7/26/2019 Ajmer Xii Class 2015 2014

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Form No.

5731

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CENTRAL BOARD

OF SECONDARY EDUCATION, DELHI

Regional Ofiice, Todarmal

Marg, Ajmer

(Raj.)305

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Roll No.

For

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7/26/2019 Ajmer Xii Class 2015 2014

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To be certified by

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CBSE,

Delhi

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certify that the

candidate bears a

good

moral character

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he /

she

has

signed on this appllcation

form,

photo

and Admit Card

in my.presence.

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The admission fee of the candidate

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being

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Crossed Bank Drafl

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favour of Secretary cBSE

Payable

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AJMER

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certiry that.........

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who

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RollNo. ................... atthe Senior

School Certificate

Exam.

March

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her

Resu1twas................

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CENTRAL

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ADM|SS|ON

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CANDTDATE (CLASS

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(All

entries

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Name

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centre and

Roll

No.

should

be

filled

in

by the

candidate

in his/her

own handwriting)

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Passport

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to be

affixed by the

candidate

duly

signed by

him

/ her and

countersigned

by the

Principal

of

the CBSE

affiliated School.

Candidate's

Name

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Mother's Name

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Father's /

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Category of Physically

Challenged Student

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Address

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the

Candidate

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