Scribd
Upload
72 views4 pages

Karnataka State Open University: ºé Àgàä Àää ºé Àgà Àäß Pà Àßqàzà°È Gé Äj

The document is an application by Rani S for an annual convocation certificate from Karnataka State Open University. It provides details of her name, registration number, degree/course, contact information, degree examination details including class obtained, passing month/year and examination centre. It also lists the fees paid, uploaded documents, payment details and address of the student. The last page lists the documents required to be submitted such as self-attested copies of marks cards, SSLC marks card, photos and admission ID card.

Uploaded by

Muthu Kumar
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
72 views4 pages

Karnataka State Open University: ºé Àgàä Àää ºé Àgà Àäß Pà Àßqàzà°È Gé Äj

The document is an application by Rani S for an annual convocation certificate from Karnataka State Open University. It provides details of her name, registration number, degree/course, contact information, degree examination details including class obtained, passing month/year and examination centre. It also lists the fees paid, uploaded documents, payment details and address of the student. The last page lists the documents required to be submitted such as self-attested copies of marks cards, SSLC marks card, photos and admission ID card.

Uploaded by

Muthu Kumar
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

KARNATAKA STATE OPEN UNIVERSITY

Mukthagangotri, Mysuru - 570006


Application Number : 12132 Date : 14-Apr-2022

APPLICATION FOR THE ANNUAL CONVOCATION CERTIFICATE

Application Basic Details IN-ABSENTIA

Register Number : 18020010061

Degree/Course : B.A

Candidate Name : RANI.S

Name in Kannada ºÉ¸ÀgÀÄ

Write your name in kannada ¤ªÀÄä ºÉ¸ÀgÀ£ÀÄß PÀ£ÀßqÀzÀ°è §gɬÄj

Mobile No : 9677642760

Email Id : [email protected]

Gender : FEMALE Category : OBC

Address :
#104 WARD NO.21 JANATHA COLONY BAHADDURPURA ANEKAL KARNATAKA 562,106

Degree Examination Details

Class Obtained : FIRST CLASS

Passing Month : 11 Passing Year : 2021

Examination Centre : BENGALURU

Fee Details

Fee Type Fee Alumni Fee Search Fee for Delay Total Fee

Amount 1,500.00 500.00 0.00 2,000.00

Uploaded Documents

Sl No Document Name
1 CANDIDATE PHOTO(In *.jpg/jpeg format)
2 CANDIDATE SIGNATURE(In *.jpg/jpeg format)

Payment Date Payment ID Payment Mode Total Fee Payment Status

14-Apr-2022 5:18 pm pay_JJE1ewBQxDb9hC ONLINE 2,000.00 Success

I declare that the above information furnished by me is correct to best of my knowledge.

Signature of the Candidate


Date : 4/14/2022 (Online Submitted)

14-Apr-2022 Page 1 of 4
KARNATAKA STATE OPEN UNIVERSITY
Mukthagangotri, Mysuru - 570006

Accepted / Rejected FOR OFFICE USE ONLY

Scrutinized by Checked by

14-Apr-2022 Page 2 of 4
KARNATAKA STATE OPEN UNIVERSITY
Mukthagangotri, Mysuru - 570006

Address of Student

From Book Post


Registrar (Evaluation)
On India Government Service
Examination Bhavan
Karnataka State Open University
Mukthagangotri
Mysuru - 570006
Karnataka

To, To,
Degree /Subject: B.A Degree /Subject: B.A
Roll No : 18020010061 Roll No : 18020010061
Sri /Smt RANI.S Sri /Smt RANI.S

#104 WARD NO.21 #104 WARD NO.21


JANATHA COLONY BAHADDURPURA JANATHA COLONY BAHADDURPURA
ANEKAL ANEKAL
KARNATAKA KARNATAKA
Pincode 562,106 Pincode 562,106
Mobile No 9677642760 Mobile No 9677642760

To, To,
Degree /Subject: B.A Degree /Subject: B.A
Roll No : 18020010061 Roll No : 18020010061
Sri /Smt RANI.S Sri /Smt RANI.S

#104 WARD NO.21 #104 WARD NO.21


JANATHA COLONY BAHADDURPURA JANATHA COLONY BAHADDURPURA
ANEKAL ANEKAL
KARNATAKA KARNATAKA
Pincode 562,106 Pincode 562,106
Mobile No 9677642760 Mobile No 9677642760

14-Apr-2022 Page 3 of 4
KARNATAKA STATE OPEN UNIVERSITY
Mukthagangotri, Mysuru - 570006

DOCUMENTS

1) If there is any correction in the Original Marks Cards it may be corrected immediately before submitting
the application.
2) Payment may be made through ONLINE only.
3) Payment by Cheque,Postal orders or Money Transfer will not be accepted.
4) Incomplete Application is liable to be rejected without assigning any reason whatsoever.
REFUND OF AMOUNT IS NOT PERMISSIBLE UNDER ANY CIRCUMSTANCES.

Certificate name Documents required to Submitted


1. Self attested Hard copy of all marks cards of all years shall
Convocation Certificate
be invariably attach with the Application.
2.Self attested Hard copy of SSLC marks card shall be invariably
attach with the Application.
3. Hard copy of 3 Passport size photos shall be invariably attach
with the Application.
4. Alumni Fee Receipt : If already paid the Alumni Fees then attach
the Fees receipt copy.
5.Self attested Hard copy Admission ID Card shall be invariably
attach with the Application.

14-Apr-2022 Page 4 of 4

You might also like