NSS POLYTECHNIC COLLEGE
Request for 10th Certificate Form
Mandatory fields are marked with an asterisk (
*
)
Name:
*
Roll number:
*
Reg number:
Date of Birth:
*
Department:
*
Select Department
Computer Engineering
Civil Engineering
Mechanical Engineering
Electrical & Electronics Engineering
Electronics & Communication Engineering
Semester:
*
Select Semester
First
Second
Third
Fourth
Fifth
Sixth
Date:
*
Reason for 10th Certificate:
*
Select reason
Job application requirement
Higher education or vocational training
Duplicate or replacement certificate
Immigration or visa application
Scholarship or financial aid
Legal requirement
Government schemes or programs
Personal or professional documentation
Extracurricular activity requirement
Other
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