Microsoft word - registration form bhsec _failed - supplementary candidates_.doc
BHUTAN BOARD OF EXAMINATIONS MINISTRY OF EDUCATION BHUTAN HIGHER SECONDARY EDUCATION CERTIFICATE (BHSEC) APPLICATION FORM FOR ENTRIES OF FAILED AND SUPPLEMENTARY CANDIDATES
The type of entry is to be recorded below in the box by a tick (√). FAILED
SUPPLEMENTARY PASS CERTIFICATE CANDIDATE Note : Last Date for receipt of completed Application Form – 15th June 2007
(To be completed in the candidate’s own handwriting.) Give the following details in respect of the BHSEC (Year-12) Examination of December 2006.
A. (i) NAME : Your name must be entered in exactly the same form as entered in your Class XII Entry Form. Your name must be entered in the grid below in BLOCK CAPITALS with one letter per space, leaving a space between each word or initial of the name. Full stops and commas must not be used. PLEASE CHECK that the name is shown correctly and in the same form as certified by the Principal in your previous entry. The BBE does not undertake to make any change in the name on a certificate if the candidate was entered in that name.
(ii) Gender (Boy or Girl) ______________
(iii) Index No. ____________________________________
(iv) Current Centre of Examination ____________________________
B. NAME AND ADDRESS :
Please write your name and the permanent address to which all correspondence is to be sent. (IN CAPITALS)
_______________________________________________________________________________________ C. CANDIDATE’S DECLARATION :
Space for the attested photograph of candidate
---------------------------------------------------- Signature of Candidate [Kindly paste one attested photograph in the space provided above and enclose another photograph (with candidate’s name and signature on the reverse of the photograph) with this form.] D. SUBJECTS: Enter only those subjects, which you offered in 2006. Place X beside the subjects you are offering. Enter the previous internal marks scored in subjects applicable and in areas specified.
Internal Internal Assessment Areas for Award of Marks for
State here how many subjects you are offering (including English ). _______________________________________ (Excluding SUPW the minimum number of subjects required for a full BHSEC is four and the maximum permitted is six.) E. Select the new or old curriculum opted: Tick (√) against the curriculum opted. PRINCIPAL’S ATTESTATION :
I certify that : (a) _________________________________________________ appeared for the BHSEC
(Year-12) Examination of 2006 from _____________________________________ in the subjects entered on this form, and he/she was not awarded a Pass Certificate and that all entries are correct. The candidate may reappear from my school/centre for the examination to be held in December 2007.
(b) _________________________________________________ appeared for the BHSEC
(Year-12) Examination of ___________ from ___________________________________ and was awarded Pass Certificate. The candidate may re-appear from my school centre for the BHSEC – 12 Examination of 2007 for a Supplementary Pass Certificate. Date
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