Application Form For Migration / Degree Certificate
Guru Ghasidas University, Bilaspur (C.G.)
In Association with
Dr. C.V Raman Institute of Science, Technology, Commerce and Management
Application Form for Migration Certificate
1. Name of Student : ..............................................................................
2. Father's/Husband Name : ..............................................................................
3. Name of Exam Centre : ..............................................................................
4. Name of Last Exam : ..............................................................................
5. Registration No. : ..............................................................................
6. Enrollment No. : ..............................................................................
7. Year : ..........................Result.........................................
8. Reason of Leaving University: ..............................................................................
9. Correspondence Address : ..............................................................................
(Please Enclose the Photocopy ..............................................................................
of all Semester or yearly Marksheets) .............................................................................
I request to kindly issue my Migration certificate. Migration certificate fees of Rs. 250/- (Two
hundred fifty only) Bank Draft No. ............................................ dated .................
Bank.......................................... is enclosed here with this application form.
Signature of Institute Head Student Signature
Date : ............................
Note : 1. Please send filled and signed application form along with D.D. to AISECT, Head Office, Bhopal, M.P.
2. Migration Certificate will be issued after One month of receiving application form.
3. D.D. Should be made in favor of "Dr. C.V. Raman University" payble at Raipur.
Guru Ghasidas University, Bilaspur (C.G.)
In Association with
Dr. C.V Raman Institute of Science, Technology, Commerce and Management
Application Form for Degree Certificate
Student Name (In Hindi) ................................................................................(In English
Capital Letters)...................................................................................................................Name
of Class................. Year of Passing..................Session.............. Division.............. Subject's name indicated in the Marksheet .....................................................................................................................................................................................................................
Registration No. ............................................. Enrollment No. ...................................................
Name of Exam Centre..................................................................................................................
Name of Institute.........................................................................................................................
Student's Postal Address..............................................................................................................
.....................................................................................................................................................
I agree to receive my Degree/Diploma. The Degree/Diploma fees of Rs. 350/- (Three hundred
fifty only) Bank Draft No. ............................... dated......................
Bank.......................................is enclosed here with this application form and Declaration.
Place : .......................... Applicant Signature
Date : ...........................
DECLARATION
I the undersigned certify that he / she................................................... has signed the application form in front of me. He / She is eligible for the Diploma/Degree.
Date :.......................... Seal & Signature of Institute Head
Note : 1. Please send filled and signed application form along with D.D. to AISECT, Head Office, Bhopal, M.P.
2. Degree/Diploma will be available after One month of receiving application form..
3. D.D. Should be made in favor of "Dr. C.V. Raman University" payble at Raipur.
