Download Form Of Application To Obtain A Certificate Of: Fill & Download for Free

Dear Shubham Lala, This is New India. Do not despair. We endeavor to find answers for every thing. Read this (This is authentic contact)Website:https://cbse.nic.in/faq/MM%202016%20Duplicate%20Form.pdfGuidelines1. Applicants should use separate form for each certificate. If necessary typed/Photostat application form may be used.2. Candidate applying for duplicate documents and Migration Certificate upto Examination of 2001 may send application along with fee to the Deputy Secretary, Central Board of Secondary Education, Todarmal Marg, Ajmer, (Rajasthan). All payments be made in favour of Secretary, CBSE, payable at Ajmer and mode of payment shall be IPO / Bank Draft only. Those applying personally at Ajmer Office may deposit fee in cash also.3. Triplicate copy or of further copies of qualifying certificates shall not be issued unless the Controller of Examinations is further satisfied by some documentary evidence that the duplicate copy has also been actually lost / destroyed.4. In case the fee is remitted by crossed Postal Order / Bank Draft, it must be drawn in favour of the Secretary, Central Board of Secondary Education, payable at the concerned Regional Office.5. Fees prescribed for various certificates are as follows (DOCUMENTS WILL BE RECEIVED AFTER 15 DAYS ( EXCLUDING HOLIDAYS)) :For fee details, please see revised fee notice given at the end of application form.6 If certificate is required after two days (excluding holidays) an urgent fees of Rs.500.00 extra may be remitted. If the certificate is required by post an extra amount of Rs. 25.00 may also be remitted. (Rs. 35/- for outstation candidates)7 In case the document is not collected by the applicant within three months from the date of depositing the fees, it will be cancelled and the candidate will have to apply afresh in case he needs the same.8. The certificate will ordinarily be issued after two weeks (excluding holidays) from the date of receipt of the application from and the fee, provided the application form is found complete in all respects.9. Migration certificate is issued only to those candidates who have passed an examination of the Board or to those who have been placed in compartment in order to enable them to seek admission for a further course of study. The failed candidates should not apply for migration certificate and Provisional Certificate. Please also mention previous year's Roll No. if passed in second chance compartment examination for Provisional Certificate10. All certificates for Delhi Region will be delivered on the production of receipt issued by the Board between 3 to 5 PM only (excluding holidays). The fee from candidates of Delhi Region for 2003 and onwards examinations can be deposited between 9.15 AM to 1.15 PM on every working day at Syndicate Bank, PS 1-2, Institutional Area, Patparganj, Delhi-11009211. The students of Chennai Region who have passed examination in 1991 or later should apply to Chennai Regional office only for obtaining duplicate documents.Regional OfficesRegional OfficeCentral Board of Secondary Education, PS-1-2, Institutional Area, I.P.Extn. Patparganj, Delhi-110 092.NCT of Delhi, Foreign SchoolsTel:91-11-22239177-80Fax: [email protected] OfficeCentral board of Secondary Education, Plot No. 1630 A, "J" Block, 16th Main RoadAnna Nagar West, Chennai-600040.Tamil Nadu,Kerala, Andhra Pradesh, Karnataka, Maharashtra, Goa, Puducherry, Andaman and Nicobar Islands, Daman and DiuTel. 91-44-26162214 /26162213Fax:[email protected] OfficeCentral Board of Secondary Education, Shilpgram Road, Near Sankardev Kalakshetra, Panjabari, Guwahati-781 037Assam, Nagaland, Manipur, Meghalaya, Tripura, Sikkim, Arunachal Pradesh, Mizoram.Telfax:91-361-2229992, [email protected] OfficeCentral Board of Secondary Education, Todarmal Marg, Ajmer-305 030Rajasthan,Gujarat, Madhya Pradesh, Dadra and Nagar HaveliTel:91-145-2627451/2627139Fax:[email protected] OfficeCentral Board of Secondary Education, Sector- 5 , Panchkula - 134109 (Haryana)Haryana,U.T.of Chandigarh, Punjab, J&K, Himachal Pradesh.Tel: 91-172-2585193/2583547Fax:[email protected] OfficeCentral Board of Secondary Education, 35 B, Civil Station, M.G. Marg , Civil Lines, Allahabad-211 015Uttar Pradesh, UttaranchalTel:91-532-2407970-72Fax:[email protected] OfficeCentral Board of Secondary Education, Ambica Complex, Behind SBI Colony, Near Brahmasthan, Sheekhpura, Bailley Road, Patna-800 001.Bihar, JharkhandTele Fax:91-612-2332248Tel: [email protected] OfficeCentral Board of Secondary Education, 6th Floor, Alok Bharti Building, Shaheed Nagar, BhubaneswarWest Bengal, Orissa, ChhattisgarhNew Regional Office openedComputer Section91-674-2548412Administration91-674-2548512Examination91-674-2548612Asstt Secretary91-674-2548212AB Cell91-674-2548712Application Form, Feeविक्रय हेतुनह ीं/ Not for Sale Case No. …………………... (For Office Use) के न्द्रीय माध्यममक मिक्षा बोर्ड Central Board of Secondary Education माईग्रेशन प्रमाण-पत्र, अींक सचू ी, अनलुिवप प्रमाण-पत्र, प्रोविजनि प्रमाण-पत्र आदि िस्तािेजों केलिए फामम (छात्र/छात्रा स्ियीं अपनी लिखाई में भरें) Application Form for obtaining Migration Certificate, Manual Certificate of Date of Birth, Provisional Certificate (for private candidates only) and Duplicate Marks Statement/ Qualifying Certificate/ Grade Sheet cum Certificate of Performance/ Statement of subject-wise Performance (To be filled by the candidate himself/herself in his/her own handwriting). प्रत्येक प्रमाण-पत्र/ िस्तािेज केलिए अिग फाममका प्रयोग करें। फाममकी फोटोकापी भी प्रयोग की जा सकती है। Use separate form for each document Photocopy of the Form can also be used This Offline form can also be downloaded from CBSE website http://www.cbse.nic.in/publicportal/Forms इस फाममको भरनेसेपूिमपष्ृठ के िसू र ओर छपेननिेशों को ध्यान सेपढें: Read directions printed overleaf carefully before filling this form: 1. छात्र/ छात्रा का नाम/ Name of the candidate…………………………………………………………………………………….......... 2. वपता/अलभभािक का नाम/ Father’s/Guardian’s Name…………………………………………………………………………………. 3. माता का नाम/ Mother’s Name……………………………………………………………………………………………………. 4. जो िस्तािेज प्राप्त करना हैउसका नाम/ Name of the document required……………………………………………………. 5. पर क्षा अींक सूची –(मुख्य/पूरक/अींक सुधार/ अनतररक्त विषय)/ For Marks statement must indicate whether Main/compartment/improvement/Additional Subject Exam………………………………………………………………….. 6. पर क्षा का नाम िषमएिींमाह/ Name of Exam. with year & Month…………………………………………………………….. 7. अनुक्रमाींक/ Roll No………………………………………….. पर क्षा फि/ Result………………………………………………. 8. वपछ्िा अनुक्रमाींक (यदि पूरक पर क्षा ि हैया इसकेद्िारा पास की है)/ Previous Roll No. if placed or passed in Compartment/Eligible for Improvement of Performance…………………………………………………………………….. 9. विषयों का नाम जजसमेंपर क्षा ि गई थी (यदि अींक सूची अथिा प्रमाण-पत्र चादहए : Subjects offered (if applying for Marks Statement OR Duplicate Certificate): 1. 2. 3. 4. 5. 6. 10. छात्र/छात्रा केविद्यािय का नाम । प्राईिेट छात्र/छात्रा के िि ‘प्राईिेट’ लिखें Name of the School in case of Regular Candidates. Private candidates write only ‘Private Candidate’ …………………………………………………………………………………………………………………………………………… 11. जन्म-नतथथ (जो सी.बी.एस.ई. केररकार्ममेंिजमहै) / Date of Birth (As recorded in CBSE records) ………………………………………………………………………………………………………………………………. 12. जमा शुल्क: (अंकों में) रु................................. रुपए ..................................................................................(िब्दों में) Fee Deposited: (In figures) Rs……………… Rupees………………………….……………………………… (In Words) 13. भुगतान का तर का/ Mode of payment नकि/ Cash (If personally depositing at Regional Office) र्ी.र्ी./ पेआर्मर/ DD/IPO बैंक चािान/ Bank Challan Details of Demand Draft/Pay Order (including Postage fee, if applicable) DD/IPO Amount DD/IPO No. DD/IPO Date Name of Issuing Bank/Post Office 14. छात्र/छात्रा का पता/ Candidate’s Postal Address (In Block Letters) …………………………………………………… ............................................................................................................................................................................... ............................................................................................................................................................................... वपन कोर्, िरूभाष सींएिींई-मेि अननिायमहै/ Pin Code, Phone No. and E-mail ID is compulsory वपन कोर्/ Pin Code……………………………..… E-mail……………………………………………………… िरूभाष सीं/ Phone No……………………………….. दिनाींक/ Date………………………… छात्र/ छात्रा/ आवेदक केहस्ताक्षर/ Signature of the Candidate *************************************************************************************************************** BANK CHALLAN (BANK’S COPY) Date of Deposit………………………….Roll No…………………………Passing Year……………………………………… Paid into the account of CBSE on account of Migration Certificate/Marks Statement/Duplicate Qualifying Certificate/ Duplicate CCE Grade Sheet cum certificate of Performance/ Manual Certificate of DOB/Provisional Certificate (for private candidate)/ (Strike out which hever is not applicable) Name of Candidate………………………………………….Amount Rs……………(Rs………………………………………..only) Sign. of Depositor Scroll Number[For office use] Cashier[For office use] Bank Officer[For office use] (Time for collection with original Receipt. B etween 3PM to 5PM on th e due workin g days on ly) BANK CHALLAN (CANDIDATE’S COPY) Date of Deposit………………………….Roll No…………………………Passing Year……………………………………… Paid into the account of CBSE on account of Migration Certificate/Marks Statement/Duplicate Qualifying Certificate/ Duplicate CCE Grade Sheet cum certificate of Performance/ Manual Certificate of DPB/Provisional Certificate (for private candidate)/ (Strike out whichever is not applicable) Name of Candidate………………………………………….Amount Rs……………(Rs………………………………………..only) Sign. of Depositor Scroll Number[For office use] Cashier[For office use] Bank Officer[For office use] (Time for collection with original Receipt. B etween 3PM to 5PM on th e due workin g days on ly) P.T.O For Office Use Received Rs. ………….Vide ………... Scroll No. ……………………………… Cashier Bank Incharge  निम्िमिखित दो कायड के वि उत्तीर्ड परीक्षा प्रमार्-पत्र की प्रनतमिपप प्राप्त करिे के सम्बन्द्ध में अनिवायड हैं:- The following two requirements are necessary for obtaining Duplicate Copy of Qualifying Certificate or Grade Sheet cum Certificate of Performance only:- 1. पहचाि प्रमाखर्कता/ IDENTIFICATION CERTIFICATE मनै ें अभ्यथी की प्रमाणणकता की जाींच कर ि है और लसफाररश करता हूीं के उसे बोर्म के प्रमाण-पत्र/ ग्रेर् शीट सह ननष्पािन प्रमाण-पत्र की अनलुिवप जार कर ि जये । I have verified the bonafide of the candidate and recommend that a duplicate copy of the CBSE Qualifying Certificate/ Grade sheet cum Certificate of Performance may be issued. हस्ताक्षर (मोहर सदहत)/ Signature (With Stamp) प्रधानाचायम या राजपत्रत्रत अथधकार / Principal of Gazetted Officer 2. प्रेस अधधसचू िा/ PRESS NOTIFICATION प्रेस अथधसचू ना ककसी एक (अींग्रेजी या दहींि ) राष्र य िैननक अखबार में प्रकालशत की जाए । प्रेस अथधसचू ना की मिू क ापी का सबीं थीं धत पष्ृठ अथधसचू ना को िशामते हुए फामम के साथ सिीं ग्न करें । मसौदा यह सूचनाथम अथधसूथचत ककया जाता है कक सीबीएसई द्िारा जार मुख्य/पूरक, माध्यलमक/उच्चतर माध्यलमक पर क्षा िषम.............. एिीं अनुक्रमाींक......................., उत्तीणम करने से सींबींथधत मेरा मूि/र्ुप्ि केट प्रमाण पत्र िास्ति में खो/नष्ट/खराब/विकृत हो गया है। छात्र/छात्रा का नाम...........................एिीं स्थायी पता............................................................................. ------------------------------------------------------------------ OR ------------------------------------------------------------------ To be published in any one (English or Hindi) National daily newspaper [Joint notification in case of both X & XII] Original Full page of the concerned Newspaper highlighting the portion of the matter should be enclosed with the Form FORMAT It is notified for the information that my Original/Duplicate Qualifying Examination Certificate of Main/Compartment, Secondary, Senior Secondary Examination of Year________and Roll No._____________ issued by CBSE has been actually lost/destroyed/mutilated. Name of the candidate______________________ Full Address/Tel._____________________Any difficulty do Please ask. This help is without any costs. Colonel Rajinder Singh

Steps to get Duplicate Certificate:Fill the application form for duplicate certificatePrepare DD of IPO for requisite amount for bankAttach Identification certificate by principal or Gazetted OfficerAttach press release (new paper declaration)Send it to CBSE regional office with attechmentsGuidelines to get Duplicate CertificateApplicants should use separate form for each duplicate certificate. If necessary typed/Photostat application form may be used.Candidate applying for duplicate certificate and Migration Certificate upto Examination of 2001 may send application along with fee to the Deputy Secretary, Central Board of Secondary Education, Todarmal Marg, Ajmer, (Rajasthan). All payments be made in favour of Secretary, CBSE, payable at Ajmer and mode of payment shall be IPO / Bank Draft only. Those applying personally at Ajmer Office may deposit fee in cash also.In case the fee is remitted by crossed Postal Order / Bank Draft, it must be drawn in favour of the Secretary, Central Board of Secondary Education, payable at the concerned Regional Office.Triplicate copy or of further copies of qualifying duplicate certificates shall not be issued unless the Controller of Examinations is further satisfied by some documentary evidence that the duplicate copy has also been actually lost / destroyed.Fees prescribed for various duplicate certificates are as follows (DOCUMENTS WILL BE RECEIVED AFTER 15 DAYS ( EXCLUDING HOLIDAYS)) :If certificate is required after two days (excluding holidays) an urgent fees of Rs.100.00 extra may be remitted. If the certificate is required by post an extra amount of Rs. 25.00 may also be remitted. (Rs. 35/- for outstation candidates)In case the document is not collected by the applicant within three months from the date of depositing the fees, it will be cancelled and the candidate will have to apply afresh in case he needs the same.The certificate will ordinarily be issued after two weeks (excluding holidays) from the date of receipt of the application from and the fee, provided the application form is found complete in all respects.All certificates for Delhi Region will be delivered on the production of receipt issued by the Board between 3 to 5 PM only (excluding holidays). The fee from candidates of Delhi Region for 2003 and onwards examinations can be deposited between 9.15 AM to 1.15 PM on every working day at Syndicate Bank, PS 1-2, Institutional Area, Patparganj, Delhi-110092Migration certificate is issued only to those candidates who have passed an examination of the Board or to those who have been placed in compartment in order to enable them to seek admission for a further course of study. The failed candidates should not apply for migration certificate and Provisional Certificate. Please also mention previous year’s Roll No. if passed in second chance compartment examination for Provisional CertificateThe students of Chennai Region who have passed examination in 1991 or later should apply to Chennai Regional office only for obtaining duplicate documents.Download Application form to get Duplicate CertificatesRegional OfficesRegional OfficeCentralBoard of Secondary Education, PS-1-2, Institutional Area, I.P.Extn.Patparganj, Delhi-110 092.NCT ofDelhi, Foreign SchoolsTel:91-11-22239177-80Fax: [email protected] OfficeCentral board of Secondary Education, Plot No. 1630 A, “J” Block, 16th Main RoadAnna Nagar West, Chennai-600040.Tamil Nadu,Kerala, Andhra Pradesh, Karnataka, Maharashtra, Goa, Puducherry,Andaman and Nicobar Islands, Daman and DiuTel. 91-44-26162214 /26162213Fax:[email protected] OfficeCentral Board of Secondary Education, Shilpgram Road, Near Sankardev Kalakshetra, Panjabari, Guwahati-781 037Assam, Nagaland, Manipur, Meghalaya, Tripura, Sikkim,Arunachal Pradesh, Mizoram.Telfax:91-361-2229992, [email protected] OfficeCentral Board of Secondary Education, Todarmal Marg, Ajmer-305 030Rajasthan,Gujarat, Madhya Pradesh, Dadra and Nagar HaveliTel:91-145-2627451/2627139Fax:[email protected] OfficeCentral Board of Secondary Education, Sector- 5 , Panchkula – 134109 (Haryana)Haryana,U.T.of Chandigarh, Punjab, J&K, HimachalPradesh.Tel: 91-172-2585193/2583547Fax:91-172-2585163 [email protected] OfficeCentral Board of Secondary Education, 35 B, Civil Station, M.G. Marg ,Civil Lines, Allahabad-211 015Uttar Pradesh, UttaranchalTel:91-532-2407970-72Fax:[email protected] OfficeCentral Board of Secondary Education, Ambica Complex, Behind SBI Colony, Near Brahmasthan, Sheekhpura, Bailley Road, Patna-800 001.Bihar, JharkhandTele Fax:91-612-2332248Tel: [email protected] OfficeCentral Board of Secondary Education, 6th Floor, Alok Bharti Building, Shaheed Nagar, BhubaneswarWest Bengal, Orissa, ChhattisgarhNew Regional Office openedComputer Section91-674-2548412Administration91-674-2548512Examination91-674-2548612Asstt Secretary91-674-2548212AB [email protected]