Application for Duplicate SSLC Certificate

The completed form and necessary enclosures should be submitted through the Headmaster/Headmistress of the school where the applicant last studied and the District Educational Officer concerned. Fees should be paid into a Government Treasury under the account '0202 Education - 01 General Education Minor Head 102 sec. Education, Sub-Head (01) Examinations, fee (02) other fee.' Ensure all details are accurate and attach the required documents including the challan, loss certificate, extract of the SSLC first page, and declaration by the candidate. Submissions can be made via email, fax, or physical mail as directed by the educational authority.

There are no specific important dates for this form in 2024 and 2025 as it can be submitted as required when the original SSLC certificate is lost.

The purpose of this form is to facilitate the issuance of a duplicate Secondary School Leaving Certificate (SSLC) when the original certificate has been lost or is beyond recovery. This application collects detailed personal and academic information, helps verify the authenticity of the claim, and ensures all necessary documents and fees are provided for the duplication process. It ensures that affected individuals can regain their essential educational credentials without significant disruption to their academic or professional endeavors.

• 1. Name of the applicant: The full name of the applicant, written in block letters.
• 2. Address of the applicant: The complete address of the applicant, to be provided clearly.
• 3. Father's Name: The name of the applicant's father.
• 4. Date of Birth: The applicant's date of birth.
• 5. School where the applicant last studied: The name of the school the applicant last attended.
• 6. Serial number of the original SSLC: The serial number of the original SSLC certificate.
• 7. Number of times the applicant appeared for the SSLC public examinations: Details of each appearance for the SSLC public examinations, including month, year, and register number.
• 8. Detailed circumstance for the issue of duplicate SSLC: Explanation of the circumstances under which the duplicate SSLC issuance is requested.
• 9. Certificate regarding loss of the original SSLC: Confirmation whether a certificate from a designated government official stating the loss of the original SSLC is attached.
• 10. Challan for fee payment: Details of the challan used for paying the fee for obtaining a duplicate SSLC certificate.
• 11. Suspension or Cancellation of SSLC: Indication of whether the SSLC has ever been suspended or canceled.
• 12. Debarment from SSLC public examinations: Information on whether the applicant has been debarred from SSLC public examinations, including details of the incident.
• 13. Declaration by the Applicant: A solemn declaration that the provided particulars are true, signed by the applicant.
• 14. Certificate of the Headmaster: Certification by the headmaster that the applicant's particulars have been verified and found correct.

Failure to submit this form can result in not obtaining a duplicate SSLC certificate, which may hinder academic and professional pursuits.

• Loss of Educational Credential: The absence of a duplicate SSLC certificate can prevent individuals from validating their educational qualifications.
• Delay in Academic and Professional Opportunities: Failure to submit the form on time may lead to delays in academic admissions or job applications.

• 1. Lost SSLC Certificate: Use this form to apply for a duplicate when the original SSLC certificate is lost.
• 2. Damaged SSLC Certificate: Submit this application if the original SSLC certificate is damaged beyond recovery.
• 3. Verification for Academic Admissions: Apply for a duplicate SSLC certificate to provide proof of education for academic admissions.
• 4. Employment Verification: Use this form to obtain a duplicate SSLC certificate for employment verification purposes.
• 5. Government Records: Submit this application to replace a lost SSLC certificate required for government records.