SSLC EXAMINATION MARCH 2018 ADMISSION TICKET FOR SCRIBE Bio datahe person to be appointed a scribe Sri/Kumari.................................................................. Reg No................................................ for the SSLC Examination March 2018 Order No. IED/69670/17/DPI dt 22/01/2018. Name of the Scribe

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Adress

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Date of birth Qualification Identification mark

: : : (1) (2)

Name of the school

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Admission No.

: Declaeration of the Scribe

I ..........................................................is willing to act as a scibe to ................................................... Reg . No. ..................................... for SSLC Examination March 2018 .I also declare that my qualification is not higher than SSLC. Signature of Scribe Decleration of the Head of the Institution I Sri/Smt........................................................,Headmistress of ............................................................. (school) here by declare that Sri..................................................(scribe) who has agreed to act as scibe to ........................................................(CWSN) is now studying in ..........th std of this school is known to me and that his/her educational qualification is not higher than SSLC.

Place: Date:

Signature Name Designation

Appointment of Sri/Kumari........................................................................... as scribe to Sri/Kumari.........................................................................is approved. District Educational Officer