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Name of
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Name ofSchool
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Breakage
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ca ndidate
H.P.BOARD OF SCHOOL EDUCATION, DHARAMSHALA-176213
Matriculation/+2 Practical Examination February/March, 2015
EXAMINER INFORMATION-CUM- BILL FORM
(Separate bill form be used for each class)
Name of School
School Code
(IN CAPITAL LETTERS)
DISTT.
PIN
Telephone No:
S.No.
Name of
Practical
subject
Name of Practical Examiner
Amount
No. of examinees
actually examined
Signature of
Examiner
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Matric Examination10+2 Examination-
Rs.2.50 per candidate, minimum Rs.30/Rs.3.00 per candidate, minimum Rs.40/-
Certified that the above staff has actually conducted the practical examination
and number of candidates shown above have actually examined by them.
Principal
(Signature with stamp)
NB: This form must be sent to Board office after the termination of practical examination
duly filled in all respects, signed by the Examiner/s & countersigned by the head of
I nst.itute with school stamp alongwith signature charts of candidates.