Scribd
Upload
501 views4 pages

Convocation Application Form

The document is an application form for a degree certificate from a university. It requests information such as the applicant's name, degree details, date of passing, and fees payment. Supporting documents like marksheets also need to be attached.

Uploaded by

legallaw
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
501 views4 pages

Convocation Application Form

The document is an application form for a degree certificate from a university. It requests information such as the applicant's name, degree details, date of passing, and fees payment. Supporting documents like marksheets also need to be attached.

Uploaded by

legallaw
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
You are on page 1/ 4

Price : Rs.

200/-

PlP gd P zAi
Karnataka State Law University, Navanagar, Hubli

Passport Size
Photography

z it v qAi Cf
Application Form for Degree Certificate

P / WnPvz z z
Annual /Special Convocation for Conferring Degree

1. zAi g

Pag (ii), PlP P zAi,

2. z t

Name of the Degree.


Class obtained .

The Registrar (Evaluation), Karnataka State Law University, Hubli

3. z
Year of passing.

ig,

4. svA Pnz AP
Date of declaration of result ...

Sir,

wAU qAig zAiz WnPv


z z qAi Cf wz.

g ________________

I am applying for the Degree at the University Convocation to be held in

F PU z zAi it v Pj EzP z Cf g.
I have not applied for conferring the Degree mentioned below prior to this application.

z it vP CUvg J iwU F PU Ptz.


All the particulars required for conferring the degree are prescribed below :

C.A.
Sl. No.

gU

CsyAi sw iqP

Particulars

To be filled by the candidate

CsyAi t g (CAPnAizAv)
Name of the candidate (as per Marks Card)

g/
Male/Female

zAiz g, Pq A./vPvg
sUz
g
Name of the College with code No./P.G. Dept.

CsyAi qAig z/riz g


Name of the Degree/Diploma for which applied

z U
Class obtained

jPU
Pv AP
Examination Registration No.

jP z wAU v
Month & Year of passing the examination

Aiv zyAiiV jPAi Vgz.


As a Regular candidate.

Gvjz/Cvjz z qAi Cjgg.


Whether applicant is eligible to take the Degree in Person or in
Absentia.

10

gAiv
Nationality

11

z J g zrPv CAPnU
WnPv
z CfAi evU UwP.
Attested Marks Cards copy of all the semester should be enclosed
with the Convocation Application.
ACKNOWLEDGMENT
Sl. No. of Application :..
Received the Convocation application form from Shri/Smt.
for the Degree of

today the
1. Degree
2. Class
3. Year of Passing
4. Date of declaration

:
:
:
:

..
..
..
..

Examination Section
Karnataka State Law University, Hubli

Note : BRING THE ATTESTED COPIES OF THE FINAL YEAR MARKS CARD AND CONVOCATION FEES PAID
CHALLAN/D.D. FOR ENQUIRY IN.

t g (PAi z CAP nAi EzAv) (Pq v EAV sAi gj)


Full name (as per Final Year Marks Card) (Write in Kannada and English version)

1.

CsyAi g

Name of the candidate

2. vAzAi g

Fathers Name

3. vAi g

Mothers Name

4. Cq g

Surname

.. : 1. z it v Pq U DAU sAi qz, CsyAi WnPv


P CfAi
U CAPnAi zAv v t g Pq U EAV Jgq sAi
V gAiz.
2. CsyAi Ar (riAq qs)Ai AAi v g V z. ArAi
Ai wAiiUAwgP.
Special Instructions :
1. While filling application for convocation the candidate should write his/her name both in Kannada and English version, so as
to enable us to write his/her name in the Degree Certificate.
2. The candidate must write his/her name on the back side of the Demand Draft. The Demand Draft must be payable at Hubli and
be drawn in favour of Finance Officer, Karnataka State Law University, Navanagar, Hubli.

Uvrz g.....................................U zAiz vPjU, PlP gd P


zAi,

Eg

jU

Ar

(riAq

qs)

A................................................

AP

.................................... P vAVz.
The prescribed fees of Rsis paid in the form of Demand Draft bearing
No . dated drawn in favour of the Finance Officer, Karnataka State Law University, Hubli,
payable at Hubli.

PAi PVzAiAz F P Wv .
I declare that the statements made above are correct.

v
Yours faithfully

CsyAi
Signature of the Candidate

CAZ : Address for correspondence (in capital)

1.

zAiiz t P UAq g qzPAq Cx Aiiz Q gAijU zv z AU


gvr j zu iqzP Cwz zyU F z zAiz zRz
jAU v g iqP.
Change in name is not permitted as in the case of women adopting the name of her husband or in the case of person changing the
name after he goes in adoption to some other person. The candidate should however correspond with the name that is already
recorded in the University.

2. CsyU v g V gAiP. CfAi gz g zAiz zRAi z


jU j Azz zj Cf gzUz. MAz CsyAi j zuU zAiz
Pag Cw Pnz D vz wAi C/C CfAi evU dg rP.
Candidates shall write their names legibly. If the name written in the application does not tally exactly with that of the University
records, the application will be rejected unless the candidate submits with the application the original letter from the Registrar,
Karnatak State Law University permitting him/her for the change in name.

3. CsyAi v lAS 02 v 04g CV z.


Address should be written by the candidate on page no. 2 and 4 compulsorily.

4. x Uz v qz , x U, wAi U Cx i (vwAi) Uz
zzP PiAP 5g JzjU z.
Write First Class with Distinction, First, Second or Pass as the case may be against item No. 5.

z, vPvg z U riUU AAz F PVAwz:


Following are the Fees for issue of Original Degree Certificate of all the Degree and Diploma Courses :

1.

J Aiv vPvg
, vPvg
ri U gAP
ev z CsyU P
z qAi (v Pt
P
z Gwtgz zyUU iv

Rs. 1000/-

In person-all regular U.G., P.G./P.G. Diploma Certificate candidates & Rank


Holders in Bachelor Degrees candidates (Current year successful candidates
only)

2. J vPvg
, vPvg
ri U nPm U
z CsyU Cw z qAi (iv)

Rs. 1500/-

In Absentia- P.G./P.G. Diploma Certificate and Bachelor Degree candidates


only

1. Gv - vPvg
z zyUU iv
2. Cv J zAi z zyUU iv
3. z zyUU WnPv
Cf
(i) In person PG foreign students only
(ii) In Absentia for all U.G. Courses Foreign students only
(iii) Application fees for Foreign National Students

100/- USD
150/- USD
25/- USD

Z :
*1. z zyU z t qgUU z sgwAi gU wz.
2. WnPv
z Zzg Pq A. ............P sjz.
3. Aiig z itvU P
qAi Cf WnPv
z zAz z itv
qAiz CAxg Ugdj (Cw) CsyUAz jUt
Uz v CAxg CwAi
vAPUz.
Special Instructions :
*1. The foreign students can pay the equivalent amount of fees in Indian currency.
2. Those who use the challans need to remit the convocation fee to Code No.
3. The persons who have applied for conferring of the degree certificate in person but did not obtain his/her certificate on
convocation day, will be treated as in absentia and they will have to pay absentia fees.

PZjAi sw iqz :
To be filled in by the Office

1. svA Pnz AP :

CPP g, jP sU
Date

Month Year

Result declared on:

O. S. Examination Branch

/ Signature.

2. WnPv
z CfAi jzg :
Convocation application verified by

g/ Name
From :
The Registrar (Evaluation)
Karnataka State Law University,
Navanagar, Hubli
Karnataka-India

Candidates address for dispatch of degree certificate (in capital letters)

O.I.G.S.
Karnataka State Law University, Navanagar, Hubli

To,

You might also like