Scribd
Upload
60 views3 pages

Head Master Sign

The document is a certificate for the Jawahar Navodaya Vidyalaya Selection Test 2024, requiring the submission of an online application by August 10, 2023. It includes personal details of the candidate, such as name, gender, disability status, and educational background, along with a declaration of correctness from the parent or guardian. The document emphasizes the importance of accurate information, stating that any discrepancies may lead to the forfeiture of the candidate's application.

Uploaded by

tuntunkumarsingh56
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
60 views3 pages

Head Master Sign

The document is a certificate for the Jawahar Navodaya Vidyalaya Selection Test 2024, requiring the submission of an online application by August 10, 2023. It includes personal details of the candidate, such as name, gender, disability status, and educational background, along with a declaration of correctness from the parent or guardian. The document emphasizes the importance of accurate information, stating that any discrepancies may lead to the forfeiture of the candidate's application.

Uploaded by

tuntunkumarsingh56
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
You are on page 1/ 3

JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST-2024

CERTIFICATE

th
Last date of submission of online application form
is 10 August, 2023
Certified that the information given below are correct in respect of
(Name of Student) who is studying in Class V in
Affix Passport

size photo of
(Name of School) and interested to apply for Jawahar Navodaya Vidyalaya
Selection Test 2024 the candidate

Name of Candidate (IN BLOCK LETTERS)

Father’s Name (IN BLOCK LETTERS)

Mother’s Name (IN BLOCK LETTERS)


Name of the Guardian and relationship, if any.
Date of Birth In figure In words
D D M M Y Y Y Y
………………………………………………………………………………………………………………
…………………………………
Gender Please Boy Girl Transgender Gen.
OBC SC ST
put (√)mark
Nature of disability, if any. Physically
handicapped Visually impaired Hearing impaired % of Disability
Please put (√) mark against the respective category
Aadhaar Number of the candidate:-_____________________________________________
Address: …………………………………………………………………………………………………...
Mobile No.………………………… E-mail …………………………….. Identification mark of
Candidate………………………………………
Nationality …………………………… Religion…………………………..
Medium of Examination……………………..
(Please indicate one language out of languages for the state concerned given in
the prospectus)

Particulars Class-III
Class-IV Class-V
Name of the School (studied–III & IV and
Studying V) and village/place
School Location: Rural /Urban
Month and Year of Joining
Month & year of Passing
Name of the Block
Name of the District
Name of the State
I certify that the school(s) in which my ward studied/studying is a recognized
school and fulfills all the eligibility criteria as per NVS requirements. I also
understand that even if the candidate has studied in urban area for even a single
day in any of the classes III, IV & V, the student will be treated as urban
candidate. It is also certified that my ward is the bonafide resident and residing
with me in the same District where he/she is applying for JNVST. I certify
that the above information is correct and submitted voluntarily.
If any of the information provided is found to be wrong, the candidature of my
ward will be forfeited at any stage even after admission in JNV. I also submit
that no change in a foresaid data shall be requested by me in future and I agree
that in case of mismatch in the online and offline data, the data submitted
THROUGH ONLINE mode shall be treated as final.

Signature of the candidate


Signature of the Parent

Note: In respect of NIOS students, area will be decided on the basis of residence
of the candidate.

The above details of candidate are verified from school records and found
correct.

Signature of Head Master with Seal

You might also like