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05-10-2012, 02:46 PM
Application Form for Correction in Name in Rawalpindi board
CASE NO. DATE
APPLICATION FORM FOR CORRECTION IN NAME
(PLEASE FILL IN THIS FORM WITH YOUR OWN HAND-WRITING IN CAPITAL LETTERS).
EXAMINATION: 1) SSC (Part-I/II) 2) INTERMEDIATE (Part-I/II) 3) ANY OTHER EXAM:_______________________
(SSC) ROLL NO. ._______________ YEAR _____________ (ANNUAL/SUPPLEMENTARY)
(INTERMEDIATE) ROLL NO. ._______________ YEAR _____________ (ANNUAL/SUPPLEMENTARY)
DATE OF BIRTH (In words) __________________________________________________ _________ (in
figures)_______________
CANDIDATE’S NAME AS RECOREDED IN BOARD OFFICE (in English)
FATHER’S NAME (in English)
NAME (in Urdu) FATHER’S NAME (in Urdu)
NAME AS CLAIMED BY THE APPLICANT
Registration No. (if any)
Address
Institution
Name of District (in case of private)
NAME OF PRIMARY OR FIRST SCHOOL WHERE JOINED IN CLASS 1ST
DATE & YEAR
STAGE AT WHICH THE MISTAKE TOOK PLACE
REASON OF MISTAKE
BANK CHALLAN NO.__________________ DATED_______________________ RS._______________
Signature of the Applicant (in English)_________________ (in Urdu)____________________ (thumb
impression)_____________
CERTIFICATE BY HEAD OF INSTITUTION
I __________________________________________________ __ hereby attest that the particulars
of above candidate are correct according to the record of the institution/record produced before me.
_______________________________
Headmaster/Headmistress/Principal,
(Stamp)
NIC No. _______________________
TO BE FILLED IN BY FINANCE BRANCH
Verified that a fee of Rs. _____________ (in words) __________________________________________________ has been received vide Bank
Challan No. ________
Dated _______________ vide B.C. Register No. _______________ Page ___________ Serial No. _________________
____________ ________ _____________
Dealing Clerk Assistant Superintendent
INSTRUCTIONS FOR CORRECTION IN NAME
1. The application should be sent through: -
The Head of the Institution concerned from which the applicant has passed the
Secondary School Certificate Examination or Intermediate Examination if he has
been a regular candidate.
2. By any Head of the Institution recognized by the Board if the applicant has
passed the Secondary School Certificate OR Intermediate Examination as
a private candidate.
3. No application for correction in name shall be entertained unless the applicant has
deposited the required fee as detailed below:-
Period Fee
Within (2) Two Years Rs. 1020/-
Within (5) Five Years Rs. 2020/-
Within (10) Ten Years Rs. 3020/-
After (10) Ten Years Rs. 4020/-
4. Fee once paid for correction in name is not refundable
5. The application for correction in name should accompany the applicant’s original
certificates of Secondary School Certificate Examination or Intermediate
Examination as the case may be, and the same should be retained in the office of
the correction in name is allowed which shall be cancelled on issuance of duplicate
certificate with the correction. In case the request for correction in name is not
acceded to the certificates shall be returned to the applicant. In case the original
certificate of the applicant is lost, the applicant shall submit an affidavit duly
attested by a first class Magistrate & Oath Commissioner to the effect that the
applicant has lost his original certificate and that he has passed the examination.