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A3 Size Nominal Roll For March 2021
A3 Size Nominal Roll For March 2021
S.S.C Public Exams March 20 (NOMINAL ROLL FORM) REGULAR / PRIVATE ONCE FAILED
Name of the School
School Category Area
(40 Characters Only)
STUDENTS STRENGTH
IN EACH X SECTION
DIST CODE SECTION CODE SCHOOL CODE U – DISE CODE PAGE NUMBER
1st Line – Candidates Name (Abbreviated Preferably Surname in order to fit in 42 Characters Only.) Date of Birth Language
Serial No.
SECOND LANGUAGE
PHY- HANDICAPPED
PREVIOUS ROLL No
THIRD LANGUAGE
GENERAL SCIENCE
Community Code
nd
No OF SUBJECTS
2 Line – Write Father’s Name in 42 Characters.( To be write in RED Ink)
SOCIAL STUDIES
MATHEMATICS
GROUP CODE
3rd Line – Write Mother’s Name in 42 Characters. ( To be write in RED Ink)
(1,2,3, or 4)
REMARKS
Sex (B/G)
MEDIUM
MONTH
Dated
YEAR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42
P II
PI
Date: ……………………….. Note : 1. Physically Code: 1. Deaf & Dumb, 2. Blind, 3. Orthopedically, 4.Deslexia.
School Seal: 2. The Head of the Institution shall give a certificate in the form appended over leaf. Signature of the Head of the Institution
With School Stamp