WBJEE 2014 Proforma for Residential-Domicile Certificate WBJEEB

WBJEE 2014 Proforma for Residential-Domicile Certificate

Given here are the WBJEE Proforma for Residential/Domicile Certificate.

  • Proforma A-I is applicable for candidates residing in the State of West Bengal continuously at least for last ten (10) years as on 15.12.2013. The corresponding Domicile Certificate Type-A-II is given.
  • Proforma A-II is applicable for candidates residing in the State of West Bengal continuously at least for last ten (10) years as on 15.12.2013. The corresponding Domicile Certificate Type-A-I is given.
  • Proforma B is applicable for candidates not residing in the State of West Bengal but whose parent(s) is(are) permanent resident(s) of West Bengal having their permanent home address within the State. The corresponding Domicile Certificate Type-B is given.

PROFORMA-A-I
Applicable for candidates residing in the State of West Bengal continuously at least for last ten (10) years as on 15.12.2013.
To be issued by authorized persons other than Head of the Institution from which the candidate appeared/due to appear in ‘10+2’ or equivalent examination.

Domicile Certificate: Type-A-I

Certified that ___________________________________________________________ son / daughter of ___________________________________________ is a resident/permanent resident of West Bengal at Village/House No. ________________
Street ______________________________________________________________________________
Post Office _____________________________ Police Station ________________________________
in the District of ____________________________________________ under Assembly Constituency __________________________________________________ and has been living in the State of West Bengal continuously / uninterruptedly at least for the last ten (10) years as on 15-12-2013.
WBJEE 2014 Proforma for Residential Domicile Certificate in wbjeeb  Category
Signature of Certifying Authority ________________________________________________________________
Designation with Official Seal __________________________________________________________________
Full Name of Certifying Authority _______________________________________________________________
Office Address _______________________________________________________________________________
Phone No. _________________ Mobile No:___________________
ID No: ______________________________
Note: The Certifying Authority may please preserve the duplicate copy of the Certificate in his/her Office provided by the candidate.

PROFORMA-A-II
Applicable for candidates residing in the State of West Bengal continuously at least for last ten (10) years as on 15.12.2013
To be issued by the Head of the Institution from which the candidate appeared/due to appear in ‘10+2’ or equivalent examination.

Domicile Certificate: Type-A-II

Certified that ___________________________________________________________ son / daughter of _______________________________________________ has passed the ‘10+2’ Examination in the year______ / will appear in the Final ‘10+2’ Examination in 2014 from this Institution.
It is also certified that the student is a resident/permanent resident of West Bengal at Village/House No. _______________________________ Street_______________________________________________________________________________
Post Office _____________________________ Police Station ________________________________
in the District of ____________________________________________under Assembly Constituency ____________________________________________ and has been living in the State of West Bengal continuously / uninterruptedly at least for the last ten (10) years as on 15-12-2013.
WBJEE 2014 Proforma for Residential Domicile Certificate in wbjeeb  Category
Signature of Certifying Authority ________________________________________________________________
Designation with Official Seal __________________________________________________________________
Full Name of Certifying Authority _______________________________________________________________
Office Address _______________________________________________________________________________
Phone No. _________________ Mobile No:___________________
Note: The Certifying Authority may please preserve the duplicate copy of the Certificate in his/her Office provided by the candidate

PROFORMA-B
Applicable for candidates not residing in the State of West Bengal but whose parent(s) is(are) permanent resident(s) of West Bengal having their permanent home address within the State.
To be issued by authorized persons other than Head of the Institution from which the candidate appeared/due to appear in ‘10+2’ or equivalent examination.

Domicile Certificate: Type-B

Certified that ___________________________________________________________________Father/Mother of ___________________________________________________________(the applicant) is/are permanent resident of West Bengal at Village/House No. _____________________________ Street ____________________________ ____________________________ Post Office __________________________ Police Station _________________ ____________________________ in the District of _____________________________________ under Assembly Constituency__________________________________________________________________________________
WBJEE 2014 Proforma for Residential Domicile Certificate in wbjeeb  Category
Signature of Certifying Authority ________________________________________________________________
Designation with Official Seal __________________________________________________________________
Full Name of Certifying Authority _______________________________________________________________
Office Address _______________________________________________________________________________
Phone No. _________________ Mobile No:___________________
ID No: ______________________________
Note: The Certifying Authority may please preserve the duplicate copy of the Certificate in his/her Office provided by the candidate.

To download the proformas, you need to download the WBJEE Information brochure.

Candidate must submit Domicile Certificate in either Proforma A-I or Proforma A-II or Proforma B, whichever is applicable for his/her case.

The ‘Blank Proforma’ is downloadable. Download the same and print it on A4 size white paper.

Get the Certificate filled in properly and duly authenticated/signed by a Competent Authority as per the list provided in section 5.3.3.

The Duplicate Copy of the Certificate is to be kept with the Office of the Issuing Authority for future reference/verification.

Photocopy of the Original Certificate in the name of the applicant and a photocopy of his/her parent’s voter ID card are to be attached with the Confirmation Sheet.

Original Certificate need not be submitted with the Confirmation Sheet. The candidate must retain the same and shall have to produce it at the Reporting Centre during admission.

Competent Authority to issue Residential/Domicile Certificate

In order to become eligible for admission to any category of seats in Medical/Dental Colleges and Government Engineering/Technology Colleges OR any reserved category seat in Self financing Institutions Residential/Domicile Certificate has to be submitted by the intending candidate in Proforma as given in the Appendix VII of this Brochure. The applicable proforma is to be downloaded and printed on an A4 size white paper and will be required to be filled in properly.

If you have any queries, please ask in the comments below.
Click Here for WBJEE Complete Information

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WBJEE 2014 Proforma for Residential-Domicile Certificate
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  • Arnab Nandi

    what is that id number? the executive officer of our municipality has no idea about it and has left the space blank

    • http://aglasem.com/ Anwesha Bose

      The certifying authority must be having some Identification number. It depends on his/her post and service body.

    • AG

      same here the deputy commisioner who signed my domicile left it blank as well as the space for his mobile number . i asked him to fill it but he said his stamp has been given that’s enough. i know every official who are gazated officer has their unique identity number .. same like doctors have registration number . i donno if this is going to cause problem or not

      • http://aglasem.com/ Anwesha Bose

        Well if he has put the stamp, should be enough. The signature is legible, right?

        • AG

          yes he signed it infront of me …. its totally legible even wrote his designation and office number and kept a copy of the whole thing with himself … the board should not ask for id no. its personal no officer gives it if he doesnt know the other person very personally !

          • http://aglasem.com/ Anwesha Bose

            :) Well, don’t worry then. You should not face any problem with the board then. ID is just a fool proof way to acknowledge that the attestation is authentic. The stamp should be good enough in this case.

  • MG

    Is domicile certificate as in proforma A-ii(duly signed by head master of my school) enough or do I have to submit it in both proforma A-i and A-ii?

    • http://aglasem.com/ Anwesha Bose

      Hello MG. The thing has not been clearly mentioned in the brochure. We have requested WBJEE authorities to clear up the confusion as many students are facing this problem. We are awaiting their reply on this matter.

      • MG

        I have already sent an email to the wbjee email adress 4 days ago but still haven’t received any reply.

        • MG

          what can I do next? wait or do I have any other way to ask wbjee help desk?

          • http://aglasem.com/ Anwesha Bose

            It is advised then that you obtain both the certificates.

  • Sourav

    my domicile certificate has already been signed by competent authority, do I need to SELF ATTEST it……..???

    • http://aglasem.com/ Anwesha Bose

      Yes.

  • Archana

    I have not found any difference in the performa A1 and AII . Can you pl help. Is the parent”s voter id compulsory for submission as I am a single mother and don’t have one

    • http://aglasem.com/ Anwesha Bose

      Hello Archana
      Regarding AI and AII there is a major confusion and WBJEE is not replying to email queries. I would suggest both are sent.
      I am afraid that voters ID is compulsory. If you do not have Voter’s ID, do you have passport?

  • Ashmita Saha

    Proforma B here says ‘..students who are not residing in State of Bengal but whose parents are permanent residents…’. I haven’t been residing here in West Bengal for the past 10 years, but I do have a permanent address here, so it is not applicable for me, right? ‘Cuz I read the information brochure where it was mentioned on page 8 : “The Domicile of West Bengal shall be treated for those candidates who are
    EITHER
    Residing in West Bengal … (Proforma A-I and A-II)
    OR
    whose parent(s) is/are permanent residents of West Bengal having permanent addresses within
    the State of West Bengal (Proforma B).”

    Here in the statement above in Proforma B they haven’t mentioned anything about the student’s residential status. Should i send the Domicile Certificate?

    • http://aglasem.com/ Anwesha Bose

      As on 15 December 2013 if you have been resident of WB for 10 years or more then Proforma A is for you. If not, and your parents have a permanent address in WB then Proforma B is for you.

      • Ashmita Saha

        But I am studying in WB from the past 2 years. Does it make a difference?

        • http://aglasem.com/ Anwesha Bose

          No, the domicile criteria is clearly divided in the two as mentioned in the proforma.

  • Sirsha Mahartha

    i do +2 out of west bengal i.e. in bbsr but cmpltd my cls 10th in wst bngal. which proforma shud i use in wbjeem A1 or A2 or B ? anwesha di pls rply soon

    • http://aglasem.com/ Anwesha Bose

      As on 15 December 2013 if you have been resident of WB for 10 years or more then Proforma A is for you. If not, and your parents have a permanent address in WB then Proforma B is for you.

      • snigdha paul

        i have permanent address in west bengal but our family lives in another state and we have our ration cards of west bengal.. what should i do??

        • http://aglasem.com/ Anwesha Bose

          In your case Proforma B will be applicable.

  • Sirsha Mahartha

    my parnts hav resided in wst bngal fr more dan 10 yrs n me 2 hav cmpltd frm cls 1 to 10 in wst bngal itslf dn wch proforma shud i use ?

    • http://aglasem.com/ Anwesha Bose

      Proforma A will be used.

  • noorain shams

    i have got admitted in class12 in new school .they are not signing on domicile certificate. can i get it singed from our councillor.pls help me

    • http://aglasem.com/ Anwesha Bose

      Why are they not signing? You will be appearing for class 12 boards exam from this school only, right? There should be no reason they would not sign.
      I am afraid that proforma needs to be signed by school only.

      In case they still refuse, please contact WBJEE to seek permission as a special case.

  • noorain shams

    as i have joined the school in class11 so they are not signing on domicile certificate

    • http://aglasem.com/ Anwesha Bose

      You may try to get Proforma AI then.

  • Susanta

    i got my domicile certificate signed and stamped by the block development officer(BDO) ,but he hasn’t provided the certificate his ID No..the certificate has his sign,stamp n all.
    but is not having the ID NO going to create problem?

    • http://aglasem.com/ Anwesha Bose

      Some other students have also mentioned that the authorities are not mentioning their ID number. I believe it should not be a big issue if the stamp and sign are correct and legible.

      • Susanta

        oh one more question,
        i have filled TFW applicable in the online form.
        what will happen if i don’t send the TFW certificate along with the self attested documents.will there be any problem?

        • http://aglasem.com/ Anwesha Bose

          You may be then considered ineligible for the scheme.

          • Susanta

            oh ,but this won’t make me ineligible for the WBJEE right?

          • http://aglasem.com/ Anwesha Bose

            I don’t think so. However, if you have selected to opt for the scheme then please send documents also.

          • Susanta

            thanks for the help!!!

          • http://aglasem.com/ Anwesha Bose

            Welcome! Can you please share what other exams you will be giving this year so
            that exams can be added on AglaSem accordingly?

          • Susanta

            BITSAT,JEE,WBJEE thats all!!!

          • http://aglasem.com/ Anwesha Bose

            Okay! All these exams have been added with complete details here. Best of luck! :)
            If you want to, you can give a mock test of JEE Main here now – http://admission.aglasem.com/jee-main-2014-mock-test/

  • debojyoti

    do i hava to submit both A-I and AII

    • http://aglasem.com/ Anwesha Bose

      No, the point has just been clarified by WBJEE that Domicile/Residential Certificate, if applicable, should be provided either in Proforma-A1 or in Proforma-A2 or in Proforma-B.Certificate in any of the three abovementioned proforma will serve the purpose, even if more than one proforma is applicable for the candidate.

  • Anibarata SAha

    I hav already sent my application form with my telphone bill as the domicile certificate…. Would it be a problem?????????????

    • http://aglasem.com/ Anwesha Bose

      Telephone bill? Telephone bill is definitely not a “domicile certificate”! Please resend your form with domicile and proper documents.

  • Faisal

    I have sent my wbjee form but forgot to send the domicile certificate and instead of self attest my documents were attested by gazetted officer…
    Will there be a problem…???

    • http://aglasem.com/ Anwesha Bose

      You are advised to send the same page with documents and proper attestation again. DO not re-apply, simply use the same page.

  • Atul

    how to self attest domicile certificate

    • http://aglasem.com/ Anwesha Bose

      Simply sign on it (candidate signature).

      • Atul

        but there is no space given for candidate signature on proforma given by wbjee board

        • http://aglasem.com/ Anwesha Bose

          To self attest, simply sign on a blank space on the document.

        • http://aglasem.com/ Anwesha Bose

          To self attest, simply sign on a blank space on the document.

          • Atul

            thanks

  • Atul

    if i submit proforma A1 Can you plzzz….. tell me that it is necessory or not to submit voter id cards of my parents

    • http://aglasem.com/ Anwesha Bose

      Yes, voter’s ID card photocopy is required. If that is not there for any parent, you can use passport. In case none of the parents possesses a voter ID card/passport, a photocopy of any valid photo ID card of one of the parents issued by either the Central or State Government bearing his/her address, should be provided instead.

      • Atul

        i have my own voter id card can i sent the photocopy of that

        • Atul

          reply plzzzz

          • Atul

            thanks for suggestion

        • http://aglasem.com/ Anwesha Bose

          No, sorry. Parents ID is required.

      • snigdha paul

        plz suggest me other photo id card other than voter id card and passport..

  • snigdha paul

    plz tell me that should the confirmation page of wbjee is attested by gazetted officer or not?

    • http://aglasem.com/ Anwesha Bose

      All documents and photographs, including those pertaining to the parents of the candidate, to be self attested should be signed by the applicant only.

      Please read verbatim instructions on http://admission.aglasem.com/wbjee-application-form/

  • ayushi sharma

    Instead of voter id can I give photocopy of ration card plzzzz

    • ayushi sharma

      Nd if I m living on rent so cn I apply for domicile plzzzz help me mam

      • http://aglasem.com/ Anwesha Bose

        1. If as on 15 december you have been living in WB for 10 years or more, you need to provide Proforma A I or II. If you do not satisfy that condition, but your parents are permanent residents of WB, you can give proforma B.

        2. Along with the Domicile/Residential Certificate the applicant should provide a photocopy of the voter ID card/passport (2nd page) of one of his/her parents (either father or mother). In case none of his/her parents possesses a voter ID card/passport, a photocopy of any valid photo ID card of one of the parents issued by either the Central or State Government bearing his/her address, should be provided instead.

  • Vinod Chowdhary

    is domicile is required for all the student who fill wbjee..

  • Ishani Bhattacharya

    I have submitted my mother and father’s passport . so do i need to submit the domicile form? plz reply.

    • http://aglasem.com/ Anwesha Bose

      Yes, domicile certificate is compulsory. The passport and other documents is only for verification.

  • Ishani Bhattacharya

    then should i post with the domicile certificatr again?

    • Ishani Bhattacharya

      plz reply i am very much tensed…i hav already posted it without the domicile. what to do now?????????

      • http://aglasem.com/ Anwesha Bose

        Yes, please take print out of application form, attach all documents correctly, do all the formalities and send.

        • Ishani Bhattacharya

          btw here the application form means domicile form…….

          • Ishani Bhattacharya

            plz reply

          • http://aglasem.com/ Anwesha Bose

            No, I mean application form.
            1. Take print out of completed form.
            2. Attach documents including domicile certificate, and other as required (DOB, income and so on).
            3. Complete all formalities like signatures, photo attachment, self attestation.

            Then send it.

        • utirthya

          how can print dis page? please help

  • Ishani Bhattacharya

    thank you very much……..

    • utirthya

      ishani how can download dis page please help

      • Ishani Bhattacharya

        just type on google that domicile form certificate proforma I/II/III and u ll get the links.

      • http://aglasem.com/ Anwesha Bose

        Please download Information brochure as given on – http://admission.aglasem.com/wbjee-information-brochure/. That has the forms attached.

  • anurag

    i am a student of jharkhand and have applied for wbjee. do i need to send to staple my domicile certificate of jharkhand with the top sheet ? also pls rply what else should i send? do i have to tick the box of candidates initials on the top sheet. pls rply soon….

    • http://aglasem.com/ Anwesha Bose

      Domicile certificate is only needed if you apply for WB domicile.

      You need to attach
      1. Top sheet
      2. Self attested copy of e-challan / receipt.
      3. Self attested copy of class 10 admit card.

      Apart from this, if applicable attach
      1. Self attested copy of SC/ST/OBC/PWD certificate

      • anurag

        thx mam..i have done the payment through debit card. so i guess i only need to attach my std 10 admit card with the top sheet ? i am not applicable for st / sc / obc and pwd .

        • http://aglasem.com/ Anwesha Bose

          Please attach proof of transaction via credit/debit card. Take a printout of the transaction indicated in your account.

          • anurag

            thx mam…. :)

  • Arpan Podder

    the proforma for domicile is slightly different in information brochure and in external link of downloadable proforma..what should i do?

    • http://aglasem.com/ Anwesha Bose

      Please use the external link. What’s the difference btw?

      • Arpan Podder

        nothing much..just the size of the photograph box, the design a bit,,nothing else..i was just asking u//

        • http://aglasem.com/ Anwesha Bose

          Oh! Then not an issue. It is just the format that is important and the details you furnish in it.

  • Snehal Sinha

    mam……..i hav already sent my wbjem(only medical) confirmation page…..my domicile certificate has been attested by the “councillor”….and i also submitted my 10+2 registration certificate duly attested by gazetted officer as ws mentioned in d top sheet……bt later on i realized my registration certificate does not have my D.O.B printed on it…..dis is my second appearence and i have retained d previous year’s domicile certicate which ws attested by d superintendent of police……will these be an issue??plz help……

    • http://aglasem.com/ Anwesha Bose

      I am afraid that WBJEE might ask you submit some other proof for DOB then such as 10+2 admit card or Birth Certificate issued by any Municipal Corporation/Municipality/Panchayat under a State/UT Government.
      Did you track your status on WBJEE site?

      • Snehal Sinha

        in the wbjee website it says dat the application is yet to be received……bt on tracking the post with the number given on d slip,generated after sending d speed post says it hs been delivered to the wbjeeb office on 8th jan…………i realized that only my 10th admit has the date of birth printed on it…….i have all necessary documents bt is there any need to send it again….i mean if i crack the exam,i can produce all the docements at once during verification….. :)

        • http://aglasem.com/ Anwesha Bose

          If the PO says delivered, then your status must be updated as delivered soon. Don’t worry.
          Regarding documents, I would suggest you contact WBJEE once and request them for guidance. It is always better to do exactly what they say rather than leaving things for chance.

  • Deep

    mam i have already sent the confirmation page along with other documents required but forgot to attach domicile certificate.What should i do?Should i send the confirmation page with required documents again?Please help

    • http://aglasem.com/ Anwesha Bose

      Yes, please resend with all documents.

  • shoaib alam

    plz ny one cn u direct me how to download domicial certificate

  • sampurna kundu

    wat is d last date of submission??

    • http://aglasem.com/ Anwesha Bose

      Last date of Printing of Confirmation Page and Top Sheet: 31/01/2014

      Last date of Receipt of Confirmation Page: 08/02/2014

      Online Application Form submission: 18/12/2013 to 25/01/2014 11:59 PM.

      Payment of Fee : 18/12/2013 to 28/01/2014

      Last date of Printing of Confirmation Page and Top Sheet: 31/01/2014

  • kriti goyal

    mam …my aipmt form has been attested in d column provided but d photograph has not been attested …..how shud i rectify it???

    • http://aglasem.com/ Anwesha Bose

      Have you sent the form?

  • p k mandal

    my daughter born in delhi and my born and education in kolcata and permanent address is kolkata warking in delhi my daughter can apply for domicil

    • http://aglasem.com/ Anwesha Bose

      Have you been a resident of Kolkata for 10 years? If yes, then get Proforma A.
      If not, you need to submit the Proforma B. You will need some proof, such as voters card or Pan card or passport with WB as address.

  • Sushant

    mam.. can you plz tell me that i have to submit original domicile certificate dully signed & self attested or just a photocopy of that

    • http://aglasem.com/ Anwesha Bose

      Copy of the domicile, self attested.

      • Sushant

        thanks

        • http://aglasem.com/ Anwesha Bose

          Welcome!

          • Sushant

            mam… i have sent the confirmation page with necessary documents on 23rd january but on the wbjee site when i check receipt status it said yet to be received by board. plz tell me that there is anything to worry or i have to send once again

          • Sushant

            i have sent this to address AQ-13/1, Sector-V, Salt Lake City, Kolkata-700 091.

          • http://aglasem.com/ Anwesha Bose

            Yes, this is correct.

          • http://aglasem.com/ Anwesha Bose

            Track your status on PO once.

          • Sushant

            status tells that item had been delivered on 25th january but still on website it shows yet to be received by board mam.. can u plz tell me what to do next.

          • Sushant

            any suggestion mam…plz tell me

          • http://aglasem.com/ Anwesha Bose

            Wait a bit, status must get updated soon.
            You may also try to get in touch via call.

          • Sushant

            ok. thanks

  • Saloang

    Ma’am, i received the message of delivery on 16th january and it says that my confirmation page and evrythng has been recevid..bt wen i went to check my status it says “application form has been recvied bt yet to be verified” what does it mean?

    • http://aglasem.com/ Anwesha Bose

      You received a message? From whom?

      • Saloang

        from the WBJEEB …saying they have received my documents.,but wen i check my application status it says “application form has been received but yet to be verified”

        • http://aglasem.com/ Anwesha Bose

          Don’t worry. Verification might take a little time. As long as it has been received, you don’t have to worry.

          Right now you can login to check complete form with photo and signature.

  • anurag

    mam.. i had sent all my documents and top sheet last month on 16th. since then i have been continuously checking my receipt status . till now it is saying that the confirmation page has been received by the board but yet to be verified . it is saying the same since 25th of jan . now when i click on the link of view application with photo and signature it says – your photo and signature is yet to be uploaded . and my friend who had sent the documents a week after me has his photo and signature alrdy uploaded there . i am confused now . pls give a suggestion.. waiting eagerly for your reply……

    • http://aglasem.com/ Anwesha Bose

      “To be verified” is not an issue, but if your form is saying that photo and signature yet to be uploaded, then that is a cause for worry.

      Please call 1800 345 0050 to know what the problem is. Did you keep a copy of your application form?

      • anurag

        no mam , i did not keep a copy of my application form.

        • http://aglasem.com/ Anwesha Bose

          On WBJEE site the following numbers are given – (033) 23671198 and 1800 345 0050. Please call between 9 to 5. You should have kept the form. Anyways call once and check.

          • anurag

            ok.. mam i have a copy of the application form . i could find it after searching in my computer . so now what should i do with it ?

          • http://aglasem.com/ Anwesha Bose

            It must be having photo and signature too. Please email to wbjee[at]nic[dot]in with the following

            Mention your application ID
            Attach copy of your application form
            Attach screenshot of page that says your photo and signature is yet to be uploaded.

            Request help on this matter. This is a technical error on their end as you have uploaded your images and yet the system is showing this error.

            You may also call the given number and request correction.

          • anurag

            thank you very much mam . i had sent them a mail a few days ago after you said to do so . now my photo and signature have been uploaded on the website . thanks a lot …

          • http://aglasem.com/ Anwesha Bose

            Welcome Anurag! It was a pleasure!

  • http://batman-news.com Gesu Singh

    Ma’am,
    i sent everything .. confirmation page, top sheet e-challan copy alongwith me DOB proof.(+2 admit card). but few days ago i realised it doesen contain my DOB, now i hv been contacting them through mails nd calls, but in vain.. i did not get any reply, rather on phone they asked me to come to their office but I live in Patna. I am in worry, what to do now?

    • http://batman-news.com Gesu Singh

      on the website it shows that the photos and the signature is yet to be uploaded , nd my application form details are there .

  • Soumyata Panja

    Ma’am.
    till now my application status is “your photo and signature yet to be uploaded.”
    i have mailed them my problem but have not got any respond from them. what should i do now.?

    • http://aglasem.com/ Anwesha Bose

      Please login to the WBJEE correction window and see what is coming in the photo and signature field.