Article 371 (J) Study Certificate

1. ANNEXURE – C
STUDY CERTIFICATE
( Under Article 371 (J) )
( See rule 4 (C) (2) (II) )
(The Karnataka Public Employment (Reservation in Appointment for Hyderabad – Karnataka Region)
Rules for issue of certificate 2013)
This is to certify that Sri/Smt……………………………………....………………………………..........
S/o. D/o. W/o.…………………………………………... has been studying in ………………………....
College/School……………………………………………Taluka………………………………………
District………………………… During the period noted below.
S.
No.
Class/Level
From which date to which
date
Reference of Documents
He has passed / Failed following exam during following year
S.
No.
Name of the Class/Exam
Level
Year Failed/Passed
Reference to
Documents
Place………………………… Name………………………………
Date..………………………… Head of the Institution
CERTIFICATE
This is to certify that I have satisfied myself that the certificate given above is true as per
available record.
Place…………………………
Date..………………………... Signature
Block Education Officer
………………………..Taluka
...……………………..District