APPLICATION FOR MIGRATION CERTIFICATE [As per GO (0) No. 64, Schoo! Eaucaton(M) Departmert, dted 25-05-2003 Derand Oat for Rs. 55 drawn in favour of The Director of Government Examinations, Chennai-6 to ve enclosed IRCNo, 12599274117 2003 of DCE} + Name af ne Candidate 2 Male/Female 8 Address 4 Schoo! in which studles 5. Examination passed, Higher Secangary! SSLC/Maticuiaion or Angio.ndian Examination 5 Year iawnien passes 7. Register No. 8. Purpose for whieh the Migration Centteate Is requested. The ame of re Calege should be ‘mentioned @ —Chalan No. and Oate Date Slgratue Enclosures tobe atacnee 1. Photostat copies of Mark ist of he Public Examination passed duly tested by a Gazetted Oficer/ Head Master ofa Seheo. 2. Phetostat copy of LC. culyatastod by @ Gareted Officer Head Master of 8 Schoo! 3. Chatlan for Re, S05/- SB1/ Treasury 4, Sal Addeased envelope By Registereg/Speed Post Postage stam FOR OFFICE USE ONLY Lbs No, ‘Migration Ceniate Issued for Orector of Government Examinstons (0cF38510.000 os —28-415 C8)