Degree_Application_Form
Degree_Application_Form
Application Form
(Before filing the form, carefully read the instructions at page # 2)
1. Mark the document/s you are applying for: -
□ Degree □ Transcript□ Duplicate/Revised Degree□ Duplicate/Revised Transcript
(Attach fresh photograph) (Attach fresh photograph)
Declaration:
I _______________________________ S/D of ____________________________________
University Regd. No. __________________ a student/graduate of _____________________
Technology/Discipline, do hereby state that no outstanding dues of this University against my
name and I have deposited the prescribed fee for the certificate/degree applied for. The receipt
is attached herewith.
I solemnly declare that I have filled up the form myself and particulars mentioned therein are
correct to the best of my knowledge and belief.
Date: ______________ Name & Sign of Applicant: _______________________________
2. The original receipt/challan of fee paid should accompany the application form
otherwise it will not be entertained.
3. If you are applying for Transcript then attach a fresh passport size photograph with your
name, Father Name, Registration No. and signature at its backside. This photograph
will be printed on the transcript.
Note:
(i) The certificate or duplicate copy except degree will be issued within week on the
receipt of application form and fee.
(ii) Degree will be issued within 4 weeks on the receipt of the clearance form/ application
form.
(iii) Transcript will be issued within 3 weeks on the receipt of the clearance form/
application form.