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Student Declaration Form

Student Name: _______________________ declared that all information provided is true to their knowledge. The student's certificates for SSC/CBSE/ICSE, Intermediate or 12th, B.Tech/BE were verified as complete or passed. Any certificates not submitted will be submitted by the given date. The student was found eligible/not eligible for admission based on verification of provided certificates and photocopies.

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ysantosh
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3K views1 page

Student Declaration Form

Student Name: _______________________ declared that all information provided is true to their knowledge. The student's certificates for SSC/CBSE/ICSE, Intermediate or 12th, B.Tech/BE were verified as complete or passed. Any certificates not submitted will be submitted by the given date. The student was found eligible/not eligible for admission based on verification of provided certificates and photocopies.

Uploaded by

ysantosh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Student Declaration Form: A form for students to declare and verify their identity and educational qualifications for admission purposes.

Student Declaration Form

Student Name: _____________________________________

Hall Ticket / Reference Number: _____________________________________

Date of Counseling: _____________________________________

Following are the Certificates / Photocopies verified:

SSC/ CBSE/ ICSE Intermediate or 12th

B.Tech / BE Complete Passed No Certificates

PG Other Certificates __________________________

GRE ___________

I hereby declare all the information provided by me is true to my knowledge. The

Certificates not submitted (if any) will be submitted by me on ________________.

Student Signature
Above mentioned student is eligible/not eligible for admission. All his certificates
/ Photocopies were verified.

Verified by

Learning Center Allotted: ______________________________________

Serial Number: ______________________________________

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