Scribd
Upload
370 views3 pages

ConvocationAppln PDF

This document contains an application form for admission to the annual convocation at Pondicherry University. It requests information such as the applicant's name, degree details, address, and payment details. The instructions specify that a Rs. 500 fee is required for a regular application or Rs. 1000 for a tatkal application, and relevant certificates must be enclosed. Contact information is provided for any clarification.

Uploaded by

Fouthika
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
370 views3 pages

ConvocationAppln PDF

This document contains an application form for admission to the annual convocation at Pondicherry University. It requests information such as the applicant's name, degree details, address, and payment details. The instructions specify that a Rs. 500 fee is required for a regular application or Rs. 1000 for a tatkal application, and relevant certificates must be enclosed. Contact information is provided for any clarification.

Uploaded by

Fouthika
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/ 3

Rs.

50/-

PONDICHERRY UNIVERSITY
APPLICATION FOR ADMISSION TO THE ANNUAL CONVOCATION
(TO BE CAREFULLY FILLED IN BY THE CANDIDATE)
l

1. Mode of Application : Regular Tatkal

2. Name (in BLOCK letters) as enrolled in : _____________________________________________


the University Records in ENGLISH

3. Gender : Male Female

4. Degree for which the application is now : _____________________________________________


made

5. Subject / Branch : _____________________________________________

6. Register Number :

7. Month & Year of Passing : &

8. Class or Grade (as in Provisional Certificate) : _____________________________________________

9. College / University Department in : _____________________________________________


which Studied

10. Address to which the Degree Certificate : Name : ___________________________________


should be sent Reg. No. : ___________________________________
Door No. : ___________________________________
Street : ___________________________________
Location : ___________________________________
City : ___________________________________
State : ___________________________________
Country : ________________ Pin Code : __________
11. Mobile Number :

12. Email Address :


_____________________________________________
13. Convocation Fee Details : Name of the Bank : ___________________________
Branch : ___________________________
Amount : Rs. _____________
D.D. / Challan No. : ________________
Date : ________________

(P.T.O.)
-2-

To be filled in by candidates applying for P.G./ Ph.D. Degree

14. Qualifying Degree (U.G./P.G. Degree) : ____________________________________________

15. Month & Year of obtaining the : &


Qualifying Degree at a Convocation

16. Name of the University at which the :


Qualifying Degree was obtained ____________________________________________

17. If the candidate has already been : Degree: ______________________________________


admitted to any degree of this
Date of Convocation: ___________________________
University at Convocation
College: _____________________________________

18. Whether any application was ever : Yes No


made for admission to this same
Degree previously, and if yes, give Name of the Bank : ___________________________
details and enclose the proof for the Branch : ___________________________
payment made. Amount : Rs. _____________
D.D. / Challan No. : ________________
Date : ________________

Station:

Date: Signature of the Candidate

-------------------------------------------- INSTRUCTIONS TO CANDIDATES ------------------------------------------


1. The Candidates applying for DEGREE CERTIFICATE have to pay the following fee
i) For Regular Mode: Rs. 500/-.
ii) For Tatkal Mode: Rs. 1000/-.
2. The Candidates applying for M.B.B.S., B.D.S., M.D. and Ph.D. Degree Certificate in Tatkal Mode have to
pay the Degree Certificate fee of Rs. 500/- also in addition to Rs. 1000/-.
3. The following certificates should be enclosed:
i) Copy of Provisional Certificate (Attested / Self–Attested with declaration form).
ii) Copy of the Higher Secondary Certificate if applying for Under Graduate Degree.
iii) Copy of the basic Qualifying Degree (Under Graduate) if applying for Post Graduate Degree.
iv) Copy of the basic Qualifying Degree (Post Graduate) if applying for Ph.D. Degree.
4. The prescribed fee may be paid in the form of Demand Draft drawn from any Nationalized Bank, in
favour of the “FINANCE OFFICER, PONDICHERRY UNIVERSITY, PUDUCHERRY-605014” payable at
“PUDUCHERRY” (or) may be paid in the Indian Bank, Pondicherry University Branch.
i) Degree Certificate fee of Rs. 500/- in Pink Color Challan A/C. No.: 413264148.
ii) Tatkal fee of Rs. 1000/- in Tatkal Challan A/C. No.: 707152156.
5. For any clarifications please contact:
The Convocation Section, Examination Wing, Pondicherry University, Puducherry – 605014.
Telephone : (0413) – 2654849
Email Address : [email protected]
----------------------------------------------------------------------------------------------------------------------------------------------

(P.T.O.)
Address Slip
Address to which the Degree Certificate :
should be sent Name : ___________________________________
Reg. No. : ___________________________________
Door No. : ___________________________________
Street : ___________________________________
Location : ___________________________________
City : ___________________________________
State : ___________________________________
Country : ________________ Pin Code : __________
Mobile Number :

Address to which the Degree Certificate :


should be sent Name : ___________________________________
Reg. No. : ___________________________________
Door No. : ___________________________________
Street : ___________________________________
Location : ___________________________________
City : ___________________________________
State : ___________________________________
Country : ________________ Pin Code : __________
Mobile Number :

You might also like