Price: Rs. 15/- HIMACHAL PRADESH TAKNIKI SHIKSHA BOARD, DHARMSHALA-176057 FORM FOR MIGRATION CERTIFICATE No....... 1. Name of applicant...................Boy/Girl.. 2. Father's Name.......................... 3. Registration No. (if any)...................... 4. Name of Institution last attended ................... 5. Particulars of last Examination passed from this Board:- (i) Name of Examination . .....(ii) Year .......... (iii) Session ........... (iv) Roll No......... (v) Result with marks .... .. ................ 6. Name of the Institution where the applicant is now studying......... .................................. 7. Name of Board/University to which the applicant wants to migrate........ ................................ 8. Fee of Rs. ... remitted the Secretary, Himachal Pradesh Takniki Shiksha Board, Dharamshala-176057 by:- (a) Postal Order No. ......... Dated .......... (b) Money Order Receipt No...... Dated ......... (c ) Board Receipt No. ......... Dated ......... (d) Bank Draft No. ........... Dated ......... http://hptechnicalboard.nic.in/Mig%20form.htm 4/10/08 9. Address at which the Migration Certificate should be sent: ................................ ................................ Dated .......... Signature of applicant. Certificate No. 1 Forwarded with the remarks that I have no objection to the issue of the Board Migration Certificate to the applicant.. Dated ........... Signature ......... Principal ......... Institution........ Certificate No.2 Note:- For applicant who want Duplicate Migration Certificate. Affidavit to be sworn before a 1st Class Magistrate . I solemnly declare that Migration Certificate previously issued to me by the Secretary ,Himachal Pradesh Takniki Shiksha Board, Dharamshala to enable me to join.... Board/University has been lost and that I did not join any Board/University on the Basis of the same. http://hptechnicalboard.nic.in/Mig%20form.htm 4/10/08 Signature of the applicant. Address........ Attested by:-........... Signature .......... Designation.......... (with official seal) P.T.O. 2 FOR OFFICE USE Verified that Roll No.............Name............... son of Shri..................Regd No. ........... has passed the .................Examination vide Roll No...... from this Board obtaining.......marks. The fee Rs............. has been deposited vide board receipt No. ..........Dated........... Dealing Clerk Asstt. Supdt. Asstt. Secy INSTRUCTIONS 1. All the required particulars should be carefully filled in by the applicant. The Board will not be responsible for any delay in case the form is complete in all respect. 2. Migration certificate will be issued after the declaration of result. 3. Fee for Migration Certificate is Rs. 250/- which is to be remitted in favour of Secretary , Himachal Pradesh Takniki Shiksha Board, Dharamshala-176057. 4. Attestation be made by the Principal of the Institute last attended. 5. Migration fee once paid not refundable in any case. http://hptechnicalboard.nic.in/Mig%20form.htm 4/10/08 6. No person is entitled to apply on behalf on another person. The certificate will always be sent per Registered post. The Migration Certificate will not be given personally to any body. http://hptechnicalboard.nic.in/Mig%20form.htm 4/10/08
