Phone: +91-0744-2473014, 2473106, 2473063, 2473861 APPLICATION FOR OFFICIAL TRANSCRIPT
COURSE : B.Tech. M.Tech. MBA MCA BHMCT B.Arch.
NAME: ROLL NO.:
ENROLLMENT NO. : DATE OF BIRTH: FATHER’S NAME: MOTHER’S NAME: COLLEGE/INSTITUTE NAME: MARKS DETAIL I II III IV V VI VII VIII IX X Grand Sem. Sem. Sem. Sem. Sem. Sem. Sem. Sem. Sem. Sem. Total Total Marks of Papers Cleared in Main/Reval Total Marks of Papers cleared in Back Semester Total NO. OF SETS OF TRANSCRIPT REQUIRED: (Please mention number) 1. SEMESTERWISE: 2. SUBJECTWISE: PAYMENT DETAIL:- Challan/DD No…………………………………….....…Date……………….………. Bank Name………………………………………..……………….……….………Amount……………….…… Check List : 1. Xerox of All Semester Marksheets, Photocopy of Provisional Degree & Consolidated Marksheet. 2. Xerox of Class X Marksheet/Date of Birth Certificate. 3. Xerox of Personal ID with address ID. 4. A4 size blank envelopes equal the number of transcripts demanded and one outer Self-addressed envelope. 5. Demand Draft in the name of Rajasthan Technical University, Kota payble at Kota in original. Mobile No…………………………………. E-Mail ID ………………………………... Address: …………………………………………………………………………………………………. …………………………………………………………………………………………………………… State ……………………………………….. Pin Code …………………………………. Date ………………………………………… Signature of Candidate with full name Note :- 1. All attached photo copies of documents should be self attested and properly ligible, otherwise transcript will not be prepared. 2. In case of any wrong information provided in the form, candidate will be fully responsible for the same and University may take appropriate action against him.