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a. Application For Revaluation Of Mathematics.....................

     

Application for Revaluation of Mathematics answer paper of SSLC Examination, 2000
(See the instructions given at the back before filling the Application Form)
  

1. Name of the candidate 
   and Complete residential
   address

:

Pincode:
2. Examination
   registration number
           
Year of examination and month

Year

month

   
3. Name and address of the
   High school/Composite
   junior college where the
   candidate has studied

:

 
  
  
       
    
4. No. of the Examination
   center
:
                          
  Code No. of the School :
                          
5. Subject for which the candidate wants photocopy
             

Subject

Subject Code

Medium

Mathematics

81

 
6. Fee paid Amount Rs._____________  in words  _______________________________
        
    Bank treasury No.____________Date____________Name of the bank_____________
         

It is certified that the facts given above are true and factual.

 

Date:                                                                                                  Signature of the candidate/Parent


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