
Authorized Officer
Seal of the Institution (Must be Visible)
Note: - 1. All fields are mandatory and must be filled in. Failure to do so will result in rejection of the case.
2. Certificates with cuttings, overwriting, or alterations are not acceptable.
3. All required documents listed in the online application form must be uploaded in their original form.
Photocopies or scanned copies will not be accepted. In case of unavailability of aggregate
marks sheet of previous passed semester/year of UG/PG or Diploma Pursuing students, they
can upload the previous semester result sheet duly attested by the concerned Principal/HOD
with Seal & Signature mentioning all the student details on it.
Sd/=
Assistant Labour Commissioner