Application Form For Degree/Duplicate Marksheet/Provisional Certificate/Migration Certificate

HEMWATI NANDAN BAHUGUNA GARHWAL UNIVERSITY, SRINAGAR GARHWAL
(A Central University)
Application Form for Degree/Duplicate Marksheet/Provisional Certificate/Migration Certificate
Registrar
HNB Garhwal University
Srinagar-Garhwal
Date........................
Details of Fees (In Rupees)
(1) Degree Fee for the Year 1974 to 1985 150.00
(2) Degree Fee for the Year 1985 onwards 100.00
(3) Ph. D./D. Phil Degree Fee 200.00
(4) Provisional Degree Fee 100.00
(5) Migration Certificate Fee 100.00
(6) Duplicate Marksheet Fee 100.00
Sir
Please send my.........................................................................Details of which are as follows:
1- Name (as per High School Certificate)
(i) Name (in English).....................................................................................................................................
............................................................................................................................................
2- Father's Name...............................................................................................................................................
3- Mother's Name..............................................................................................................................................
4- Date of Birth.......................................................Telephone No.....................................................................
5- Roll No. .........................................................Enrolment No. (G)...................................................................
6- Name of Exam ................................................ Regular/Private.....................................................................
7- Year of Passing...................................................Division.............................................................................
8- Name of College...........................................................................................................................................
9- Name of Centre.............................................................................................................................................
10- Subjects/Papers
1........................................................................ 5................................................................................
2........................................................................ 6................................................................................
3........................................................................ 7................................................................................
4........................................................................ 8................................................................................
11- Address for Correspondence:.....................................................................................................................
.........................................................................................................................................................................
FOR OFFICE (ACCOUNT SECTION) USE ONLY
Received a Sum of Rupees...............................................................Through cash/Bank Draft/Money
Order and entered in the Cash Book Sr. No.........................................................Date......................................
Book with Care Address to be filled
By the Candidate
Registered Post
From
Registrar
HNB Garhwal University
Srinagar- Garhwal (Uttarakhand)
Pin-246174
To,
(Accountant) (Cashier)
(Signature of Applicant)