Form No.
WBCROS/HS/03
THE WEST BENGAL COUNCIL OF RABINDRA OPEN SCHOOLING
Bikash Bhavan (2nd Floor, East Block), Bidhannagar, Kolkata- 700091
Only for Uchcha Madhyamik (Higher Secondary), Level
APPLICATION FORM FOR MIGRATION CERTIFICATE
Application form duly filled in OFFICE USE ONLY (NOT FOR APPLICANT)
together with prescribed fee payable Candidate’s Name : ..............................................................
required to be submitted to the (In Block letter)
Kolkata Branch Office at Tantuja Father’s /Mother’s / Guardian’s Name : ......................................
Bhavan and Regional Office at North Registration Number :..................................................................
Bengal. Payment should be made by Roll :............................................... No : ......................................
Demand Draft in favour of ‘’The Date of Birth : .............................................................................
Rabindranath State Council of Open Division / Grade : ........................................................................
Schooling Fund’’. Study Centre Code : ....................................................................
As per documents / records verified by authentic person of WBCROS
with Official seal & date
...............................................................................
To
The Secretary
Sir/Madam,
I beg to apply for a Migration Certificate in my favour of the particulars are given below:
Sri/Smt. ............................................................................. Son/Daughter of ..................................................
Residing at ............................................................ P.O............................................. P.S ...............................
Dist ................................... Pin ................................. Mobile No .................................................Register for
appearing /appeared at /Passed the ................................. Examination held in the month of...........................
of the year ........................ Bearing Registration no.......................................year...............
& Roll ................................... No ....................of the year .......................... from ............................................
Study Centre/Institution as a Candidate. My nationality is ...........................
Yours faithfully
_______________________________________
Full signature of the Candidate (in English)/L.T.I.
for visually challenged candidate
Enclosure: Photo Copy of document duly Self attested Verified and countersigned by
a. Registration Certificate
b. Admit Card
c. Mark Sheet ______________________________________
d. Pass Certificate Signature of the Co-ordinator with seal & date
(Verified aforesaid documents by co-ordinator /H.M./T.I.C)
Demand draft No. with date..............................................
Amount (in words)..........................................................
Name of the Bank …………………………………………………………….
Branch............................................
Name of the Study Centre: ................................................
______________________________________
Study Centre Code: ............................................................ Signature of the H.M./T.I.C with seal & date
Seal of Study Centre:
INSTRUCTION FOR THE ISSUE OF THE MIGRATION CERTIFICATE FOR UCHCHA
MADHYAMIK (HIGHER SECONDARY) LEVEL
1. The documents shall not be delivered by post. It should be collected by the candidate or his/her authorised
person against received copy of form and photo copy of Demand Draft obtained on payment of prescribed
fees.
2. The application should be forwarded & countersigned by the Co-ordinator & H.M/T.I.C. from which candidate
was registered /enrolled.
3. Application for the issue of any Migration Certificate/Duplicate Migration Certificate, documents is to be properly
countersigned and sent to the Secretary of WBCROS along with the requisite fee and following details :
a) Full name of the candidate and his /her present address in full in block letter
b) The name, month and year of the Examination.
c) The name of the Study Centre/Institution from which he/she was sent up for Examination concerned.
d) Correct Registration No. and Roll no. of the candidate with year of Examination.
e) For Migration Certificate attested photo copy of Registration Certificate, Admit Card, Marksheet and
Pass Certificate should be attached with the application form.
THE COUNCIL SHALL NOT BE HELD RESPONSIBLE FOR NOT ISSUING ANY MIGRATION
CERTIFICATE IN CASE OF THE ABSENCE OF THE DETAILS STATED ABOVE .
4. Receiving hours at Tantuja Office/ North Bengal office at 11:00 A.M. to 4:00 P.M. on working days
5. Migration Certificate fee Rs- 200/- (Rupees Two hundred)
NB: i) The Council shall not however be responsible for the delay in preparing the Migration Certificate due to
unavoidable circumstances.
ii) Complaints for non –receipt of the documents will not be entertained after a period of three months from the
date of submission.
iii) If not received within one month from submission aggrieved incumbent may write to the Secretary,
WBCROS at email id wbcros2006@[Link]
By order
Secretary
