PROFORMA - I OFFICE OF THE DIRECTOR OF GOVERNMENT EXAMINATIONS, A.

P, HYDERABAD Application for supply of Photostat copy cum Re verification of valued Answer Script
Affix Latest Passport size Photo of the candidate duly attested by Headmaster concerned

1. Roll Number of the candidate

Month & Year M A R C H 2 0 1 2

2. Name of the Candidate

3. Fathers Name

4 School where studied with Address:

5. Address for communication:

S/o D/o C/o: H.No / St.: Vill / Town: Mandal: Dist: Pin code:

6. Contact Phone No of the candidate:

7. Remit through Challan to the following Head of Account (D.D. will not be accepted).
0202- Education, Sports, Arts and Culture 01 - General Education 102 - Secondary Education 06 - Director of Govt. Examinations 800 - User Charges (a) Amount: (b) Challan No. ( c ) Date (d) Name of the Treasury

8.

Subjects for which Photostat copy cum Re-verification is required. (Specify name of the subject)

1. 2. 3.

First Language Second language English

4. Mathematics 5. General Science

DECLARATION

I hereby affirm that I will abide by the Rules of the Board of Secondary Education, A.P, Hyderabad and the change in marks communicated if any, by the Board are final. I further affirm that I accept the revised marks (whether increased or decreased) awarded to me. I will not claim the refund of the amount paid towards Photostat copy cum Re-verification under any circumstances. Place: Date:
CERTIFICATE

Signature of the Applicant

Certified that the Candidate Sri/Kum___________________________________________________who applied for supply of Photostat copy of valued answer script is the same person who appeared for the SSC Public Examinations, March-2012. His/Her identity has been verified with reference to the office records.

Signature of the Headmaster with Office Seal. (Instructions/Guidelines see overleaf)

Instructions/Guidelines
1) The candidate has to submit his application duly forwarded by the Headmaster of the school concerned. 2) The application should be submitted directly at Counters Constituted at designated points to be announced by the District Educational Officers concerned. 3) Need not apply for Recounting of marks, if applied for supply of Photostat copy of valued answer script. 4) Enclose one self addressed Headmaster concerned. envelop and another cover with the address of the

5) Should not send application for re verification of answer scripts directly to the % Director of Government Examinations/ Board of Secondary Education, Hyderabad . 6) Enclose Xerox copy of Hall ticket, Dummy memo of marks, if not, the application will be summarily rejected. 7) Fee paid once will not be refunded under any circumstances. 8) Applications sending by post/courier service will not be accepted. 9) Fee paid by way of drawing Demand Drafts & Bankers Cheques will not be accepted.
10) The appeal for undervaluation or over valuation shall not be considered under any circumstances.

Provisions included in Re verification: 1) Re totalling 2) Whether marks for all answers are posted or not. 3) Re-verification as per the Principles of valuation for only those answers which are un-valued. Un-valued answers will be valued and marks will be awarded.

If any reduction in the already awarded marks is noticed it will be communicated to

the candidate with an instruction to surrender/ return the original certificate to facilitate issue of the revised certificate with the reduced marks. The marks will be revised in the permanent record of the office. If the candidate concerned fails to comply with the instruction in returning the memo, he has to face the consequences if his certificate referred for verification at a later date. The Department is not responsible for the action of the candidate.