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Phone: 11120--4(i89800

NATIONAL INSTITUTE OF OPEN SCHOOLING

(Formerly, National Open School — NOS)

Government of India

Toll Free No. 18001809393

7-24-25, **,9c .zpilei \44-41, 44Z7-62, -111, DWI *all -1414

A-24-25, Institutional Area, NH-24, Sector-62, NOIDA, Distt. Gautam Buddha Nagar (U.P.)

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Subject : Application Form for Obtaining Migration Certificate/Provisional Certificate/Duplicate Certificate/Duplicate Marks Statement etc.

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Name of the student (in 13lock letters)

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Father's/Mother's Name

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Name orcertilicate Required

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Name and Year of Exam

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Mode of Payment : Cash/Bank Draft/Bank ChaIlan

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N.B. Hank Draft Must be drawn in favour of Secretary, NIOS , payable at Delhi/NOIDA.

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