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Get Application For Issue Of Certificate

N BLOCK LETTERS) : 2. Father’s Name : 3. Address of the Applicant : 4. Commercial Instt./polytechnic through which the applicant appeared for the examination : Registration No./PIN of last appearance, course, month and year of examination : Detailed circumstances under which the application for the issue of duplicate certificate/ Diploma is made : 5. 6. 7. Whether any complaint was given to the police about the loss of the certificate/Diploma and a certificate from above auth.

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