Scribd
Upload
391 views1 page

Dr. A.P.J. Abdul Kalam University, Indore

This document is an application form for students of Dr. A.P.J. Abdul Kalam University to request migration, provisional, or transcript certificates. The form requires applicants to provide personal details like name, father's name, examination details, marks obtained, and college information. It must be signed by the applicant and certified by the principal or head of the institution. The applicant must also enclose relevant documents like marksheets and pay the prescribed fees depending on the certificate needed. Certificates will be issued within 30 days after receiving the completed application.

Uploaded by

teter
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
391 views1 page

Dr. A.P.J. Abdul Kalam University, Indore

This document is an application form for students of Dr. A.P.J. Abdul Kalam University to request migration, provisional, or transcript certificates. The form requires applicants to provide personal details like name, father's name, examination details, marks obtained, and college information. It must be signed by the applicant and certified by the principal or head of the institution. The applicant must also enclose relevant documents like marksheets and pay the prescribed fees depending on the certificate needed. Certificates will be issued within 30 days after receiving the completed application.

Uploaded by

teter
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/ 1

Dr. A.P.J. ABDUL KALAM UNIVERSITY, INDORE (M.P.

)
Indore Dewas Bypass Road, Arandia, Indore - 452016

Application Form For Issue of Migration/Provisional/Transcript Certificate


To be filled by the office
Recent Passport
To, Certificate No…………………………………
size Photograph
The Registrar, Dispatch No…………………………………… duly attested by
Dr. A.P.J. Abdul Kalam University, Date………………………………………………. Director/Principal
with seal
Indore. Dealing Asstt.
Sir,
I was a student of this University studied as Regular/Ex -student in the ………...................................................
.....................………………………………………………….……………………………………………………………………………………...…………. (College)
and passed the examination in the Month and Year……………………………………… in ........................................ Division. I
request you to kindly issue me Migration/Provisional Certificate.

The necessary fee of Rs. ………………………………….……………………….………….………………………. has been deposited in


Bank Draft No. ……………………………………. of Bank ……..……………………………………………... Dated…………………………………….……….

1. Full Name in English (In Capital Letters) ……………………………….……………………….………………….……………………………………


2. Full Name in Hindi ……………………..……………….………………………………………………...……………….………………………………….….
3. Father's Name …………………………………………………………………………………………….………………………………………………………...
4. Mother’s Name ………………………………………………………………………………………….………………………………………………………….
5. Examination last appeared/passed …..……………………… Year …..……………………… Division/Grade …..………………………
6. Marks obtained in last semester/year ……………………….…..….. Out of ….…………..……..…
7. Grand total (Including all semester/year) …………….…………….. Out of ………………….…..…
8. Branch …………………………………………………… Enrollment No.: ……………………………………………………..……………………………
9. Name of the Institution………………………………………………………………………………………………………………………………………….
Date:……………………………
Address:……………………………………………………. Yours faithfully
………………………………………………………………….
Pin………………………Phone………………………….. (Signature of Student)
---------------------------------------------------------------------------------------------------------------------------------------------------------------
CERTIFICATE TO BE RECORDED BY THE PRINCIPAL/HEAD OF THE INSTITUTION
Certified that the eligibility for award of Migration/ Provisional certificate have been checked with
the original of the concerned certificates, marksheets, office record of the institution and found correct.
The candidate may be issued the desired certificate.

Signature and seal of the Principal/Head of the Institution


Enclosures required: (Please tick () in appropriate box if enclosed)
1. For Provisional Certificate please enclose a copy of the Final Semester/Year Marksheet attested by the concerned
Principal/Head of the Institution.
2. For Migration Certificate please enclose copies of the Final Semester/Year Marksheet and T.C. attested by the
concerned Principal/Head of the Institution.
3. For Transcript Certificate please enclose a copy of the 1st to Final Semester/Year Marksheet attested by the concerned
Principal/Head of the Institution.
4. Demand Draft is payable in favor of Dr. A.P.J. Abdul Kalam University (Exam), Indore.
Note:
1. Migration, Provisional and Transcript certificate will be issued after 30 days of receipt of application with prescribed fees.
2. Incomplete application(s) without requisite enclosure (as above) shall not be considered.
3. Recent passport size photograph self attested.
Non Refundable Fees:
Migration Certificate Rs. 150/- Provisional Certificate Rs. 200/-
Postal Charge Rs. 50/- extra Postal Charge Rs. 50/- extra
Transcript Certificate Rs. 1000/- Second Copy Onwards Rs. 500/-
Postal Charge Rs. 50/- extra Postal Charge Rs. 50/- extra

Note: Please use separate form for each Certificate.

You might also like