BOARD OF INTERMEDIATE & SECONDARY EDUCATION HYDERABAD.

APPLICATION FORM FOR THE MIGRATION CERTIFICATE

(To be filled in by the School/College authorities)

The Secretary, (For office use only)

Board of Intermediate &
Secondary Education, Book No.________________
Hyderabad. Certificate No.____________
Date____________________

The Application of Mr./Miss_________________________________________________

S/o,D/o.________________________________________________________ for Migration Certificate is
forwarded herewith.

The Applicant was not been rusticated or debarred by the Board. I have no objection if
Migration Certificate is granted to him by the Board. His/Her date of birth as entered in the School/College
is ______________________.
The leaving Certificate was issued to the applicant on ________________________________.

PLACE_______________ SIGNATURE_______________

DATED ______________ Head Master / Principal_____________

Stamp

N.B The fee of Rs.________ should be deposited in the UBL Board’s Branch
at Board of Intermediate & Secondary Education, Hyderabad.

1) NAME IN FULL _____________________________________________________________________

2) ADDRESS ________________________________________________________________________
3) NAME OF SCHOOL/COLLEGE LAST ATTENDED BY THE APPLICANT IN THIS BOARD__________
_______________________________________________________________________
4) Examination DIVISION
EXAM YEAR CENTER SEATNO GROUP
GRADE
of this Board
passed by the SSC-I-II
student HSC-I-II

5) Examination of the Board if any with year in which the applicant appeared but failed__________

6) No. of Eligibility Certificate obtained at the time of joining this Board

7) No. of Enrolment Card obtained after joining this Board.

Date: ____________ SIGNATURE OF APPLICANT______________

N.B-
1) The Migration Certificate will be issued after the leaving Certificate is issued by the institution.
2) The attested copy of the Leaving Certificate and Marks Certificate should be attached with this
application, without which Migration Certificate will not be issued.
 (FOR OFFICE USE ONLY)

Nothing is to be written by the candidate on this page

Received a sum of Rs. ______________ as Migration Certificate fee vide D.D / Challan
No._________________ Dated ______________________

SUPERINTENDENT
GENERAL ACADEMIC

F.w.c.s to the Superintendent (Secret Branch)

Kindly verify whether the applicant has passed / failed at the _____________
Examination _____________ under Seat No. __________________

SUPERINTENDENT
GENERAL ACADEMIC

Verified that Mr./Miss __________________________________________________________________

S/o, D/o _____________________________________________________________________________
has passed/failed _________________________ Examination in the year ________________________
under Seat No.___________________________ and was placed in _______________ Grade/Class as
a Regular/Private Candidate in _______________________ Group.

SUPERINTENDENT
SECRET BRANCH

SUBMITTED

The Candidate has completed all the required condition hence orders are
solicited to issue Migration Certificate in his / her favour.

CLERK INCHARGE

SUPDT: (GEN: & ACD)

Migration Certificate may / not be issued.

SECRETARY
BOARD OF INTERMEDIATE &
SECONDARY EDUCATION,
HYDERABAD.