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    DEGREE Eng

    Uploaded by

    Ankit Kumar
    This document is an application for a degree certificate from Sri Satya Sai University of Technology and Medical Sciences. It provides personal details of the applicant such as name, father's name, year of passing high school and the university examination. It also includes the applicant's declaration and request to send the degree certificate to the mentioned address after verification of examination details from the university records.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DEGREE Eng

    Uploaded by

    Ankit Kumar
    39 views2 pages
    This document is an application for a degree certificate from Sri Satya Sai University of Technology and Medical Sciences. It provides personal details of the applicant such as name, father's name, year of passing high school and the university examination. It also includes the applicant's declaration and request to send the degree certificate to the mentioned address after verification of examination details from the university records.

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    DEGREE_Eng

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    This document is an application for a degree certificate from Sri Satya Sai University of Technology and Medical Sciences. It provides personal details of the applicant such as name, father's name, year of passing high school and the university examination. It also includes the applicant's declaration and request to send the degree certificate to the mentioned address after verification of examination details from the university records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views2 pages

    DEGREE Eng

    Uploaded by

    Ankit Kumar
    This document is an application for a degree certificate from Sri Satya Sai University of Technology and Medical Sciences. It provides personal details of the applicant such as name, father's name, year of passing high school and the university examination. It also includes the applicant's declaration and request to send the degree certificate to the mentioned address after verification of examination details from the university records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Sri Satya Sai University of Technology and Medical Sciences, Sehore

    University Established by M.P. Legislature Act No. 06/2014 and Duly Recognized by UGC U/S 2(F)
    APPLICATION FOR ISSUE OF DEGREE CERTIFICATE

    To,
    The Registrar,
    Sri Satya Sai University of Technology and Medical Sciences,
    S.H. -18 , Bhopal-Indore Road,
    Sehore (M.P.)
    Pin Code – 466001

    Sir ,

    With due to respect I would like to bring in your notice that I have completed ………………..( Name of the
    Examination from ……………………….( Name of Department ) of Sri Satya Sai University of Technology
    and Medical Sciences .I want to get my degree certificate . I have already paid the prescribed fee of
    Rs…………... through the bank Challan no. ……………… dated ……………………….. .Copy in support of
    my payment is attached herewith. Information to be furnished toward University is as follows.

     Name of the student (In English) : ………………………………………………………………………


     Name of the student ( In Hindi) : …………………………………………………………………………
     Father/ Husband Name ( In English):………………………………………………………………………
     Father/ Husband Name ( In hindi ):………………………………………………………………………
     Year of Higher Secondary passed :……………………………… Result………………………………
     Last examination passed from University :………………………………………………………………

    (Attach attested copy of Marksheet )

     Year of last examination passed from University:……………………… Roll No………………………...

    Result…………………. ………………….. Total marks obtained……………….Division ……………

    I hereby declare that all the information contained in this application form is in accordance
    with facts or truths to my knowledge. I have not hidden any information. Please send the Degree certificate at
    following address .

    Signature of the Examinee …………………………………


    Address of Correspondence …………………………………
    ………………………………….
    ...………………………………..
    …………………………………..
    Pin Code …………………………………..
    To be filled by Applicant for Verification from Examination Department

    Roll no ………………..…………. Enrollment no……………….. Name of Examination……………………….


    private/regular………………….Department of University………………………………………………………..
    Examination centre……………………….... Result………………Marks obtained……………Division………..

    Above information matched from array sheet then sent to Academic department.

    …………………… ………………….. … …………………………


    Junior Superintendent Senior Superintendent Assistant Registrar
    (Examination)

    Academic Department for Degree Section

    After the verification from Examination Department, Degree Certificate to be prepared and sent to the
    Applicant’s Address.

    Assistant Registrar
    (Academic)

    Details of Degree Certificate Dispatched


    Dispatch No. of Degree Certificate …………………………….
    Degree Certificate No . ……………………………. Date…………………….

    Senior Superintendent
    (Academic)

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