--. cfi.+fT.fua:rr ~ Cfl"\3"'fR ~-2014/CBSE/Acctt.20 ~ ~ fulffi~, <f./V.R. No. ~q'jll~IIC'11~ ~ (~~) Lab. No. (i.e. School No.) Central Board of Secondary Education, DELHI I'IllllllC'i45 ~a:rr ~ em crrcrr f.tc;r-'PTlf FORM of Bill for claiming charges for Practical Examination(s) m tR fbxrcft ~ ~ ~~ " ~ fctor<! ~ ~ 3TR"'T-3TWT m'<! "SIl!I"I ~ m ~~ ~W!l ~ ~ I UIT'lT ~ Note: Certificate(s) seperately for each subjet should be obtained on the form(s) enclosed from the examiner(s) concerned & attached to this bill, , . 1. 2. ~. q;r 'ffll"jName of the Centre wan q;r '1T'1 3lR crfjName & Year of Exam. SEC./SR. SCHOOL CERTIFICATE EXAM 2014 3. ~cpf~3lRG~~wm$p~~ . (~$p~~~) Name and/or designation of the person in whose favour crossed cheque is to be drawn (Bearer Cheque will not be issued) - ~~~3lR>@r~ en 'jgrl ,\&'0 . Subject Code per CAPITA Charges ~ ;dl ,....; N • 3 I '" ~ ~ 8..!! rIl §".c 'lg~ ~]- ON C 1&~ ~,:.~ .~~ '" 0 1l "0 '\&'0 1& ~~P!@M .t on IC !:!~ SECONDARYSCHEME o nly for Pvt. Candida tees ffillr-! ~ afR ujlqfm S ci.(physicsChemistry& Life Science)4.50 2· 3 lJi> fcffiR Home Science ...................................................... ~. ~ 'tlRfQ>cf>c tR'r1ffi Senior School Certificate Exam fcffiR Physics 5,00 1.. ~ 2 .. ffil<A fcffiR Chemistry 3 ;:;frq' fcffiR 4· ~ 5 .lJi> 6 .~ Biology ftrlffi Physical Edu. fcffiR Home Science Painting ~ Sculpture 8· ~ q;c;n Graphics 7 .. 9· ~-q;c;n 1O. <'l1!!l1~1I't?1 Commercial Art 12.00 12.00 2.00 12.00 5.00 5.00 5.00 Accountancy 5.00 3.50 I.~.~ Engg. Drawing 3.50 2. ~ ~ 3. ~14'leiM'I(1M) 4.~ Business Studies 3.50 Biotechnology 12.00 Music Agriculture 5.~ 6.~ 7 3Rl Geography Cllq'tllfljCIJ ~ 12.00 Other Voc. Sub. ~ 'lffiNlL ~ .mrNlL cgt9.mtNII cgt9.mtNII cgt9 .mt ?on! . cgt9 .mt NIl cgt9.mtNII <gt9.mtNII <gt9.mtNII <gt9.mtNII <gt9~NII cgt9.mtNII cgg~NIL <gt9.mtNII cgg~NIL <gt9.mtNII cgg'1ttNIL cgt9.mtNII <gt9.mtNII <gt9.mtNII 8 Cf'f5IfcffiR q ~ 12.00 Textile & Design 9 ~ ~ 3tR ~ <r'!RT Dress Designing & Making 3lffiR 3tR ~ <r'!RT 20 ~ Nutrition & Food Preparation 12,00 <gt9.mtNII <gt9;ffilNII <gt9;ffilNII cgt9;ffilNII <gt9.mtNII 2 1............................................................ cgt9.mtNII 22 ............................................................ cgt9.mtNII 23 ............................................................ cgt9;ffilNII cg<1 \ill/Grand Total t1& Si ,., .<l ..!! 1&i.1l' i: fr~ ~1& ~1Y <0£ ~ ~ ~ .<l-!. j8,x oo r- ~ @c Oi,., 1&; .;;.~ K ..... oSi'" ~~ ~] 11& ~ ,,'" gs. "gil .<l •.•0il $rt;r~~~~ 1 · ~(1j\fijq;~, <Ii o ~ I~!.~ ~~i~~ " ~l~~1ii ~ I t:8 t~ IiU i li1& <tx ~ ·l t~~ ii J&~ i~j:!: 0'1 '-'-!. "'on -/$' ~ ~ B jg -0 ~ § " 1Y "0 '" u Oi ~Ji l~ i ~ ~ GIQICfld ~ X"lfiT (~ ~) Total amount Claimed in Words . 3lj(l1~"1cplEncls . PRE-RECEIPTED ~~.~~~ Revenue Stamp Rs.1/- ~: 3l1~~Rl,~ mcfi cp) ~ tpl '15CP'<, 3Rl >lfirafUT ~ c;qQfli ~ cP ~ ~ ~ cf> ~ l:R fclElI(l1111 ~ ~ fclEll (l111 ~ xl ~ cf> ocn:r ~ 3l1Q~lICPdl ~ "fIl"lnfi cf> QI'«1 fclcP WTR" cpr ~ ~mmGTCJTcpx~~1 Note : Bill has not been processed without enclosing balance stationary submitted performa. : ~ ~ !'IlIl ~11~Cf> ~ WIT ~ cpr ~ ~ -;ffif m<rr -;ffif m1fr I ~ Following details be furnished for Online Payment: 1. Name of the Account Holder (In Capital letters ) 2. Account Number 3. Type of Account (Saving / Current) 4. Lr.S.C. Number 5. E-mail Address 6. Currency in which payment desired (For Foreign Centres only) m~ ~ ~ ~~o qR~II:e I Vr.No. Appendix I ~.~ 1-2, ~~e?I~~~I'1(>1 ~, qCft1e:~I'1, qcq'$~i\i1,~-92 ~.~. Central Board of Secondary Education PS 1-2, Institutional Area, I.P Extension, Patparganj, Delhi-92 tiSlli CJ) 3ltfiafCP /~ CfTGCP am "4fr1ffi ~ ~ ~ I '1lillll ~ fWn \JfR qrc;rr w=rrur ~ 3tR GIq I~ (>1 Certificate and Bill of Asstt. Supdt.ffabla Player for Practical Examination to be claimed through the Principal of the Centre ~ ~~ ~II f4"ICJ) "4fr1ffi ~ ~ ~ Subject No. of candidate appeared "4fr1ffi ~ . ~ Date of Examination . qlR~l ~~ Number of Sessions "4fr1ffi ~ Name of the Centre of Examination ~ ~ 32/- ~ ~ ~ ~ GIQICQC1 m . ~o (. l1T?r) 3TGT ~ qR I Name of the Centre of Examination . 3RRTalCP ~ ~ffl Signature of the invigilator . 'tffiT (~) Countersigned Signature of the Principal with rubber stamp of the school Address (Office) . 3lFfR1 Residence . am ti flIl q '1 (Verification by the examiner) "4frarcP QJ"IlfitlC1 ~ '\iITC1T ~ ~/~/~ .•.•.•.•.•..•.•.••.•.•.•..•.•.•.•..•.•.•.•.•.•..•..•.•.•.•..•.•.•.•.•.•.•.•.•.•.•.•.•.•..•.•..•.••. .......................................................................... ................ ~~\l~II f4"I CJ) "4fr1ffi . ~ It ~) I tR ~ ~~ cpr:f ~ Certified that Shri/Smt/Kumari Worked ~th me ~ in':igil~torlTabla the practical Exammatlon m . Player in . ~~wWT-gg "4fralCP ~ ~ffl Sig. of Examiner FOR OFFICE USE ONLY (~ ~~ Pay Rs (Rupees 't1'/~ RlDy. Secretary "4fralCP ~ ~) only) . Examiner No : . "1r:J Name . 'tffiT Address . II Appendix II qR~ltC 1fr.~ 1-2, ~.1fr. ~F'f1el~~~I'1C'1 ~, qCffie:~I'1, qcq"?~i\J1, ~-92 Central Board of Secondary Education PS 1-2, Institutional Area, I.P Extension, Patparganj, Delhi-92 ...................... .' : ~ qft l'l«l~llf+'Icp ................................................................................................................................. ............................... l1X ~ ............. it ~ X1?IT \34CP,<°1~ cnT trfrlffi ~ ~ ~ cpr ~ fClElI(>111 . . ~ I fCl Ell (>111 trfrlffi~ ~ "l'lllfUT 1f'5f it it ~ q~ ~ cf; ~ \34CP,<0I/w:rrl qft l'l1l~1~I~ II (>11 Xi;ffi~\jF1CP ~ I For a certificate to be obtained from the examiner for the conduct of the Prac. Exam of on the dates candidates at Sec. School in in the subject . session. The laboratory of the school is well eqiupped and the apparatus/material supplied was to my satisfaction. WalCP Date . cf> ~afX : . Sig. of Examiner . WalCP ~ . Examiner Number ~/Name . . WIAddress .
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