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					                                                                                                                                      ANNEXTURE-I
                  COUNCIL OF HIGHER SECONDARY EDUCATION ORISSA,
                 PRAJNAPITHA, C-2, SAMANTAPUR, BHUBANESWAR-751013

      APPLICATION FORM FOR STUDENTS MIGRATING FROM OUTSIDE THE STATE OF ORISSA FOR PERMISSION TO COMBINE
ATTENDANCE IN MORE THAN ONE COLLEGE AND MID-SESSION TRANSFER UNDER REGULATION 160 CHAPTER - X OF THE ORISSA
                                        HIGHER SECONDARY EDUCATION (AMENDMENT) REGULATION, 1983.


1.       Name of the applicant                                    :-


2.       Name of the College where the applicant
         is reading at present                                    :-


3.       Date and year of admission                               :-


4.       Name of the Council / Board University
         to which the institution is affiliated                   :


5.       Date and Year of admission                               :


6.       Class to which admitted                                  :


7.       Name of the College to which the applicant
         wants to be transferred                                  :


8.       Whether the fee of Rs.30/- has been
         deposited in shape of Bank Draft / Cash
         Receipt (Encl. Original) in favour of Finance
         Officer, Council of Higher Secondary
         Education, Orissa, Bhubaneswar and if so
         name of the Bank, B.D. No. and Date or
         Cash receipt No. and Date :


9.       Reasons for transfer                                     :


Date :                                                                                                       Signature of the applicant
                                                                                                                       Address :



CERTIFICATE OF THE PRINCIPAL OF THE COLLEGE / HEADMASTER OF THE INSTITUTION IN WHICH THE APPLICANT IS READING.
No.___________________ Dt.________________
Certified that Sri / Smt. _______________________ is a student of this institution reading in +2 1st year / 2nd year Arts / Science / Commerce. His
/ her subjects are__________________________________ and his / her conduct and character is_________________________ I have no
objection to issue / her C.L.C.
Further certified that this institution is affiliated to _________________________________ Council / Board/University.


                                                                                                                       Signature of the Principal /
                                                                                                                       Headmaster with seal
CERTIFICATE OF THE PRINCIPAL / HEADMASTER OF THE INSTITUTION IN WHICH THE APPLICANT IS TO BE ADMITTED
1.       Certified that a seat is available in +2 1st year / 2nd year Arts / Science / Commerce class with the subjects taken by the candidate in the
         former college.
2.       I have examined the courses of studies and Regulations of ______________________ Council / Board / University in detail alongwith the
         courses of studies and Regulations of the Council of Higher Secondary Education, Orissa, BBSR and I am satisfied that both the courses are
         similar with regard to the subjects of study of the student.


                                                                                                                       Signature of the Principal/
                                                                                                                       Headmaster with seal

				
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