Transcript Application Old
Uploaded by
Harpal SethiTranscript Application Old
Uploaded by
Harpal SethiSam Higginbottom University of Agriculture, Technology and Sciences
Directorate of Distance Education
APPLICATION FORM FOR THE ISSUE OF DETAILED TRANSCRIPT
Read the Instruction Carefully before filling the Form. All Fields of the Form are Mandatory.
REVISED ON 01/07/2021
1. Enrollment Number (As in the ID card) 2. IPIP Code (Optional) 3. Programme 4. No. of Copies
-
5. Name of the Student as registered with the University at the time of admission (BLOCK LETTERS ONLY)
6. Father’s Name of the Student as registered with the University at the time of admission (BLOCK LETTERS ONLY)
Paste Recent
Photograph
7. Mobile Number 8. e-mail
9. Student’s address for correspondence
Pin
10. Purpose of detailed transcript (enclose supporting documents)
11. Write the address of the University, e-mail, website and contact no. where the detailed transcript is / are asked for.
S. No. Name of the University Address E-mail and contact no. Website
1.
2.
3.
4.
5.
12. Have you ever applied for detailed transcript earlier? If so, please mention the detail.
13. Project Name (Information Technology, Management and Allied health students only)
1.
2.
14. DD Number 15. DD Date 16. DD Amount The Demand Draft should be made in favour of
“DDE, SHUATS” A/c payable at Allahabad.
d d m m y y y y Rs.
₹10,000/- per Transcript + (Postal Charges ₹4,000/-)
• I hereby declare that all particulars stated in this application form are true to the best of my knowledge and belief. I have attached all required
documents and demand draft with this form.
Date Place Student’s Signature
d d m m y y y y
For Office Use Only
Enrollment Number. __________________________________ DD Number. _____________________________________________
Date of Receiving ____________________________________ Issuing Branch ___________________________________________
Sent for Verification to ________________________________ DD Amount ___________________ Issuing Date________________
Sam Higginbottom University of Agriculture, Technology and Sciences
Directorate of Distance Education
APPLICATION FORM FOR THE ISSUE OF DETAILED TRANSCRIPT
Read the Instruction Carefully before filling the Form. All Fields of the Form are Mandatory.
REVISED ON 01/07/2021
IMPORTANT INSTRUCTION
1. The transcript will be issued only after producing a copy of the letter of the foreign university for which
transcript is sought. The applicant is also advised to mention the name of the foreign university with full
address, where he / she want to apply.
2. The application form must be filled by the applicant in his / her own hand writing in English.
3. All fields of the application form are mandatory fields must be filled in with legible handwriting. The
applicant must ensure the completeness of the application form in all respect, including contact detail.
4. The applicant must attach Xerox of all semesters / years of the programme completed from this
university.
6. The applicant belonging to Allied Health Science must attach six (06) months internship certificate
which has been completed by the applicant just after final semester exams.
8. The applicant must have to mention his / her complete address of India along with PIN code, Mobile
number and e-mail ID.
If Transcript required for Higher Education, then the Address of the University/ College must be provided.
a. For Address of Indian Agency/Consultant/different Government-Non-Government Agencies/
Universities/Institutions/ Companies/Security Agencies/ Consulates/Embassies is mandatory Fee will
be charged
i. ₹1,500/- per document, + (Postal Charges ₹200/-)
ii. Subsequent fee for each additional set ₹800/- per set + (Postal Charges ₹200/-)
b. If Transcript/Verification is required for P.R. purpose, then address of Foreign/Indian Agency
/ Consultant must be provided. Then the fee will applicable:
i. ₹10,000/- per Transcript + (Postal Charges ₹4,000/-)
ii. Subsequent fee for each additional set: ₹1,500/- per set + (Postal Charges ₹4,000/-
iii. Any other forms (e.g., CES, WES, ICES, and IQAS form with reference number) must be filled
, signed, and must be included
2. No transcript will be provided to any student by hand and will be sent to the evaluation agency directly
in a sealed envelope.
The completely filled form must be sent on the fallowing address:
The Examination Coordinator
Directorate of Distance Education
Sam Higginbottom University of Agriculture, Technology & Sciences
Naini, Allahabad - 211007
