OFFICE OF THE DIRECTOR OF GOVERNMENT EXAMINATIONS, A.

P, HYDERABAD Application for supply of Photostat copy cum Re verification of valued Answer Script
Provisions included in Re verification: 1) Re totalling 2) whether marks for all answers are posted or not.3) Re-verification as per the Scheme of valuation for only those answers which are either unvalued or awarded Zero marks by the examiner. 4) Initial scrutiny will be done by single Examiner only and in cases of discrepancies, Re Verification will be done by two independent examiners and third member will check and reconcile the marks.

Latest Passport size Photo of the candidate duly attested by Headmaster concerned

1. Name of the Candidate 2. Hall Ticket Number (Enclose Copy) 1 1 Month & Year: M A R C H 2 0 1 1 4. Address for communication:
S/o D/o C/o: H.No / St.: Vill / Town: Mandal: Dist: Pin code:

3. School where studied with Address:

5. Contact Phone No of the candidate: 6. D.D/ Banker’s cheque drawn in favour of the “Secretary to the CGE, A.P, Hyderabad” drawn in any branch of S.B.I/ S.B.H @ Rs.1000/- per subject (or) through Challan to the following Head of Account.
0202- Education, Sports, Arts and Culture 01- General Education 102- Secondary Education 06- Director of Govt. Examinations 800- User Charges (b) D.D.No. / Challan No. Date:

(a) Amount:

Name of the Bank or Treasury:

7) Subjects for which Photostat copy cum Re-verification is required. (Specify name of the subject)

First Language Second language English Mathematics
DECLARATION

I hereby affirm that I will abide by the Rules of the Board of Secondary Education, A.P, Hyderabad and the change in marks communicated if any, by the Board are final. I further affirm that I accept the revised marks (whether increased or decreased) awarded to me. I will not claim the refund of the amount paid towards Photostat copy cum Re-verification under any circumstances. Place: Date:
CERTIFICATE

Signature of the Applicant

Certified that the Candidate Sri/Kum____________________________________who applied for supply of Photostat copy of valued answer script is the same person who appeared for the SSC Examinations, March / June-2011. His/ Her identity has been verified with reference to the office records.

Signature of Headmaster with Office Seal. Note:
i) Enclose Xerox copy of Hall Ticket & Memo of marks, if not, the application will be summarily rejected. ii) Need not apply for Recounting of marks, if applied for supply of Photostat copy of valued answer script. iii) To be submitted directly at SSC Board or sent by Regd.Post to the Addl.Joint Secretary to the Director of Govt. Exams, Chapel Road, Nampally, Hyderabad-500001 super scribing on the cover as “Application for supply of Photostat copy cum Re verification of valued Answer Script” duly enclosing one self addressed envelop and another cover with the address of the Headmaster concerned. The application should be received by the SSC Board before the due date. The SSC Board is not responsible either for postal delay or for applications received by Post after due date.