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Requisition For Issue of Multiple Copies of Transcript, Duplicate Degree Certificate/Identity Card and Other Documents

This document is a requisition form for multiple copies of transcripts, degree certificates, identity cards, and other documents from a university. It lists the various documents that can be requested, specifies whether hard or soft copies are available, and notes the fee required per copy of each document type. It requests information like the student's name, roll number, contact details, and reason for the request. It notes that documents can be collected after 3 working days of submitting the filled form along with prescribed fees. It contains additional sections for applications of bona fide certificates requesting details like program enrolled in, duration, addresses and student signature.

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Manish Mohanty
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37 views2 pages

Requisition For Issue of Multiple Copies of Transcript, Duplicate Degree Certificate/Identity Card and Other Documents

This document is a requisition form for multiple copies of transcripts, degree certificates, identity cards, and other documents from a university. It lists the various documents that can be requested, specifies whether hard or soft copies are available, and notes the fee required per copy of each document type. It requests information like the student's name, roll number, contact details, and reason for the request. It notes that documents can be collected after 3 working days of submitting the filled form along with prescribed fees. It contains additional sections for applications of bona fide certificates requesting details like program enrolled in, duration, addresses and student signature.

Uploaded by

Manish Mohanty
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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Requisition for issue of Multiple Copies of Transcript, Duplicate

Degree Certificate/Identity Card and Other Documents

Name ______________________________________________________________ Roll No. _____________________


Address ___________________________________________________________________________________________
________________________________________________________________________ Pin |___|___|___|___|___|___|
Contact No. __________________________ E-mail _____________________________________________________
Request for the issue of:
Tick as
Applicable
Hard
Soft
Copy
Copy

N. A.

Name of the Document

Fee in `
(Per Copy)

Duplicate Degree Certificate*

500/-

Final Transcript

500/-

Semester Transcript

100/-

NoC Certificate (For Ex-students)

500/-

Provisional Certificate

500/-

Duplicate Identity Card

200/-

Character Certificate

200/-

Certificate of Verification
(Bona-fide/NoC/Equivalent)

100/-

Copies
Required

Total
Amount

N. A.

Additional Fee of ` 100/- per document in case of soft copy required


Grand Total

Reason (Indicate briefly the reason for obtaining above document)


_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Certified that the information given above is correct and fee submission receipt is
attached herewith.
Place:
Date:

Signature

* Copy of FIR should be enclosed for lose of degree certificate.


Note: You can collect the requested documents, in person, after 3 working days of receipt of duly filled
requisition form along with prescribed fee.

Received on Date __________________ Signature_________________________

Please fill the following if you are applying for a Bona-fide Certificate

Name

_______________________________

Fathers Name

_______________________________

Mothers Name

_______________________________

Programme

BS-MS/Integrated Ph.D./Ph.D. Pursuing Since _____

Duration

______ Years

Present Address

___________________________________________________
___________________________________________________
___________________________________________________

Residing Since

_______________________________

Permanent Address

____________________________________________________
____________________________________________________

Please submit one copy of passport size photograph along with this form

Students Signature

Dealing Assistant
Department Office

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