Education

a. Application For Retotaling.....................

1. Name of the candidate (Capital Letters) :

2. No. of the Examination center :

3. Name of the Examination center :

4. Examination registration number :

Subject for which the candidate wants retotalling		Date of the examination held	Marks obtained	Medium of answer paper
	1.
	2.
	3.
	4.
	5.
	6.

Fee paid Amount :__________Rs in words________________________
Bank DD No. Date
Name of the bank :
Complete residential address :

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

Date: Signature of the candidate/Parent

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