THE JAMMU AND KASHMIR STATE BOARD OF SCHOOL EDUCATION SRINAGAR/JAMMU APPLICATION FORM FOR THE ISSUE OF PROVISIONAL CERTIFICATE (Particulars to be filled in by the candidate) 1. Name of the examination............................ 2. Year & Session............................... 3. Registration No............................... 4. Name of the Candidate............................. 5. Parentage................................... 6. Residential Address................................. 7. Name of the School through which Appeared in the Examination: (in case of regular candidates).......................... ....................................... 8. District from which appeared in the Examination : (in case of private candidates)........................... 9. Fee of Rs 200..... (Rupees........................ Remitted vide bank draft/coupon/Board Receipt No........date.......... 10. Reasons for applying for the provisional certificate: ...................................... Station...... Dated....... Signature of the candidate CERTIFICATE FROM THE HEAD OF INSTITUTION Note: Only Head of a recognized High or Hr.Sec.School shall attest this form. Certified that the candidate namely ....................... S/o D/o...................R/o................... having applied for the provisional certificate is the bonafide candidate. It is recommended that the prov. Certificate may be issued to him or her under rules. He/She has put down his/her signatures once again below in my presence, which is attested. Seal and Signature........ ................. Name, Designation and Place ................. ................. Dated............. Signature of the candidate FOR USE IN THE BOARD OFFICE The candidate has remitted the prescribed fee of Rs 200.................. (Rupees..................) vide Bank draft/Coupon/Board Receipt No..............................................date..............The application is in order. The provisional Certificate may be allowed to be issued to him/her against proper receipt. Dealing Asstt. .Head Asstt. Section Officer Asstt/Dy. Secretary Issue the certificate against proper receipt Joint Secretary Examinations The Jammu and Kashmir State Board of School Education Note:-Before filling up this form please go through the statue governing the re-evaluation very carefully 1. Name of the applicant............................. (in block letters) 2. Father's name................................ 3. Name of the Examination............................ 4. Year & Session............................... 5. Roll No.................................. S. No. Subject's and Paper/s Marks obtained Result 1. 2. 3. 4. 5. Subject/s Paper/s in which re-evaluation of answer books is desired S.No Sub Paper S.No. Subject Paper 1. 2. 3. 4. 5. Reason in brief for seeking re-evaluation...................... (More statement of low score will not be valid reasons) Specimen of handwriting of the applicant in the same language in which the answers have been written in the answer books............................. ........................................ In there are more subjects separate sheet may be attached Board receipt No ............Date........amount......... Full Signature of the Candidate Address for correspondence.............................. ....................................... ....................................... The receipt of re-evaluation from Namely.................. S/o D/o.................................. Roll No..............S.S.E/H.S.S part II Board Receipt No.................Dated............. Dealing Assistant Certificate Certified that the candidate had affixed his/her signature in my presence Specimen of the Declaration Signature of the Gazetted Officer With official stamp I....................S/o D/o.............. R/o....................................... Have read the statues governing re-evaluation of answer books very carefully and under-take to avoid the same .The result of re-evaluation whether favourable or unfavourable shall be final and binding on me. I also declare that in case I fail to deposit the fee for re-evaluation @ Rs.250/-per within twenty four hours after seeking my answer scripts my request for re-evaluation be treated as automatically cancelled. The declaration should be given on the stamped paper worth Rs.5/-and get attested by none other than 1st class Magistrate or Notary. Date....... Full Signature of the Candidate Certified that a fee of Rs........ has been received vide voucher No.............. Dated....... Note: 1. Time limit for receipt of this prescribed application form for the re-evaluation of the answer books along with requisite fee is fifteen days from the date of declaration of the result. 2. The fee (non-refundable) for the re-evaluation shall be Rs.250/-per script. 3. Candidates securing less than 20% marks in any subjects are not eligible to apply for reevaluation in that those particular subject/s. Important Instructions The candidate shall deposit the cash receipt's @ Rs.250/-per paper with the Secrecy Section on the same day immediately after seeing his/her answer script to ensure re-evaluation of answer scripts otherwise no re-evaluation shall take place even if the candidate has deposited the re-evaluation fee. Roll-No should be mentioned on the reverse of the cash receipt/s.No Re-evaluation shall take place in absence of cash receipt/s.
