Appendix ‘A’

CANDIDATES WHO ARE STUDYING IN FINAL YEAR OF THEIR ACADEMIC

SESSION/APPEARED FOR EXAMINATION/RESULT NOT DECLARED
(This certificate is required in the original letter head)

Certified that Mr _______________s/o shri __________________is a bonafide student

of __________________(name of school /collage ) and is presently studying in
_________________his final board /semester examination will be/was conducted
during _________________(month and year of exam )and the result are expected to be
declared by __________
(month and year).

Place :_____________________________ (Signature of Principal/Registrar of the

Date:______________________________ College/University where studying with
stamp)

College/University round stamp

Appendix ‘B’

CERTIFICATE FOR PRE-FINAL/FINAL YEAR STUDENT OF

UNIVERSITY ENTRY SCHEME (UES) (PRE-FINAL/FINAL YEAR) DEGREE COURSE ONLY
(This certificate is required in the original letter head)

It is certified that Mr____________________________ is in pre-final/final year of

degree course and is going to appear in final year/semester examination during
____________ and final year exam result will be declared by __________________
(month and year). Mark sheets of all the semester (up to IV semester for Pre Final year
candidates/up to VI semester for final year candidates) along with two photocopies each
duly attested are also enclosed herewith.

Place :

Date :

College/University round stamp (Signature of Principal/Registrar of the

College/University where studying with stamp)
 Appendix ‘C’

CERTIFICATE FOR CANDIDATES WHO HAVE SUBMITTED THEIR CERTIFICATES

AND MARKSHEETS IN COLLEGE / UNIVERSITY FOR PURSUING HIGHERSTUDIES
(This certificate is required on the original letter head)

1. Certificated that Mr ______________s/o Shri _______________________ is a bonafide

Student of _________________________(name of collage/university) and presently studying in
__________________________(name of course to be mentioned). The following certificate and
mark sheet in respect of the above individual have been deposited with this
Collage/university/Institution in original for verification purpose :-

(a)…………………………………………………………………………………………………………………………………….
(b)…………………………………………………………………………………………………………………………………….
(c)…………………………………………………………………………………………………………………………………….

2. It is further certified that Photostat copies of the documents have verified by the
undersigned and attested.

Place : (Signature of Principle/Registrar of the

Date : Collage/University where studying with stamp )

Collage/University round stamp

Date :_____________________ (Signature of candidate)

 Appendix ‘D’

RISK CERTIFICATE

(For NDA/ 10+2 (TECH) Entries)

I _______________(Name) Father/guardian of _______________(Name of candidate) who is a
candidate for NDA/ 10+2(TES) / 10+2 (TECH) / Regular Commission in the Army / Navy, here by
certify that I fully understand that my son/ward will, if required, attend Service Selection Board
Interview with my full and free consent and at my own risk and that I or my son/ward shall not
be entitled to claim any compensation or retest for the same course or any other relief from
the Government of son/ward sustains any injury during the course of /as result of any of the
tests administered to him at the said Service Selection Board or while using military transport
due to any reasons.

Signature of Parent /
Guardian
Place : ……………………………. Address
………………………………………
Date : ……………………………..

Date : ……………………………… (Signature of candidate)

 Appendix ‘E’

NO CLAIM CERTIFICATE
(For Graduation/Post Graduation Entries)
I………………………………………………………………………………………………………………………Father / guardian
of
………………………………………………………………………………………………………………Who is a candidate for
NDA/
IMA /OTA/Naval Academy / entry in the Army / Navy, hereby certify that I fully understand that
my son/ daughter/ ward will, if required the Services Selection Board Interview with my full and
free consent and at my own risk and that I or my son/ daughter / ward shall not be entitled to
claim any compensation or other relief from the government in respect of any injury or
disability which my son/ daughter /ward may sustain in the course of or as the result of any of
the tests given to him at the SSB interview, whether due to his own negligence or the
negligence of any other person or otherwise.

Signature of Parent/Guardian

Address…………………………………………………
………………………………………………………
………
Place : …………………...
………………………………………………………
………
Date : ……………………
………………………………………………………
………
 Appendix ‘F’
FROM

Roll No ______________________
Name ______________________
Father’s Name ______________________
Postal Address ______________________
Email ___________________________________
Mob No._________________________________

To
The Call Up Officer
Selection Centre Central
Sultania Infantry Lines Bhopal – 462001

APPLICATION FOR CHANGE OF ADDRESS

Sir,

1. Please refer to your Call Up letter bearing No SCC/730_/ /CU dated _______________
2. As per your Call Up letter quoted above, I am required to report to your Centre on SSB
interview of _________on _________________. But I am unable to report for SSB interview on
the date as quoted above, due to the following reasons :-

Postal Address (as given in the New Postal Address (To be changed in the
application) application)

__________________________________ ____________________________________
__________________________________ ____________________________________
__________________________________ ____________________________________

3. May I request you to please include my postal address in the application for
correspondence

4. Thanking You. Yours faithfully.

Date :_________________ (Signature of candidate)