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

WBJEE 2014 Proforma for Residential-Domicile Certificate
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  • sumit kumar

    who are the certifying authority having ID no. and one more quary there is – domicile performa B has no date ristriction also not mentioned in information broucher please reply fast i am in problematic situation……………..

  • Apurba Das

    I had sent original domicile certificate with confirmation page.Now I need to submit the domicile certificate at reporting centre.What I will do? pls rply…….