fedral board APPLICATION FORM FOR I SSUANCE OF DUPLICATE CERTIFICATE(1)
ISSUANCE OF DUPLICATE CERTIFICATE | Fedral board APPLICATION FORM FOR
FEDERAL BOARD OF INTERMEDIATE &
SECONDARY EDUCATION
The Secretary
Federal Board of Intermediate and Secondary Education
Islamabad.
Subject: APPLICATION FORM FOR DUPLICATE CERTIFICATE.
(SSC /HSSC)
Sir,
Kindly issue me a duplicate certificate. My relevant particulars are given hereunder.
a. | Name (In Capital Letters): | ____________________________________________________________________ | |||||||||||||
b. | Father’s Name (in Capital Letters): | _____________________________________________________________ | |||||||||||||
c. | (SSC/HSSC) Registration # | __________________ | d. | Roll No. | ______________ | e. | Year | ______ | |||||||
f. | Examination Passed (SSC /HSSC) |
| g. | Annual/Supplementary | _________________ | ||||||||||
h. | Name of institution for regular candidates | ________________________________________________________ | |||||||||||||
i. | Marks Obtained: | ___________________ | j. | Grade: | _______ |
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I enclose herewith following requisite documents in original: -
1) | An affidavit on judicial stamp paper of the value of Rs.100/- (or above) vetted by notary public or Oath Commissioner or 1st class Magistrate as per specimen is provided (Overleaf) by the Board. | |||||
2) | Photocopy of Result Card or Certificate | |||||
3) | Bank draft/ Challan bearing No. | _____________ | dated | ___________ | amount: | _________ |
4) | Bank draft/ Challan bearing No. | _____________ | dated | ___________ | amount: | _________ |
Yours Obediently
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| Signature | _________________________________ | ||
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| Name and Address | _________________________ | ||
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| ___________________________________________ | |||
Dated: | __________________ | Contact No. | _______________________________ | ||
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REQUISITE FEE
Fee within Country | Fee for Overseas Students |
Rs.3000/- (Certificate will be issued on the same day) | US$60/- OR (equivalent in Pak Rupees) |
Note:
1. Application shall not be entertained if any of the above document(s) is missing
2. Application shall be filled in properly. Incomplete application shall not be entertained.
3. In case by hand delivery of the certificate, only Father/Mother/Brother or Sister of the candidate can receive/collect the certificate.
(INSTRUCTIONS)
1. Overseas student on proof of permanent settlement in Pakistan i.e. photocopy of CNIC, copy of appointment
letter, proof of admission in any college or university within Pakistan will be charged fee at par with the Inland
Candidates.
2. The following documents in original should be attached with this application form.
o An affidavit on judicial stamp paper of the value of Rs.100/- (or above) vetted by notary public or Oath
Commissioner or 1st class Magistrate as per specimen
the Original Certificate as per specimen given below.
o A copy of Result Card or Certificate.
o Original Bank Draft/Challan
SPECIMEN OF AFFIDAVIT OF RS.100/-
I _________________________________________ Son/Daughter of ________________________________________ resident of ____________________________________________ do hereby solemnly affirm and declare as under: -
1. That I have lost my certificate of SSC/HSSC, Annual/Supplementary Examination bearing Roll No._________________ passing year _____________ issued by the Federal Board of Intermediate and Secondary Education Islamabad during transit shifting etc.
OR
That my certificate of SSC/HSSC, Annual/Supplementary Examination bearing Roll No._________________ passing year _____________ issued by the Federal Board of Intermediate and Secondary Education Islamabad has been damaged/blotted/torn/burnt/Stolen etc.
2. That in spite of my best efforts I could not trace the same.
3. That I did not use it for any other purpose.
4. That I further declare, if the original certificate is found, it shall not be used and will be returned to the Board.
5. That my above statement is true to the best of my knowledge and nothing is concealed.
Signature _____________________________ Date _________________________
Address ______________________________ C.N.I.C. ______________________
_____________________________________ Contact #: ____________________
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