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Pass Migration Certificate
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12
th
Duplicate Marksheet / Certificate
(Sector-10/B, Near Old Sachivalay, Gandhinagar-382010)
(DUPLICATE MARKSHEET / CERTIFICATE)
Application Form for obtaining Duplicate Marksheet / Certificate of Std. 12
Student Name
*
(Capital letters only)
Seat Number
-- SERIES --
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Exam passing Month & Year
નિયત સોગંદનામાનો નમૂનો અપલોડ કરવાનો રહેશે.
S.I.D. Number
School Index Number
(e.g. If your School Index Number is like XX.XXX then write 0XX.XXX)
Apply for
*
Marksheet
Certificate
Marksheet / Certificate Collection Method
*
Collect via post [Postal charges are applicable]
Self collection from GSHEB Office
Fee for each Duplicate Marksheet / Certificate
(Non Refundable)
Postage Charge
Total Fee
Enter details of Postal address below where we can send documents via Post. [Add details of Residence address if your Residence and Postal address are same]
State
*
-- SELECT STATE --
GUJARAT
ANDAMAN AND NICOBAR ISLAND
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTARAKHAND
UTTAR PRADESH
WEST BENGAL
District
*
-- SELECT DISTRICT --
Taluka
*
Village / City
*
Postal Address
*
Mobile Number
*
Pincode
*
Reason for getting Duplicate Marksheet / Certificate
*
DECLARATION
*
I,hereby under sign,declare that , "I have read all instructions and I am bound for the same.The entries made by me in the application form are complete and true to the best of my knowledge. My original marksheet is lost and I also state that the same has not been deposited at or confiscated by any authority."
હું, અહીં જાહેર કરું છું કે, "મેં બધી સૂચનાઓ વાંચી છે અને હું તે માટે બંધાયેલ છું. મારા જણાવ્યા પ્રમાણે એપ્લિકેશન ફોર્મમાં મેં આપેલ વિગતો સંપૂર્ણપણે સાચી છે. મારી અસલ માર્કશીટ ખોવાઈ ગઈ છે અને તે કોઈ સત્તામંડળમાં મારા દ્વારા જમા કરવામાં આવી નથી કે કોઈ સત્તામંડળ દ્વારા તે જપ્ત કરવામાં આવી નથી."
Instructions
1) Application for obtaining Migration certificate after passing Std. 12
2) Attach Xerox copy of Applicant's Marksheet / Certificate if available
3) Attach Self-certified copy of Aadhar Card