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Kkhsou Convocation Form
Sent:
Town/VillageP.O.-
Dist.-
Pin. -
Ph. No-
I deposit herewith the prescribed fee of Rs. 535.00/- (for original certificate) /Rs. 235.00/- (for provisional
certificate in the form SBI Bank Challan (journal No…………………….dated…………….)
Signature of the applicant
Photocopies of the enrolment card, admit card
& all mark-sheets must be enclosed.
Date :
For Study Centre use only
I hereby certify that Shri/Shmti ……………………………………………………………………...has duly passed
the …….……………………………………examination in the...
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