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36 views1 page

Ugpdc PDF

Uploaded by

nawaz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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VISVESVARAYA TECHNOLOGICAL UNIVERSITY, BELAGAVI

Application for Issue of


PROVISIONAL DEGREE CERTIFICATE
(The Candidates, on fulfillment of requirements for the award of the degree, can directly apply to the office
of The Registrar (Evaluation), V.T.U. Belagavi – 590 018 )

Name of the Candidate


(As it is in Marks Card)

University Seat No.

Details of fee paid D D No. : Date : Bank :

• Do not Enclose Copies of Marks Cards.


• Enclose a DD for Rs. 400/-, drawn in favour of The finance Officer, VTU Payable at Belagavi

FIRST ATTEMPT TOTAL OF LAST FOUR SEMESTERS ( As per Marks Cards)


**** DO NOT INCLUDE MANDATORY AND BRIDGE COURSES IN TOTAL
Course V Sem VI Sem VII Sem VIII Sem Total Class

B. E./ B.Tech

Permanent Address: .................................................................................................................................................

................................................................................... Contact No. (Resi)……….....................Mob:........................................

For Office Use only :


DRAFT RECEIVED
Signature of the Candidate
DD No. …………………… Date ………..…….

Bank………………………..…. Rs. ….………..


Signature & Date …………..…..……………..

UNDERTAKING

I Mr./Ms ......................................................................................................................do hereby undertake that, I


will not apply for Revaluation, Retotalling, Photocopy of Answer Scripts and Challenge Revaluation.

Signature of the Candidate

MAILING ADDRESS TO WHICH PDC TO BE SENT ( IN CAPITAL LETTERS )

Name : ( USN: )

Add :

Pin Code: Contact No. (Resi)…………………………… Mob:………………..…………

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