100-Job.

-PM-5

Barkatullah Vish\Navidyalay~, Bhopal.

, I

APPLICATION FOR ISSUE To be filiedDy the office

MIGRATION I PROVISIONAL I
~GRATION I PROVISIONAL I DEGREE , DEGREE
CERTIJ,fICA TE Certificate No , :..........
To,
THE REGISTRAR, ' Despatch No... ..o , .....
Barkatullah Vishwavidyalaya, Date .
Bhopal (M.P.)
.'
Dealing Asstt.
Sir,

J have
,
beeh a student of this Vishwavidyalaya , studying regularly I privately in the...~
~
o o....................

, ..., : .' : , o .'. (College) and Passed the

Examination .;... .'... ,..in the year...
~ ., ,
..:.. in.. ..,. ,... Division

I requestyou to Kindlyissueme a Migration I Provisional t-Degree Certificate. .

The necessary fee Rs. o , : ,... has been I is being deposited in .
Bank. Draft I Ghallan No , ~ Dated .:.: '..........

1.. Full Name (in English) ,. .." ... :... :.. ~ ,.

2. Full Name (in Hindi) ,

.
",''''''''~'''''' , ...' ,..:.. .o'" ...o..o, , ,. ,..'., '...,......

3. Father's Name (in Hindi) , " ..., ' ., ", ,.

4. Mother's Name (in Hindi)..; , :,.., .; ' ... ...'. , o .'....

5. Examination Passed "..' : ,. ,.. Year Division.; :..................

6. Roll No... ., ", ...'.. ' Enrolment No :.. 0":'" , ..................

, '
... ...'" ', "','''' """"""'''''''",.."""""""""
7. Subject's. "'..o : .::, ...;

8. Name of the College...~ ,............. ....1 "..

Your's faithfully
Date .
,', . .
Address .' "'''''' o ..; : .L~:;/ '>;;:' Signature of Student
<.":.:\:,~."
"':'''.o...o .Mobile No ..: """"..' ..Name of: Student ,..., , ,...
NOTE: -1. Please enclose Original aryd, Photo copy of Staterna:ntt",of Marks Examination passed,
, The Original Copy will be returned bi:ick after verification. D~gree will be issued only by post
2. Money Orders will not be $~ceptable. '
3. Candidate desirous of obtaicing the certificate by Post shoulct 'deposit Rs:45/- more as
'postelcharges. ,," , "

4. Migration and ProvisionaL certificate will be issued after 3 days and Degree will be issued
after 30 days of receipt of application. With prescriped fees. '
FEES: Migration Rs. 1401- Provisional Rs; 140/- Degree Rs. 280/~ Postel charges included.
Duplicate Migration certificate Rs. 160/- Duplicate Degree Rs 350/-
FEES For Foreign Students :- ,
Migration RS.2201- Provisional Rs.220/~ Degree Rs. 2801- Postel charges included.
Duplicate Migration Certificate Rs. 4201- . Duplicate Degree Rs. 750/-

To receive the Document by post please fillup the address: -

n n. n... n.. n.. n n. n"""'''''''''''''''''''''.n''''''''''
',n n n.......

., ..:... n.. Mobile NO..n ...: ; ~ :...

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99-Job.-PM-5

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