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Migration Form

Migration form Sunder Nagar politecnic

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PURANA PITARA
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0% found this document useful (0 votes)
69 views2 pages

Migration Form

Migration form Sunder Nagar politecnic

Uploaded by

PURANA PITARA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Price: Rs.

15/-

Note : If the form has been downloaded from the website or photocopied after being downloaded
from the website . Kind add the cost of the form as given above in the prescribed fee failing which
the form is liable to be rejected.

HIMACHAL PRADESH TAKNIKI SHIKSHA BOARD, DHARMSHALA-176057


FORM FOR MIGRATION CERTIFICATE

No……………..
1. Name of applicant…………………………………………………Boy/Girl…………………
2. Father’s Name…………………………………………………………………………………
3. Registration No. (if any)………………………………………………………… ……………
4. Name of Institution last attended ……………………………………………….……………
5. Particulars of last Examination passed from this Board:-
(i) Name of Examination … ………… (ii) Year ……………………..……………
(iii) Session …………………………… (iv) Roll No……………….….……………
(v) Result with marks ………… …… ………………………………….….……………
6. Name of the Institution where the applicant is now studying……………….….……………
………………………………………………………………………………..….……………
7. Name of Board/University to which the applicant wants to migrate…………....……………
………………………………………………………………………………….……………
8. Fee of Rs ..................remitted the Secretary, Himachal Pradesh Takniki Shiksha Board,
Dharamshala-176057 by:-
(a) Postal Order No. ………………………………… Dated ……………………….
(b) Money Order Receipt No………………………… Dated ………………………
(c) Board Receipt No. ………………………………. Dated ………………………
(d) Bank Draft No. ………………………………….. Dated ………………………
9. Address at which the Migration Certificate should be sent:
…………………………………………………………………………………………….
…………………………………………………………………Mobile No. ………………….
Dated ……………………….
Signature of applicant.
Certificate No. 1
Forwarded with the remarks that I have no objection to the issue of the Board Migration Certificate
to the applicant..
Dated ………………………..
Signature
…………………….
Principal
…………………….
Institution…………………
Certificate No. 2

Note: - For applicant who want Duplicate Migration Certificate. Affidavit to be sworn before a Ist Class Magistrate.

I solemnly declare that Migration Certificate previously issued to me by the Secretary, Himachal Pradesh Takniki
Shiksha Board, Dharamshala to enable me to join .............................. Board/University has been lost and that I did
not join any Board/University on the Basis of the same.

Signature of the applicant

Address……………………………………..

………………………………………………

Attested by:-

Signature………………………….

Designation………………………..

(with official seal) P.T.O.

FOR OFFICE USE

Verified that Roll No. ………………………………………… Name ………………………………………………..

Son of/daughter of Shri…………………………………………… Regd. No. ……………………………………….

has passed the ………………………………………………..Examination vide Roll No. …………………………….

from this Board obtaining ………………… marks. The fee Rs ........................................ has been deposited vide

board receipt No. …………………………..Dated ……………………

Dealing Clerk Asstt. Supdt. Dy. Secretary

INSTRUCTIONS

1. All the required particulars should be carefully filled in by the applicant. The Board will not be responsible
for any delay in case the form is complete in all respect.
2. Migration certificate will be issued after the declaration of result.
3. Fee for Migration Certificate is Rs. 400/- which is to be remitted in favour of Secretary, Himachal Pradesh
Takniki Shiksha Board, Dharamshala-176057.
4. Attestation be made by the Principal of the Institute last attended.
5. Migration fee once paid not refundable in any case.
6. No person is entitled to apply on behalf of another person. The certificate will always be sent through
Registered post. Migration Certificate will not be given personally to anybody.

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