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(Revised Performa)

whw' Bzpo LHHHHHHHHHHHHHHHHHHHHHHHHHHHH

fwshL HHHHHHHHHHHHHHHHHHHHH

;/tk fty/
ezNo'bo gqhfynktK
gzikp N?eBheb :{Bhtof;Nh,
ibzXo.
ftPkL^

fvroh ;oNhche/N$ gq'thIBb fvroh ;oNhche/N$ wkJhrq/PB ;oNhche/N ikoh


eoB ;pzXh.

PqhwkB ih,

nkg ih d/ fXnkB ftZu fbnKdk iKdk j? fe HHHHHHHHHHHHHHHHHHHHHH g[Zso Pqh

HHHHHHHHHHHHHHHHHHHHHHHHH

,ofiPNq/PB

Bzpo

HHHHHHHHHHHHHHHH

brWc

fJ;HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH ;z;Ek dk ftfdnkoEh j?.fJ; ftfdnkoEh dk ;ko/


;w?;NoK d/ nzeK dk t/otk j/m fby/ gqeko j?L^
;w?;No
gfjbk

;w?;No gk; eoB


dk fJwfsjkB P?PB
wJh$d;zpo HHHHHHH

d[ik

wJh$d;zpo HHHHHHH

shik

wJh$d;zpo HHHHHHH

u"Ek

wJh$d;zpo HHHHHHH

gzitK

wJh$d;zpo HHHHHHH

S/AtK

wJh$d;zpo HHHHHHH

;ZstK

wJh$d;zpo HHHHHHH

nZmtK

wJh$d;zpo HHHHHHH

B'tK

wJh$d;zpo HHHHHHH

dZ;tK

wJh$d;zpo HHHHHHH

gqkgs ehs/ nze

e[Zb nze

ftP/P eEB

e[Zb i'V
s;dhe ehsk iKdk j? fe T[go'es t/otk :{Bhtof;Nh tb'A x'fPs ehs/ foibN nB[;ko
j? i/eo fJ; ftZu e'Jh so[ZNh j'Jh sK ;z;Ek fizw/tko j't/rh.fJ; ftfdnkoEh tZb ;z;Ek dk
e'Jh pekfJnk BjhA, j? fJ; bJh fJ; ftfdnkoEh B{z fvroh ;oNhche/N$ gq'thIBb fvroh
;oNhche/N$ wkJhrq/PB ;oNhche/N ikoh eoB ftZu ;z;Ek B{z e'Jh fJsokI BjhA j?.
ftGkrh w[Zyh d/ d;sys

iqAwr krqw_________

fgqz;hgb$vkfJo?eNo
d/ d;sys ns/ w'jo
cYk krqw_______________

Note: Please write the name of student and Fathers name of Student in
English as per Matric Certificate and attach the photocopy of Matric
Certificate

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