CERTIFICATE FROM THE PRINCIPAL OF THE SCHOOL LAST ATTENDED

1. Certified that Mr./Ms......

S/o/D/o..has been a regular student of
from Class..to Classfrom year. to
.Name and address of School / Study Center and Examination
Centre for Patrachar Vidyalaya/National Institute of Open Schooling:-
.................................
.

2. (a) Certified that Mr./Ms...... has studied 11th Class in this

School / Study Center and Examination Centre for Patrachar Vidyalaya /National Institute of Open
Schooling:- ...
...(School name & address)

(a) Certified that Mr./Ms. ......has studied 12th

Class in this school / Study center and Examination Centre for Patrachar Vidyalaya /National Institute
of Open Schooling as a regular student (at this school

..(School name and address)

3. He/She/Others has appeared/passed 12th class Examination under 10+2 system in the year
.conducted by the ..(Name of
the Board)

4. He/She/Others bear a good moral character.

5. This school is recognized by .(Name of the Board/Authority)

6. This school or Study Center and Examination Centre of Patrachar Vidyalaya/National Institute of Open
Schooling is situated within the National Capital Territory of Delhi (NCTD) Yes/No

7. Date of Birth as per School records: (Date) (Month)(Year)

Dated ..

Signature of the Principal/Controlling Authority

of Patrachar Vidyalaya /NIOS (with Seal)

Note: 1. This Certificate must is to be (in original) by Principal/Vice- Principal/Controlling Authority

with Seal of the school/ Study Center and Examination Centre of Patrachar Vidyalaya/National
Institute of Open Schooling, where the candidate has studied 11th & 12th Classes as a regular
student, failing which the application will be treated as cancelled without any further
reference to the matter.