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Requisition Form For Certificates

Candidates

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ab1905nobel
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0% found this document useful (0 votes)
70 views1 page

Requisition Form For Certificates

Candidates

Uploaded by

ab1905nobel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REQUISITION FORM

(For obtaining the official transcripts and other certificates)


Date: __________________

Name of the Candidate: ____________________________________________Roll No._________________

Department: __________________________ Completion date of Academic Program:_________________


S. Particulars of the Documents Charges Number of Mode of payment & Amount
No. (in Rs.) Set/Copies its details deposited
1. TRANSCRIPTS
Pass-out student 2000/-
(Minimum 1 set, contains five Transcripts)

Student enrolled
(Any number of copies) - (Each) 100/-

2. DUPLICATE GRADE SHEETS


Pass-out student 1000/-
Student enrolled 100/-
(Free of cost once in a semester. For each
additional copy)
3. DUPLICATE DEGREE CERTIFICATE - 5000/-
(Only for pass-out student)
4. VERIFICATION OF DEGREE/CERTIFICATE - 2000/-
(Pass-out and student enrolled)
5. MIGRATION CERTIFICATE 500/-
6. BONAFIDE CERTIFICATE
Pass-out student 500/-

Student enrolled (Free of cost once in a semester. 50/-


For each additional copy)
7. MEDIUM OF INSTRUCTION CERTIFICATES
Pass-out student 200/-
Student enrolled 100/-
8. CPI TO % CONVERSION CERTIFICATE
Pass-out student 200/-
Student enrolled 100/-
9. NO-OBJECTION CERTIFICATE 50/-
10. PROVISIONAL DEGREE CERTIFICATE 200/-
11. MISCELLANEOUS CERTIFICATE NOT LISTED
ABOVE
Pass-out student 500/-
Student enrolled 200/-
12. POSTAL CHARGES:
(Within India) 200/-
(Outside India)
a) For Degree only 3500/-
b) For Transcript and other Misc. Certificates 2500/-
Official transcripts of the Pass-out students will be issued within fifteen days from the date of receiving requisition form

FOR OFFICE USE ONLY


Receiving Date of the Requisition Form: ______________________ Issuing Date: ______________________

________________________________________
(Signature of the person preparing the document(s)) ____________________________
(Signature of the Issuing Authority)
Details of the dispatch:
Track No. ___________________________
Date: ___________________________

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