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5dbc0b6023e09 - Application Form With Provisional

The document is an application form for a provisional certificate from Himalayan Garhwal University. It requests information such as the applicant's name, course details, enrollment number, and examination results. The applicant must attach documents like ID cards, mark sheets, and certificates. A demand draft of Rs. 2000 must also be enclosed for payment. The applicant declares that the information provided is true and agrees to follow university regulations.

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Ayush Sharma
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154 views1 page

5dbc0b6023e09 - Application Form With Provisional

The document is an application form for a provisional certificate from Himalayan Garhwal University. It requests information such as the applicant's name, course details, enrollment number, and examination results. The applicant must attach documents like ID cards, mark sheets, and certificates. A demand draft of Rs. 2000 must also be enclosed for payment. The applicant declares that the information provided is true and agrees to follow university regulations.

Uploaded by

Ayush Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Himalayan Garhwal University,

Pokhra, Pauri Garhwal, Uttarakhand


Application Form for Provisional Certificate
The form Should be complete in all respects and to be filled by student in English CAPITAL LETTERS in blue/ black pen.

Name of Course
Completion Year

Enrollment no. Student

Name

Father’s Name

Mother’s Name

Address

City Contact Pin

No
Details of Examinations:

Year Roll.no Maximum Marks Marks Obtained


I Year
II Year
III Year
IV Year
 Attach the following Documents herewith:
 Aadhar Card
 Photocopy of High School Marks Sheet and Certificate
 Photocopy of Intermediate Mark Sheet & Certificate
 Photocopy of Graduation Marksheets of All Semester/ Year
 Photocopy of Marksheets of P.G. Course
 Note: - The Provisional Certificate will be send directly on the aforementioned address.
 Read the form carefully and all columns to be filled mandatory.
 All Documents should be duly attested.
 Payment Details:
Enclose Demand Draft of Rs. 2000/- in favor of “Himalayan Garhwal University” payable at Dehradun.

I hereby declare that the information/ document submitted by me are true copies of the original and are true to the
best of my knowledge & belief. I further declare that I am abided by the regulations and eligibility conditions of the
University. I understand that I may be required to furnish additional information/ document incase the University
demands. I also understand that my candidature or award from the University can be withdrawn at any given point of
time even after issuance, if, the information submitted by me is found to be incorrect or counterfeited.

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