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Migration Certificate...............

GOVERNMENT OF KARNATAKA

DIRECTORATE OF PRE-UNIVERSITY EDUCATION


APPLICATION FOR ISSUE OF MIGRATION CERTIFICATE
   
Name of the candidate:
(In block letters)		  
Name of the father:
(In block letters, as entered in the marks card)		  
Name of the institution last attended:  
Examination passed with Reg.No & year of passing and combination.  
Fees Paid (Rs.100) to be remitted to 0202, education, sports, A
rts & culture. 01.
General EDCN 102.
Secondary education 1.
Tuition & other fees 07. EXAMINATION FEES OF JUNIOR COLLEGES.  CODE NO. 020201102107		  
Whether 'NO DUE' Certificate from the head of institution or a copy of the T.C Enclosed.  
Reasons for migration to the other state:  
Whether the attested copies of P.U.C marks card of I/II year P.U.C enclosed:  
Place and address:
(In capital letters)
 		  
Date: Signature of the student