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Student's Details: Sl. No. Nature of Service Required Cost Per Set/ Copy No. of Sets/ Copies Total Amount (RS.)

The document is an application form for students of VIT University to request official academic documents including grade sheets, transcripts, degree certificates, and more. It collects the student's details like name, registration number, contact information and address. It lists the various documents that can be requested, the applicable fees, and payment and delivery options. The bottom section is for office use to track the application number, receipt details, processing and delivery dates.

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70 views2 pages

Student's Details: Sl. No. Nature of Service Required Cost Per Set/ Copy No. of Sets/ Copies Total Amount (RS.)

The document is an application form for students of VIT University to request official academic documents including grade sheets, transcripts, degree certificates, and more. It collects the student's details like name, registration number, contact information and address. It lists the various documents that can be requested, the applicable fees, and payment and delivery options. The bottom section is for office use to track the application number, receipt details, processing and delivery dates.

Uploaded by

prudhvi
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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Office of the Controller of Examinations

Application
Students Details
Register No.:
Name:
Mobile Number:
Email ID:
Address for correspondence / Delivery:
House/Apt. No:
Building/ Street No.:
Address line:
City:
State:
Postal code:
Sl. No. Nature of service required

Country
Cost per set/ copy

1. Provisional Grade Sheet (Proof of demand required)

No. of Sets/ Copies Total Amount (Rs.)

Gratis

2. Official Consolidated Grade Sheet (Transcript)

Rs.250/ per set

3. Official Statement of Grades - Semesterwise (Specify the


semesters+Exam Month)

Rs.150//semester

4. Provisional Degree Certificate

Rs.200/-

5. Request for Scanning (Rs.25/ page)


Total Charges
Payment mode
1VIT Cash Counter Receipt No.: _____________ Dated: _ _ _ / _ _ _ / 201 _ for Rs. ___________
1Demand Draft [ should be payable to VIT University at Vellore, India; Cheques / Money Orders/Other form of payments not accepted]
Name of the Bank:_________________________________________________________ City:____________________ Country:_______________
Demand Draft No.___________ Dated:____________ for Rs.___________
Special requests:
In sealed cover: Yes/ No Others:___________________________________________________
Mode of Delivery (Tick any one; all deliveries require a minimum of 2 working days from the date of confirmation of payment):
1Self collection at CoE Office
1By post: (Self addressed envelope with necessary postage is required)
1Authorized collection (Any valid Photo ID is required for delivery): Name of the person:____________________ Relationship:___________
Signature of the applicant:_______________________________________ Date:___________________
Office Use only
Appl. No.:______________________
Date of Receipt: _ __ /__ __ /201__
Date of Payment Confirmation: _ __ /__ __ /201__
Date Centre:
Received on : _ __ /__ __ /201__
Processed On: _ __ /__ __ /201__
Delivered on : _ __ /__ __ /201__ Post/ Person
Delivery:
Counter Receivers Name:_____________________________________________________________________
Signature ____________________________________________________ Date: _ __ /__ __ /201__

Acknowledgment for Receipt of the Application


Reg. No.___________ Name:_______________________________
Bill No._______ Dt.______ Amt Rs.____________
(Please produce this at the time of collection of transcript in person)

Office Seal

Packing Instruction for Sealed Covers


Put a tick mark against in the corresponding columns of the documents to be sealed.
Pack No.

Consolidated

Semesterwise

Provisional degree

Others*

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

* Other certificates like cover page/ transcript request form from the University to which the student applied

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