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CENTRAL BOARD OF SECONDARY EDUCATION, DELHI

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Application form for Private Candidate (Class Xll) - 2014 .rg& ft{qif o} ve Note : rhTd rr{+

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READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING THE FORM

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For office Use Receipt No Date


Signature of Cashier

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Passport size photograph duly attested by the Principal of CBSE affiliated school to be affixed by candidale OO NOT STAPLE

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Issuing Bank's Name & Address

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AddiUonal Subject

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FailrE Candidate

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Elig:ble only thce who have Passed class 12 in or aftri2006

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Full Signah.rre of the Candidate (in

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Place of Exam Centre

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To be certified by the Principal of Affiliated School CBSE, Delhi

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I certifu that the candidaie bears a good moral character and he/she has signed on this applicatbn form, phcto Admit Cardin my presence.

The admission fee of the candidate is being remitted by Crossed Bank Draft in favour of Secretary. CBSE payable

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Category of Physically Challenged Studenl

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For Date of Exam. Please See the Date Sheet

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ation 2014

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All eniries should be made in BLOCK CAPITAL LETTERS only without touching edges of the boxes.

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Fresh candidates are not eligible to appear as private candidates.

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Candidate will be examined only in the Syllabus as prescribed for the year of Examination.

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Payment of Fees.

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Candidates will deposit fee in form of crossed Demand Drafl of Nationalised Bank in favour of Seretary CB$E. Payable at Chennai

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iate must meniion their name and form no. on the reverse of the Bank Draft.

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RULES FOR IMFR.OVEFg4HNT OF PERFORT#A$IC

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Candiciates \./ho have passed an examination of the Board may reappear at the exarnination on!y in the subject(s) they have been ceciar'ed passed and not in the iaiied subjeci at the examinatlcn ifl the foilowing year for improving their perfcrr*ance in a subject(s) or in ihe whole excrninaticn provided ihey have not Fuisued higher studies in the meanii,T re. Candidate who has passed uncier vocationai stream can rea,ppear in the succeeding or in the following year They should appear as private candidate Those reappearing in the whole examinaticn and if permiitec by the school rnay appear as regular school candiCates in fr;tl sub.jects also- Hovuever. ihe candidates shail nci be allowed for

irnprl:verreni of performance afier a lapse of one year after'passin3 the examination under any circurnstances

The iast Caie for subrnission of form and fee for the improvement examinaticn shall be the same as prescribed for regular or private caridioales
as the case may be.

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The mark sheet and certficate need not be surrendered by the candidate to the Board while s'.rbmitting ihelr application form for improvement cf
pedorrnance

CaIt,.ie:.s..rho apoear fo|morovemert cf perfprmance rviil be tssued only Statement cf lvlarks reflecling the marks of the
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are elr-\lble upto Canc.lidates appea!'ed during March 20'13 Examination and placed under cornpartment category

CanCidates apDearing at Seccn<j Chance Conipartment Examinalrcn ic be heid in tlarch/Apni periorr:iailce in ant, other sulljeci aicngrtith the ccnrpailrrent subject

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be eligibie for improvemenl of his/her

7.

f :.:i.l;iaies

c-annoi appear for impro'vernent ol perforrnance & Arlditional subject

icgeiher in whrch he/she has g:i-appeared in the previcus year

CaricjiCate appearing for improveme5t rn the Sucjeci(s), involving practicals ',vill have to acpear only in iheoiir The old marks cf pr;ctlcai will be

taken intc acccruni

in the sr.,:bjecl(s) whe.e Practrcal Exairinaiicrr is involved. separate pass tn iheory & Practical examinatron as aisc in the agErE'9ate cf the
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qrTr u,u} m,r qFrps, v,rf ort q0wr ELIGIBILITY CRITERIA, DATE OF RECEIPT OF FORMS AND FEE SCHEDULE FOR ALL |NDIA SCHEME

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candidate who has failed at the All lndia Senior School Certificate Examination of the Board.

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tis form should reacfi'the Board's Office on or before 1 p.m. on,l0. Sep1P013- Form and fee may also be deposited after the above
rte in addition to other prescribed fee with following late fees.

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Exam. Fee for 5 Subjects in

india

Rs. 6004

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Fee for Additional 6th

Subject

Rs. 250/-

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Fee for comptt. / one imprbvement / one additional

Subject Rs. 250/Rs. 550/-

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ft{quffi "i*gqnffi+ Fee tor 2 or more subjects for improvement

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Addl. Fee for each practical

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Last date without late fee uoto 16'09'2013 Last date with late fee of ni. tSOl- - upto 3o'09'?'OJ3 Last date with late fee of Rs. 250/- - upto 15.10.,13 Last date with late fee of Rs. 350i- - upto 30.10.13 Last date with late fee of Rs. 5000/- - upto 15.0r.2014 (For all the categories (i.e.) Regular Private full subjects Comptt. / lmp. Additional Subject)

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Bank,

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Address

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Harvana. Hiniaclral Pradeshi Jammu & punlab, Unlon Tenitory of

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drEgzr izfl ds warr- 8ooo14 iegisnal Officer, bentral Board of Sec' Education'

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