61 2 SECONDARY EXAMINATION 1 nBF nG nCn B nBn ID: 110208
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61 2: GOVERNMENT OF KERALA DIRECTORATE OF HIGHER SECONDARY EDUCATION APPLICATION FOR DUPLICATE CERTIFICATE / SCORE SHEET OF HIGHER SECONDARY EXAMINATION 1 & \nBF �\nG & - & \nC\n B+ : ' \nB. \n \n " & " 9 \n& H\n%# \n " 9\n� 4 \n \n \n \nB, FGI\n \n ( \n ( 0F G \n \n $ \r \n00F GI\n \n: C\n \n \nJ H$ \r E \n \n \n & % 2 \n & \n\n(; 2 9\n� K?-?-@?1@1?-@A3F?+GL \n\n B:B* \n \r \r \r \r \r C C\r \n (� $ \n \n C\n� *\n C*MMMMMMMMMMMMMMMMMMM \n\n \r\n ( C \r \n(\r\n \n \n\n \r ( \n\n \n \n C\n� ( \n B& * B : B9\r: BFD *G@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ \n : \n C#\n� 9 +??C@F;C2K?-?-@?1@1?-@A3F?+G \n\n LG \n: \n F* /\n G9 +??C@ 0 \n \n C\n� \n\n \r\n ( $ \n $ * \n \n 9 -4C7( \r8$ (= # \n\n \n \n (D \n $ =$ \n \n \n ** Affidavit not necessary in case of damaged certificates/marklists. 62 FORMAT OF THE AFFIDAVIT I ... (name and address) do hereby solemnly affirm & state as follows :- I completed my Plus Two Course in the Year and appeared for the Higher Secondary Examination (Month & Year) with Register Number A Plus Two Certificate was issued to me with Register Number . The Same was irrecoverably lost .. (Give details). I made all my efforts to get the above certificate. Now I am convinced that the certificate is irrecoverably lost. I need a duplicate copy of the certificate. I am swearing this affidavit for getting a duplicate of Plus Two Certificate and submit that I am highly needed of a duplicate of Plus Two Certificate as early as possible. If at any time the lost Certificate is recovered it will be surrendered to the concerned authority and I shall not misuse the above Certificate for any other purpose. The above facts are true. Dated . . (Month & Year) Deponent