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Convocation Form

1. The document provides instructions for students applying for degree certificates from North Maharashtra University. 2. Students obtaining the application form online must pay a Rs. 10 fee in addition to the convocation fee. 3. The convocation and application fees depend on how many years have passed since graduation and must be paid via cash or demand draft.

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maddy1jun
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287 views

Convocation Form

1. The document provides instructions for students applying for degree certificates from North Maharashtra University. 2. Students obtaining the application form online must pay a Rs. 10 fee in addition to the convocation fee. 3. The convocation and application fees depend on how many years have passed since graduation and must be paid via cash or demand draft.

Uploaded by

maddy1jun
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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[Those students who will obtain the application form from web-site are requested to add Rs.

10/- towards an Application form fee in addition to Convocation fee.]

****
(NAAC ACCREDITED)

NORTH MAHARASHTRA UNIVERSITY, JALGAON


APPLICATION FOR DEGREE CERTIFICATE

Challan No.

To, The Registrar, NORTH MAHARASHTRA UNIVERSITY, Jalgaon 425 001 Sir, I request to confer a degree of this University on me at the ensuring Convocation to be held in NOTES : 1. Please read instructions given overleaf prior filling this form 2. Put a tick mark ( ) where applicable
Arts

20

1. Name of Faculty
01

Mental Morals & Social Sciences 02

Sciences 03

Law 04

Medicine Engineering Ayurvedic & Technology Medicine 05 06 07

Commerce & Management 08

Education 09

2. Name of the Degree/ Diploma..


B.A. B.Com. B.Sc. M.A. M.Com. M.Sc. M.C.A. B.E. B.Arch. B.Ed.(Gen)/(Phy) M.Ed. (Gen)/(Phy) B.P.E.

B.Lib.Sci. B.S.W. B.C.J. M.C.J. M.B.B.S. B.A.M.S. B.H.M.S. B.Pharm. LL.B. LL.B. (Gen) B.S.L. D.LL. & L.W. D.T.L. M.B.A. M.C.M. M.P.M. D.C.M. D.B.M. D.M.M./D.M. & EIM. D.T.P. D.P.A. B.F.A. P/A B.Tech. B.B.S. M.Phil. Ph.D. *
(* In case of other, write the name Degree/Diploma in this blank box) 3. Subjects : (IN CAPITAL LETTERS) : 1. Special Subject/Principal Subject : .. Optional or Subsidiary Subjects : (a) (b) .. 2. 3. 5. 6. Engineering Branch : . For B.Ed. Special Methods. 4) M.Phil. / Ph.D. Subject .. Whether passed the General Course OR special Course Details of examination for which degree is sought : Year and month of passing Seat Number Year 19 Month Year 20 Class Obtained First Class with Distinction 01 First Class 02 Second Class 03 Pass Class 04 O 05 A+ 06 (Tick only one entry) Permanent Registration No. if applicable

7. Class or Grade obtained

Grade Obtained A 07 B+ 08 B 09 C 10 C+ 11 D 12

8. Name of College :

College Code Male Female 1

9. I request admission in PERSON 1 / ABSENTIA 0

at ensuing convocation

10. Sex 0

11. (a) Name of Candidate as it appeared the result sheet (INCAPITAL LETTERS) :

Surname (b) Name in Devnagri

First Name

Fathers/Husbands Name email id ___________ Ph.No./Mobile No. _______________

12. ADDRESS for correspondence (IN CAPITAL LETTERS) (Do not include Name)

PIN DECLARATION BY CANDIDATE FOR OFFICE ONLY I have read the instruction carefully. I shall be responsible for any A/c Section, Please, accept errors and wrong or incomplete entries made by me in this form Convocation Fee I remit prescribed fee of Rs. by Cash / by D.D. Special Fee bearing No. Date / / Duplicate Cert Fee Name of the bank . Late Fee Total SIGNATURE OF CANDIDATE Form Checked sign. of Asst. . Date : Sign of Officer .. Place .. Date : / / 20 (Please Read Following Instructions Carefully before Filling this Form)

INSTRUCTIONS TO THE CANDIDATES Only those candidates who fulfill the following condition in addition to the usual condition of being qualified for the said degree after passing an examination are eligible for a degree. A. Convocation fees :1. Those Student who will obtain the application form from web site are requested to add Rs. 10/- towards an application form fee in addition to convocation fee. Fee for degree certificate Application within prescribed date Upto five year from the date of passing More than five years from the date of passing . 2 # Prescribed late fee Rs. 50/Rs. 250/-+Rs.10/Rs. 500/-+Rs.10/-

# Special Late Fee Rs.500/-

The Prescribed convocation fee should only by cash or by Demand Draft in the Name of Registrar, North Maharashtra University Jalgaon. Convocation fee sent by M.O. or by any mode other than that specified above will not be accepted.

B. Incomplete forms, or the forms received Late after the closing date; or those without Demand Draft will be rejected and no correspondence in this behalf will be entertained. C. CONVOCATION DATE: The exact date and time of the convocation will be declared in local newspapers and conveyed by letter to those student requesting admission to convocation IN person. These letters are to be preserved and presented at the time of collection of the degree on the day of the convocation OR for any inquiry regarding Non-receipt of the degree. D. Candidates applying for M.B.B.S., Ayurvedcharya B.A..M.S., B.H.M.S. degree certificates should submit alongwith application forms for degree, a certificate from the University office to the effect that they have satisfactorily completed the Internship Training as required by the Rules and also attached a xerox copy & University Passing Certificates. E. Candidates applying for B.Pharm./M.Pharm. degree certificate should submit & Training Certificate as required by the rules. F. Candidates should attach attested true copy of their statement of marks from First Year to Final Year examination. G. Ph.D. and M.Phil, candidates should attach a copy of their Notification and declaration of result. H. The date for receipt of the application forms is notified in the newspapers and Principals of the Colleges are requested to bring the date of the notice of the students concerned. Students are advised to contact the Principal of the college nearest to his residence. I. Complaints regarding name, class, subject etc. in degree certificate will be entertained within a period of six months only after the date of concerned convocation.

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