APPLICATION FOR PHOTOCOPY OF ANSWER SCRIPTS OF THE S.S.L.C. EXAMINATION MARCH -200......... [G.O.(Rt.) 2205/2000/Gl.Edn. Dt. 1.6.2000] 1. Register Number 2. Name of Candidate 3. Full address of the candidate with name of Post Office & Pin 4. Name of examination centre 5. Name of Education District 6. Grand total of marks secured in S.S.L.C. Examination 7. Medium of instruction 8. Details of papers for which Photo copy is applied for Mark scored in the SSLC Sl.No. Name of Paper Examination March 200...... 1. 2. 3. 4. 5. 6. 9. Amount of fee remitted @ Rs. 100/(Rs One Hundred only) per paper as D.D. D.D. No. date and name of Bank. (D.D. in original should be attached) Place : Date : Signature of Candidate Certified that I have verified the particulars furnished above with reference to the connected records and found correct Place : Date : (Seal) Signature of Headmaster Note :-Amount of fee should be remitted in any nationalised bank as Demand Draft (crossed) drawn in favuor of the Secretary to the Commissioner for Government Examinations, Pareeksha Bhavan, Poojappura, Thiruvananthapuram, payable at Thiruvananthapuram.
