OFFICE OF THE CONTROLLER OF EXAMINATIONS

GHAZI UNIVERSITY, DERA GHAZI KHAN, PAKISTAN

APPLICATION FORM FOR THE ISSUANCE OF DMC/PROVISIONAL

CERTIFICATE/DEGREE/MIGRATION CERTIFICATE

All the particulars required below should be legible and accurately filled by the candidate in his
own handwriting. Form complete in all respects would only be accepted. The incomplete form would be
returned to the candidate which must be resubmitted immediately after making necessary corrections as
suggested by this office.

THIS OFFICE WILL NOT BE RESPONSIBLE FOR ANY DELAY IN A CASE WHERE
THE FORM IS NOT COMPLETE IN ALL RESPECTS (READ CAREFULLY
INSTRUCTIONS OVERLEAF)

1. Name of applicant in block letters ________________________________________________

2. Father’s Name _______________________________________________________________
3. Present Address______________________________________________________________
4. Permanent Address ___________________________________________________________
5. CNIC No. _________________________________Date of Birth: ______________________
6. E-mail _________________________ Phone/Cell #._________________________________
7. Nature of document required ____________________________________________________
8. Regd. No. _______________9. Bank Challan No. ___________ Dated __________________
10. Record of Examinations Passed
(For Undergraduate Students)
Degree___________________ Faculty ________________ Major/Section __________
Year of passing ____________ Marks obtained ____________ CGPA ______________
(For Postgraduate Students)
Degree___________________ Faculty ________________ Major/Section ___________
Year of passing ____________ Marks obtained ____________ CGPA ______________

I solemnly declare that the facts mentioned in the application are correct

Signature of the Applicant

IF THE CERTIFICATE/ DEGREE IS TO BE DESPATCHED,

ADDRESS MUST BE GIVEN HERE
__________________________________________________________________________
__________________________________________________________________________

Signature of the Applicant

Note: - Original CNIC must be shown at the time of receiving Certificate/Degree

 -2–
INSTRUCTIONS

1. Application for certificate should be accompanied by the following documents: -

a) Certificate ‘A’ signed by Chairperson/Head/Teacher in-charge of the department/Director of Institute/Principal
College concerned.
b) Clearance certificate from the Treasurer office, DSA, Hostel Warden and Chief Librarian.
c) Clearance certificate from Director Graduate Studies for Migration Certificate and Employment Services
for Provisional Certificate only.
d) Attested copy of CNIC, Last Degree and one picture (Back side attested by HOD/ In-charge Exam)
2. In case the candidate is employed in Government or Semi-Government Institution, certificate ‘B’ must be
signed by the Head of Institution.
3. In the case of a candidate who seeks admission to a degree more than two years after the sanction of the degree
( i ) if he is not employed in any Government or Semi-Government Institutions, a certificate of good character
signed by the Dean of the Faculty; (ii) Pakistani students studying aboard, an attestation from his Supervisor be
required. Provided that in a proper case, the Vice Chancellor may waive the requirements of such certificates.

C E R T I F I C A T E ‘A’

[To be signed by the Chairperson/HOD/ Teachers In-charge of Department concerned]

1.________________________________ hereby certify on the basis of my personal knowledge and on the evidence
produced before me that Mr./Miss/Mrs. _______________________________________________ Son/Daughter of
__________________________________ is the same person whose particulars given in this application form is the
Same person who passed the _____________________ Major ________________ Examinations in________ (year)
from Ghazi University, Dera Ghazi Khan. His/her particulars filled in by the application are correct and his/her
signature is attested.

Head of Department
(Signature & Stamp)
Clearance by:

Treasurer Office Director Students Affair Chief Librarian

(Signature & Stamp) (Signature & Stamp) (Signature & Stamp)

Girls Hostel Warden

(Signature & Stamp)

CERTIFICATE ‘B’

1._______________________________________ hereby certify on the basis of my personal knowledge and on

the evidence produced before me that Mr./Miss/Mrs. ________________________________________________
Son/Daughter of ________________________________________ is the same person whose particulars given in
this application form and his/her signature are attested.

Dated ___________________ Signature: ___________________

Stamp: ___________________

As per Registrar Notification N0.GU-DGK/Admin.61/245, Dated:09-02-2017

Sr. Items Amount Remarks

No. (Rs.)
1 Degree in Absentia/ Non-Convocation before time degree 2500/-
2 Detail marks/ Transcript for two semesters 400/-
3 Duplicate Copy of Registration Card 500/-
4 Migration Certificate/ NOC 2500/-
5 Provisional / Character Certificate 300/-
 (Within Pakistan)
To
The Controller of Examination’s,
Ghazi University,
Dera Ghazi Khan.

Subject: - DEGREE IN ABSENTIA

I request that I may be issued my degree in absentia. I have filled in the prescribed
application forms and have paid the required fee.
Signature of the applicant: __________________________ Regd. No.__________________

Degree __________________________________ Year of Passing ____________________

PRESCRIBED FORM

Certified that Mr./Ms. _____________________ Son/Daughter of ____________________

Regd. No. ___________________ who passed ___________________ examination from Ghazi
University, Dera Ghazi Khan is well known to me and is resident of
__________________________________________________ At present he/she is employed in
the Department /Studying ______________________________and working as/Semester
____________________. He/she has signed in my presence and his/her signature is attested.

Signature of the Applicant Signature of the Dean of Faculty/

Director of Institute/Principal of College
concerned/Head of the Institute/Department
with office stamp.

FOR OFFICE USE ONLY

Register No./Year _________ page _________ Sr. No. ________ Degree No. ___________

Degree ___________________ year _________. The identity of the candidate has been Checked

and the said degree is being delivered/dispatched through insure parcel vide P/O Receipt No.

___________________________ dated _______________________

In-Charge M.A, M.Sc./BS Section Controller of Examinations