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    Certificate 2025

    Uploaded by

    Sharanabasava Gudur

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Certificate 2025

    Uploaded by

    Sharanabasava Gudur
    10 views1 page

    Original Title

    Certificate 2025 (1)

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    10 views1 page

    Certificate 2025

    Uploaded by

    Sharanabasava Gudur

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST-2025

    CERTIFICATE
    Last date of submission of online application form is 16th September 2024

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

    (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 2025 size photo of
    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 D D M M Y Y Y Y in words _______________________________

    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: -

    PEN 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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