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    Kerala University of Health Sciences Thrissur - 680 596: Application For Duplicate Mark Lists / Certificates

    Uploaded by

    Devassy KV
    This document contains an application form for students of Kerala University of Health Sciences to request duplicate mark lists or certificates. The form requests information such as the applicant's name, course details, register number, college name, and details of the lost documents. It also lists the required enclosures including a newspaper notification of the lost documents, affidavit, student ID copy, and fee payment. Instructions are provided on the newspaper notification content, affidavit timing and cost, and fees for duplicate documents.

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    © All Rights Reserved
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    Kerala University of Health Sciences Thrissur - 680 596: Application For Duplicate Mark Lists / Certificates

    Uploaded by

    Devassy KV
    329 views2 pages
    This document contains an application form for students of Kerala University of Health Sciences to request duplicate mark lists or certificates. The form requests information such as the applicant's name, course details, register number, college name, and details of the lost documents. It also lists the required enclosures including a newspaper notification of the lost documents, affidavit, student ID copy, and fee payment. Instructions are provided on the newspaper notification content, affidavit timing and cost, and fees for duplicate documents.

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    Application for Duplicate Mark Lists / Certificates {Kerala University of Health Sciences (KUHS)}

    Original Title

    New_duplicate-ml-application

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    This document contains an application form for students of Kerala University of Health Sciences to request duplicate mark lists or certificates. The form requests information such as the applicant's name, course details, register number, college name, and details of the lost documents. It also lists the required enclosures including a newspaper notification of the lost documents, affidavit, student ID copy, and fee payment. Instructions are provided on the newspaper notification content, affidavit timing and cost, and fees for duplicate documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    329 views2 pages

    Kerala University of Health Sciences Thrissur - 680 596: Application For Duplicate Mark Lists / Certificates

    Uploaded by

    Devassy KV
    This document contains an application form for students of Kerala University of Health Sciences to request duplicate mark lists or certificates. The form requests information such as the applicant's name, course details, register number, college name, and details of the lost documents. It also lists the required enclosures including a newspaper notification of the lost documents, affidavit, student ID copy, and fee payment. Instructions are provided on the newspaper notification content, affidavit timing and cost, and fees for duplicate documents.

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    © All Rights Reserved
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    KERALA UNIVERSITY OF HEALTH SCIENCES

    THRISSUR – 680 596

    Application for Duplicate Mark Lists / Certificates

    Name of the Candidate :

    Mobile Number :

    Name of the Course :

    Register Number :

    Name of the College :

    1. Details of Duplicate Mark List required

    Year Register Month & Year of Regular/ Whether If passed,


    Number Examination Supplementary Passed total marks
    or Failed obtained
    1

    2. Details of News Paper Notification

    Name of the News Paper Date Page Number

    3. Details of Affidavit

    Name and Address of the Notary Date of affidavit


    Address to which the Duplicate Mark List/ Certificate ................................................................
    is/are to be sent (in capital letters)
    ...........................................................................

    ...........................................................................

    PIN.....................................................................

    UNDERTAKING

    The particulars given above are true and correct. I hereby undertake that if the
    original mark list is recovered, I will inform the fact to the University and surrender the same.

    Place:......................................................

    Date:....................................................... Signature of the Applicant

    Enclosures required

    1. Relevant page of Newspaper containing the notification

    2. Affidavit

    3. Copy of Student ID Card

    4. Copy of the lost mark list (if available)

    5. Demand Draft of fee

    Instructions

    1. Newspaper notification should contain all the details of the lost mark list like Name of the
    candidate, register number, month and year of examination, name of the course, name of
    the university etc.

    2. Affidavit from a Notary should be in stamp paper worth Rs.200/-.

    3. Affidavit should be obtained only after 15 days of paper notification

    4. Fee of Rs.445/- for Duplicate Mark Lists of all courses.

    5. Rs.555/- for Duplicate Provisional Certificate of all U.G Courses.

    6. Rs.775/- for Duplicate Provisional Certificate of all P.G Courses / Diploma and Degree
    Certificate of all U.G Courses.

    7. Rs.1325/- for Duplicate Degree Certificate of all P.G and Diploma Courses.

    8. Rs.1325/- and Rs.2430/- for Duplicate Provisional and Degree Certificates of Super-
    speciality respectively.

    *****

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