Verification Request Form

Please ensure all fields are filled accurately. Incomplete or incorrect submissions will not be processed.

1. Full Name of the Student * (As mentioned on the marksheet or certificate)

2. Enrollment Number / Roll Number *

3. Passing Month and Year *

4. Center Name Where the Student Studied *

5. Course Name *

6. Upload a Scanned Copy or Clear Image of the Marksheet or Certificate * (Only PDF or JPG formats are accepted)

7. Name of the Organization / Educational Institution / Higher Education Institution * (Requesting the verification)

8. Name of the Person Filling Out the Verification Form *

9. Designation of the Person Filling Out the Form *

10. Official Email Address of the Person Filling Out the Form * (Only official domain emails will be entertained)

11. Email Address Where the Verification Report Should Be Sent (If different from the one mentioned above)

12. Purpose of Verification * (e.g., Employment, Admission, Background Check, etc.)