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PD C Form

1) The document is an application form for students of non-autonomous colleges to apply for a Provisional Degree Certificate (PDC) from Visvesvaraya Technological University. 2) It notes that only students who completed their degree in 2021 are eligible to apply, and that the application must be filled online and the payment receipt enclosed. 3) The application requests the student's name, university seat number, old seat number if applicable, details of the 400 rupee fee paid including payment ID and date, and the student's total marks of the last four semesters or CGPA for CBCS students.

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Aliya Khan
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0% found this document useful (0 votes)
196 views1 page

PD C Form

1) The document is an application form for students of non-autonomous colleges to apply for a Provisional Degree Certificate (PDC) from Visvesvaraya Technological University. 2) It notes that only students who completed their degree in 2021 are eligible to apply, and that the application must be filled online and the payment receipt enclosed. 3) The application requests the student's name, university seat number, old seat number if applicable, details of the 400 rupee fee paid including payment ID and date, and the student's total marks of the last four semesters or CGPA for CBCS students.

Uploaded by

Aliya Khan
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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VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi- 590018


Application for issue of Provisional Degree Certificate for UG Courses (PDC/UG)
ONLY FOR STUDENTS WHO COMPLETED THEIR DEGREE IN 2021 EXAMINATION
For Students of Non-Autonomous colleges only
POINTS TO NOTE
 Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid
 DDs are not accepted
 Fees paid once cannot be refunded. Please check you are eligible to apply for PDC before submitting application.
 PDC is valid only until the next convocation. Do not apply for PDC if you have received your Degree Certificate PDC/UG
 PDC is issued only once. If you lose it, you can only obtain a duplicate copy.
 Do not attach copies of marks cards or any other document.
 As per notification dated 5th May 2020, Scan the application and online payment receipt and other documents(if
any) to [email protected]
Name of Student
(As on Grade/Marks Cards)
University Seat Number Old USN (if applicable):
Details of Fees Fee paid: ₹ 400-00
Choose Category “F – Fees to be Payment ID: ____________________________ Date: _________________
paid by student” – Examination
 Non CBCS First attempt total marks of last four semesters (excluding CIP and CIV)  CBCS CGPA: _____________
Non CBCS CBCS Non CBCS and CBCS
th th th th th th
Course 5 Sem 6 Sem 7 Sem 8 Sem 9 Sem 10 Sem Total CGPA Class
B.E. / B.Tech.

CHECKLIST
 I declare that I have not studied in an Autonomous college
 Online receipt of fees paid
UNDERTAKING
I Mr/Ms _____________________________________________ do hereby undertake, that I have not applied/will not apply
for Revaluation and/or Photocopy of my answer scripts of any subjects of the current exam.
Name: _____________________________ Address: ________________________________________________________
Mobile: ____________________________ _______________________________________________________________
Date: _________________ _______________________________ Signature: ______________________
Application by Post Application by Hand (In person at VTU Belagavi)
Send the filled and signed application form and online receipt  Apply before 12:30 pm. Documents will be issued on the same day after
of fees paid to the following address: 4:30 pm on all working days.
Registrar (Evaluation)  Second and Fourth Saturdays of the month are holidays, other Saturdays
Visvesvaraya Technological University are full working days.
Jnana Sangama
Belagavi- 590018
For Office Use Only
Case Worker: _________________ Special Officer: __________________
To be filled in by applicant
POSTAL ADDRESS TO WHICH PDC IS TO BE SENT (This portion will be cut and pasted on envelope. Check for correctness)
Note: Postage/processing fee of ₹ 1,500-00 to be added to the fees for addresses outside India

Name USN:

Address

PIN Mobile/Email:

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