Second Schedule Form 18 And Intimation Of Action Taken Page 4
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4THIRD SCHEDULE
FORMAT
Certificate issued to a Graduate employee by the Gazetted head of office regarding his educational
qualification
Certified on the basis of entries in Government records in my
custody that Shri/kumari/Smt. ----------------------------------------------------------- (to be given in full)
son/daughter/wife of ------------------------------------------------------ who is employed in this office as --------
-------------------------- has passed ------------------------------------------- (here mention the particulars of the
degree/diploma examination) from --------------------------------------------------------------------------------------
(here mention the name of the University/Board/Industry) in the year ---------------------------------------------
----------------
Date:
(Signature of Head of Office)
Place:
(To be signed by a Gazetted Officer)
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