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Certificate 2023

Krishna is a student currently studying in Class V who is interested in applying for the Jawahar Navodaya Vidyalaya Selection Test 2023. This study certificate provides Krishna's personal details like name, father's name, date of birth, gender, address, annual income, nationality, religion and medium of examination. It also lists the schools Krishna has studied in from Class III to the current Class V, along with details about the location and period of study. The headmaster has verified and certified that the provided school details are correct as per their records.

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Ved Prakash
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10K views1 page

Certificate 2023

Krishna is a student currently studying in Class V who is interested in applying for the Jawahar Navodaya Vidyalaya Selection Test 2023. This study certificate provides Krishna's personal details like name, father's name, date of birth, gender, address, annual income, nationality, religion and medium of examination. It also lists the schools Krishna has studied in from Class III to the current Class V, along with details about the location and period of study. The headmaster has verified and certified that the provided school details are correct as per their records.

Uploaded by

Ved Prakash
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
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JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST-2023

STUDY CERTIFICATE
Last date of submission of online application form is 31st January 2023

Certified that the information given below are correct in respect of KRISHNA_________________

________ (Name of Student) who is studying in Class V in __ _______________________________


Affix Passport
________ (Name of School) and interested to apply for Jawahar Navodaya Vidyalaya Selection Test size photo of
2023 Name of Candidate (IN BLOCK LETTERS) ___________________________________________ the candidate

____ Father’s Name (IN BLOCK LETTERS) ___________________________________________

____ Mother’s Name (IN BLOCK LETTERS) __________________________________________

_____ Name of the Guardian and relationship, if any. ______________________________________

______
Date of Birth in words _______________________________
D D M M Y Y Y Y

______________________________________

Gender Boy Girl Transgender Gen. OBC SC ST


Please put
(√)mark
Physically Visually Hearing % of Disability
Nature of disability, if any.
Please put (√) mark against the respective category

Aadhaar Number of the candidate: -

Address: ________________________________________________Mobile

E-mail____________________________________ Identification mark of Candidate ________________________________

Annual Income ____________________________Nationality ____________________Religion ________________________

Medium of Examination _____________________________ (Please indicate one language for the state concerned given in the prospectus)

Particulars Class-III Class-IV Class-V


Name of the School (studied–III & IV and
Studying V) and village/place
School Location: Rural /Urban
Month and Year of Joining
Month & year of Passing
Name of the Block
Name of the District
Name of the State
I certify that the school(s) in which my ward studied/studying is a recognized school and fulfills all the eligibility criteria as per NVS requirements. I also
understand that even if the candidate has studied in urban area for even a single day in any of the classes III, IV & V, the student will be treated as urban
candidate. It is also certified that my ward is the bonafide resident and residing with me in the same District where he/she is applying for JNVST. I certify
that the above information is correct and submitted voluntarily.
If any of the information provided is found to be wrong, the candidature of my ward will be forfeited at any stage even after admission in JNV. I also submit
that no change in aforesaid data shall be requested by me in future and I agree that in case of mismatch in the online and offline data, the data submitted
THROUGH ONLINE mode shall be treated as final.
Signature of the candidate Signature of the Parent

Note: In respect of NIOS students, area will be decided on the basis of residence of the candidate.
The above details of candidate are verified from school records and found correct.

Signature of Head Master with Seal

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