Annexure – 1
Pro-forma Bill: Assessments of Students under VHSE, Tripura: 2024-25
Session :
Sector :
Class / Std. : Level :
Exam Centre Name (In capital) :
Exam Centre UDISE Code :
Sector (In capital) :
Date of Assessment :
Mode of Assessment (put a ‘√’ mark on the appropriate box): Online Physical
Name of Assessor (In capital) :
Professional Qualification :
Designation :
Office address :
Contact number :
Name of Internal Examiner :
Total number of students allowed to appear : (In words: )
Total number of students assessed : (In words: )
Total number students absent : (In words: )
DECLARATION BY ASSESSOR
THE ABOVE DETAIL IS CORRECT AS PER MY KNOWLEDGE AND BELIEF. THE NUMBER OF STUDENTS INDICATED ABOVE ARE
ASSESSED
( ONLINE / PHSICAL) BY ME AT THE RELEVANT SCHOOL / EXAMINATION CENTRE.
Signature of Assessor :
Date : Place :
DECLARATION BY PRINCIPAL / IN-CHARGE / INTERNAL EXAMINER
THE ABOVE DETAIL IS CORRECT AS PER MY KNOWLEDGE AND BELIEF. THE NUMBER OF STUDENTS INDICATED ABOVE ARE
ASSESSED
IN PRESENCE OF UNDERSIGNED / MY REPRESENTATIVE AT THE RELEVANT SCHOOL / EXAMINATION CENTRE. I HAVE RECEIVED A
COPY OF ATTENDANCE SHEET OF STUDENTS, COUNTERSIGNED BY ALL STUDENTS WHO WERE PRESENT AND APPEARED FOR THE
ASSESSMENT.
Signature of Principal / In-Charge / Internal Examiner (with seal) :
Date : Place :
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