ALIGARH MUSLIM UNIVERSITY, ALIGARH
Application Form for Character Certificate
(To be filled in by the Applicant)
1. Name ……………………………………………………
(in BLOCK LETTERS)
2. Enrolment No. ……………………………………………
3. Father’s Name ……………………………………………
(in BLOCK LETTERS)
4. Mother’s Name …………………………………………
(in BLOCK LETTERS)
5. Academic Records:
a. Date of joining the University …………………………Class ……………………………… Hall …………………………
b. Date of Leaving the University ……………………………Class/Last Examination Passed …………………………… Hall …………………
c. In case the applicant is still studying in the University, mention:
Class ……………………………………………… Hall ………………………
d. Gap in between any two courses ………………………………………………
e. Continuation in the same class, if any …………………………………………
6. Attested photocopies of all Marksheets of Examination passed are to be enclosed.
7. Permanent Home Address: ………………………………………………
……………………………………………………………………… Signature of Applicant
Telephone No. …………………………… Mobile No. …………………………………
………………………………………………………………………………………………………………
8. Report of the M.A. Library/Book Bank 9. Checked carefully the columns from No. 1
to 5(d) and dues cleared till date …………
Librarian Signature and seal of the Provost
………………………………………………………………………………………………………………
10. Remarks of the Dean of the Faculty, if he has any Objection in issuing the Character Certificate ……………………
Also may specially verify 5(a) & (b).
Signature and seal of the Dean/
Principal/Coordinator
………………………………………………………………………………………………………………
11. Remarks of the Proctor, if he has any objection
in issuing the Character Certificate …….… ……………………
Signature and seal of the Proctor
………………………………………………………………………………………………………………
12. Remarks of the Dean Students’ Welfare
Character Certificate ………………………………
Dean Students’ Welfare
………………………………………………………………………………………………………………
For Office Use Only
Serial Number of the Character Certificate ………………………. dated …………………
Certificate issued (Signature of the issuing Dealing Assistant) ………………………………
Received the Certificate
Signature of Applicant
Passport size
recent
Photograph
Note:
1. Character Certificate will be issued to the student on next working day after receiving the Application Form in the office duly verified and completed in all respect. Incomplete Application Form will be rejected without informing the applicant.
OR
2. It will be sent at the student’s permanent address by the D.S.W. Office through Registered post in the self-stamped envelop (17 cm x 28 cm) provided by the student.
OR
3. Permanent employee of the University may collect character certificate on behalf of the concerned student after producing proper identity.