APPLICATION FOR SCRUTINY OF ANSWER SCRIPTS OF THE S.S.L.C. EXAMINATION MARCH -200.... [G.O.(Ms.) 65/2000/Gl.Edn.Dt. 11.2.2000] 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 Scrutiny is applied for 9. Amount of fee remitted @ Rs. 30/(Rs Thirty only) per paper as D.D. D.D. No. date and name of Bank. (D.D. in original should be attached) 10. State the name of other paper/papers for which revaluation has been applied for Sl.No. Name of Paper Mark scored in the SSLC Examination March 200...... 1. 2. 3. 4. 5. 6. 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) Name & Signature of Headmaster Note :-Amount of fee should be remitted in any nationalised bank as Demand Draft (crossed) drawn in favour of the Secretary to the Commissioner for Government Examinations, Pareeksha Bhavan, Poojappura, Thiruvananthapuram, payable at Thiruvananthapuram.
