ANNEXURE-II

Academic and Exemption Certificates

Form No.1
(Compulsory for all Candidates)
CERTIFICATE FROM THE PRINCIPAL/ HEAD OF THE INSTITUTION LAST ATTENDED

I certify that Mr. /Miss ____________________________________________

s/o /d/o Shri ___________________________________________ has studied in, 10+1 and
10+2 as candidate in _______________________________________________(school name) is
a recognized institution (s) studied in ________________________________ (State) as per
following details:

Class School /college Year when Marks obtained / Total Marks

Roll no. in case passed
of 11th Class 10+1/
Exams Board appeared
Roll No. in case for 10+2
of 12th class
Physics Chemistry Biology English

Obt. Out Obt Out Obt. Out Obt. Out

off off off off

10+1

10+2

i) Attested photo copies are attached with this certificate.

ii) Permanent residential address of candidate as recorded in school record is as under:-

_________________________________________________________________

_________________________________________________________________

Signature of the Headmaster/ Principal

Date: Of institution Last attended
(with official seal)
Place: