Board of School Education Haryana, Bhiwani

(Application for Duplicate Certificate) Case No. ….............

(Please read instructions overleaf) (Left Blank)
1. Student’s Name ………………................ Amount deposited …….........….
Father’s Name ………………….............. Bank Draft No. ……........…...…..
Mother’s Name ………………................ Dated …………….....…..……......
Date of Birth …………………................ Board’s Receipt No. …................…..
In Words …………………….............................….....
......................................................................................
2. List of First/second/third copy of Duplicate
certificate taken by the student ……………
3. Reason for taking ……………........………
Duplicate certificate ……………………….
Duplicate certificate is issued only in case of the loss/theft/destruction of the original/earlier
issued duplicate certificate.
4. Exam ………… Roll No. ……………..Year and Month …………….Marks obtained
………….. Category ……………. Result (Pass/Fail) …………… Name of School, District
from where the exam passed ……………………………..
Subject : 1 ………………………..2……………………..3……………………….
4…………………5…………………6………………………..7…………………
5. Details of Exam of this class taken before the exam mentioned in column 4 under which you
appeared as school student and you passed/failed/compartment in the Exam :
Roll No …………….......….. Year................... Session ……...………. Result ………………
Name of School ………………………………………………….......................……………...
6. Permanent Address ………………………………………………................…………………
7. Correspondence Address ...............................………………………….………………………
………………………………………………………Telephone No. ..................……………..
Date ……………….

(Write yourself name of the officer) Signature of Student

who verifies
Verification:
I certifed that the student ………………….son/daughter Sh. …...…………….. the person
whose photo is verified by me. He has passed the exam under Roll No. …………….in Year
…………….session………………….
He has signed the application in front of me and all the details written in this application is
true.

Name & Designation of Signature of the attesting authority

attesting authority…………………… (With Seal)
..............................................................
Application has been checked and found correct. Issue him/her the Certificate.

Clerk Assistant Superintendent

Correspondence Address: Correspondence Address:

With full name With full name
(Fill by the applicant your self) (Fill by the applicant your self)
……………………………........ ………………………….........…..
..................................................... .........................................................
...................................................... ..........................................................
 (Important Instruction)

1. All types of reissue Certificates for Application form and fee will have to be submitted online
through Antyodya Saral Portal. Application form and fee sent offline will not be accepted.

2. Board office issue Duplicate Certificate of examinations from the year 1970 to 2003 are issued
without subject-wise mark details.
3. No person can give application on behalf of some other person and nor can he get other’s
certificate. Certificate is sent only through registered post.
4. If the form is filled completely and correctly and is duly attested then the certificate will
be issued within one month of the receipt of application form and requisite fee of Rs. 500/-.
5. In order to obtain a Duplicate certificate the applicant will also have to give an undertaking on
the attached Performa, in addition to authenticating the application form prescribed by the
competent authority, which will cite all the facts which would cause him to obtain a duplicate
certificate is to be filled on line for a total fee of Rs. 800, including the reason for missing/stolen
and destroyed.
6- For the third copy of Duplicate certificate, the applicant who are required to take the second
copy must complete all formality and in addition, if the second duplicate certificate has been
stolen or lost, then the F.I.R also, a copy of which has to be attached with the application form.
For the third copy of the duplicate certificate a total of Rs.1000, general fee will have to be filled
online along with an additional fee of Rs. 500.
7. Usually no duplicate certificate is issued after the issuance of third duplicate certificate but in
some special circumstances if chairman decides that the case is genuine and true, in that case the
applicant will have to complete all the formalities meant for taking third duplicate certificate and
after the standing order of the chairman he will be issued the fourth copy of duplicate certificate.
8. If an applicant wants to take the duplicate certificate by hand, he will have to get the application
recommended for the reasons by Assistant Secretary(Certificate) or Supdt.(Certificate) by
submitting his two photo IDs and presenting himself in person. While recommending, the above
stated officer will have to prove that the reasons given by the candidate for taking duplicate
certificate by hand are genuine and he is satisfied with the proof attached. For taking the
certificate by hand an extra fee of Rs. 300/- will be charged. For taking Duplicate certificate by
hand, application forms and fee will be accepted online through to the Antyodya Saral Portal till
1:00 pm.
9. In case the candidate doesn’t get the certificate within a month, he must write to Assistant
Secretary (Certificate), Board of School Education, Bhiwani mentioning his name, Roll
No., month and year of exam, district and number of the fee receipt so that quick action may be
taken.
10. The applicant will be issued certificate according to the details given by him in the detail result
column of the form.
11. The applicant will be responsible for getting correction in mistake/mistakes in form informed by
the Board. No reminder will be sent in this concern. After one month, the application form & fee
sent by applicant will be automatically canceled. The applicant for the duplicate certificate will
have to submit a new application form online along with the prescribed fee.
12. Applicant must write the reason for application for duplicate certificate in column no. 3.
13. Applicant must sign the application form himself.
14. Applicant must write address in his own hand writing with the complete address and Mobile
number both the columns.
For Taking Duplicate Certificate candidate should get Application/photograph
attested according to the following rules & regulations otherwise the application form will be
cancelled.

1. Regular Student must get his application and photograph attested from Principal/Headmaster
of the same Govt./recognized school from where he had taken exam related to certificate
applied for. If a School is closed due to any reason, in that case, the applicant should get his
application form verified by the concerned Block education officer/District education officer
and mentioned that the school has been closed.
2. The students who passed the exam as private student can get their application attested from
the head of last attended high/Sr.Sec./College. But they will have to give all details in
accordance with column 5 of the application related to the certificate applied for, through the
same school related to the exam taken for the same class. Otherwise he/She can get
application attested by a gazetted officer/Head of the Deptt. of University/Member of
Board/Class 1st officer of Board. The student who has not studied in any of the
Govt./recognized School up to the exam passed, they can get the affidavit attested by first
class Magistrate with their application attested by a gazetted Officer/Head of the Deptt. a
University/Class ‘I’ Officer or Member of Board of School Education Haryana.
3. a) To get duplicate certificate of Open School the applicant will have to get the form
and photograph attested by the Head/Principal of a Govt. School.
b) An applicant passing the exam. under credit policy will have to get the form and
photograph attested by the Principal/Head of the last attended School giving details
according to column No. 5.
4. For duplicate certificate, the D.ED/D.El.Ed students who are in service can get their
application and photograph attested from the head of the Institute where he/she is serving and
those who are not in service they have to get their application and photo verified by the head
of the institution from where they have passed the D.ED/D.El.Ed. Examination
5. For duplicate certificate of HTET, the student have to get his/her application form
and photograph from a Govt. School of Haryana only.
6. For urgent duplicate certificate a photocopy of the certificate must be attached with the
application form.

General fee for different types of certificates

For sending duplicate certificate/fail card/compartment card within a month the fee is as follows:

1. For first copy of Duplicate certificate/fail card/compartment card Rs. 500/-

2. For second copy of Duplicate certificate/fail card/compartment card Rs. 800/-
3. For third copy of Duplicate certificate/fail card/compartment card Rs. 1000/-
4. For getting duplicate certificate/fail card by hand, an additional
fee will be charged. Rs.
300/-

Note: The examinations for which Result sheets have been destroyed or they have got
destroyed for some reasons or not available, the applicant will not be given subjectwise
marks related to that exam. They will be given Duplicate Certificate without subject
wise detail of marks.
 Self Declaration/Undertaking
I____________________________________________________S/D/O
Sh______________________________Resident of _______________________________

do hereby solemnly declare as under:-

1- That I appeared in Middle/Secondary/Sr. Secondary (Academic/ Vocational/

Open)/D.Ed./D.El.Ed./HTET Examination March/Sept./_________under
Roll. No._______________from ____________________________________(School
Name) Distt. ____________

2- That my First/Second Copy of Duplicate Certificate has lost or

misplaced/__________. Now I require Second/Third Copy of Duplicate Certificate.

3- That I unable to locate my 1st/2nd Copy of Duplicate Certificate. If my 1st/2nd Copy of

Duplicate Certificate is traced out in future, the same would be submitted to the
Education Board, Bhiwani & not misused.

It is also certified that the above information is true to the best of my knowledge and
nothing has been concealed therein.

Signature of Candidate_____________
Dated:-____________
Address_________________________
________________________________
Mobile No:______________________