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Application For Duplicate Transcript

This document is an application form for obtaining a duplicate transcript due to loss or damage of the original. It requires the applicant to provide personal details, a police report, and confirmation of willingness to bear any associated charges. The application must be submitted in triplicate to the Centre-in-Charge for further processing and approval by the District Youth Officer.

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samadeep Mondal
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0% found this document useful (0 votes)
111 views1 page

Application For Duplicate Transcript

This document is an application form for obtaining a duplicate transcript due to loss or damage of the original. It requires the applicant to provide personal details, a police report, and confirmation of willingness to bear any associated charges. The application must be submitted in triplicate to the Centre-in-Charge for further processing and approval by the District Youth Officer.

Uploaded by

samadeep Mondal
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

Must furnished in Triplicate

To For Office use only:


The Centre-in-Charge Date : ____/_____/20______
(Name & Address of your YCTC) Application (in original)
________________________________ forwarded to the

________________________________ District Youth Officer


_________________________________
________________________________
District for approval and
further proceedings.
Sub.: Application to obtain a DUPLICATE Transcript.

Respected Sir,

With due respect I beg to state that I have LOST / DAMAGE my Transcript of ___________________________________
__________________________________________ __________________
Siganture of the Centre-in-Charge
Course on ____/_____/20______, the Intimation (in ORIGINAL) to the Date: __________________________

_______________________________________Police Station about the

LOST / DAMAGE of the said Certificate is duly furnished herewith.


Received Approval / Refusal
Please issue a DUPLICATE TRANSCRIPT on my favour.
from the DYO ____________
I do confirming that I will bear the required Charges (if any) for the same.

Please take necessary steps infavour. On ____________________

Thanking You.
Proceed for necessary steps
Yours faithfully,
on ____________________

(Full Signature of the Student)


DUPLICATE Transcript

Name of the Student: ________________________________________ Received by


Registration No. ____________________________________________

Course ____________________________________________ FULL Signature of


the Student
Session ____________________________________________
On _____________
Contact Phone Nos. (Land Line) __________________________________

Mobile__________________________ ___________
Informed to Student on
Enclosed: 1) Police Report in ORGINAL
1)___________________
Photocopies of the followings:
2) Student ID CARD 2)___________________
3) Transcript/Certificate of all relevant courses
3)___________________

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