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PROFORMA - III
SCHOOL CODE:
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AFFIDAVIT BY PRINCIPAL FOR OBTAINING NSS CERTIFICATE 2025 – 2026
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I may furnish here below the Names of NSS Volunteers of GHSS ..........., Kasaragod
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Unit No : ......................................., Kasaragod District
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Sl No
REG. NoNAME OF VOLUNTEERDate , Venue , Duration of Special Camp Whether attended National CampsSignature of the Volunteer
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1No
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2No
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3No
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4No
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5No
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6No
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7No
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8No
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9No
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10No
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11No
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12No
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13No
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14No
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15No
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16No
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17No
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18No
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19No
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20No
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21No
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22No
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23No
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24No
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25No
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26No
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27No
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28No
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29No
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30No
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31No
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32No
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33No
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34No
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35No
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36No
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37No
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38No
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39No
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40No
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41No
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42No
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43No
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44No
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45No
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46No
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47No
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48No
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49No
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50No
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I , ........, Principal , GHSS ......... , Kasaragod Dist : , certify that the above
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...... numbers of N S S volunteers have actively participated 240 hrs of regular activities and have
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attended a seven day Residential Special Camp during their Higher Secondary Course 2024-2026
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I hereby declare that I have verified the relevant records kept in this office , in this regards
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and learned that they are eligible for NSS Certificate . Hence I recommend their names for
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awarding NSS Certificate .
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Contact No. Principal :- Contact No of P O :-
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UDINUR
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12.01.2026Signature
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