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KAZI NAZRUL UNIVERSITY
APPLICATION FORM FOR OUTWARD
Rate of fee: Rs.220/- MIGRATION CERTIFICATE Raden racaeaay
before filing up the form
Aeris
To
The Registrar
Kazi Nazrul University
Asansol-713304 1
Paschim Bardhaman
Sir,
| am to request you to be so kind as to grant / issue a Migration Certificate in my favour for the
cause stated hereunder, Necessary particulars relating to my prayer are given in the following statement.
Yours faithfully,
Signature of the Student
‘STATEMENT OF PARTICULARS :
1. (A)_ Name of the Student (in block letters)
a. In English according to registration Certificate
b. In Bengali
(8) Male / Female
2. (a) Name of the Father
(b) Name of the Mother :
(c) Husband's Name (in case of married women student) :
3. Name of the course and University where the student
desi
to join on migration
4. Registration Number of this University with year of Registration
(Original Registration Certificate is to be enclosed)
5. Home Address with Pin Code No. and Contact No. i
should be mentioned here
6. (a) Name of the College where from the student's name was :
registered first under this University
(b) Name of the College/University where the student studied last:
(c) Citizenship of the student
7. Last Examination of this University (with Year & Roll No.)
Passed or appeared.8. Particulars of fees deposited, (Photocopy of with date) :
CChallan Fees No. with date
Signature of the Student in ful
8. Countersigned recommended and forwarded for|
‘case of student who did not complete the course).
uing ! granting migration certificate. (application in
Checked
Dealing Assistant
Superintendent :
Deputy / Asstt. Registrar :
ISTRUCTIONS
1. Fees should be deposited in Case at the University Cash Counter as outward Migration fee.
2. Migration Certificate will be delivered by hand within seven days (07) from the date of receipt of application.
3. Incomplete application will not be considered. The matter of granting / issuing Migration Certificate
{is subject to satisfying all the stipulations stated above.
4. Application form completed in all respect with relevant documents must be submitted personally /
‘Through authorized messenger / by post only.
5. Application must be accompanied with an authenticated copy of Mark sheet / Certificate of last Examination
assed from this University and Original Registration Certificate (which will be Migration Certificate).
6. Hfrequired, Mark sheet & other testimonials (in original) will have to be produced by the students.
7. Students who got registered under this University and did not complete his / her course have to
Produce a certificate from the concerned College / Institute and the application should be forwarded
by that authority,
8. Ifa student is not already registered under this University, he/she will have to be registered first under The
University before applying for having Migration Certificate in his/her fovour.
8. In case of a foreign student, this application Is to be forwarded through the concernéd High Commission!
Embassy after fulfilling the above requirements.