Application Form for Issue of Official Transcript/Nomenclature/Special Certificate/Verification of Statement of Marks/Degree

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UNIVERSITY OF DELHI
Application Form for Issue of Official Transcript/Nomenclature/Special
Certificate/Attestation/Verification of Statement of Marks/Degree

Note: PLEASE READ INSTRUCTIONS GIVEN OVERLEAF CAREFULLY BEFORE YOU APPLY
1. Name of Candidate (In Block Letters) ______________________________________________
2. Father’s Name : _____________________________________________
6. College/Institutions/Faculty last attended by the candidate _____________________________
4. University Enrolment No. :______________________________________________
5. Particulars of Examinations Appeared/Passed.
(Please attach copies of all the marksheets)
Examination
Year of Passing
Annual/Supplementary
Roll No.
Result
Marks Obtained
Division
6. Subjects offered (Mention Paper No. & Title of the Paper’s in the case of Transcript &
Nomenclature) Please attach an additional sheet, if required
Paper No. Title of the Paper
7. Local Residence Address: _______________________________________________________
____________________________________________________________________________
8. No. of additional copies of Transcript/Nomenclature required.___________________________
9. Have you applied for transcript earlier, if so, please mention the No. & Date
____________________________________________________________________________
10. Telephone (Mobile): Residence:
Date Signature of the applicant
For Office Use
The particulars regarding the above examination mentioned by the student have been verified from
the record and found correct.
Sl.
No.
Year Roll No. Examination
Passed
Marks
Obtained
Result Division Particulars
D. A. S. O. P.T.O.
INSTRUCTIONS
1. All Public dealings are made from 9:30 A.M. to 3:00 P.M. (Excluding Lunch hour)
2. The Particulars of the student given in the form should correspond with those appearing in
the certificate issued to him/her from time to time. The application form must be signed by student and in no case by someone else on his/her behalf.
3. Photocopies of all the mark sheets of the Examinations taken by the candidate and a copy of the syllabus (in the case of Transcript/Nomenclature) be enclosed with the application form.
4. The required transcript will be issued after a period of ten working days (two weeks or so) excluding Saturday/Sunday and other Gazetted holiday from the date of submission of application with prescribed fee.
5. The delivery of the Certificate will be made in person to the Candidate or to his nominee, authorized in writing, at the University Office during working hours.
6. If required by post, the student should enclose a self-addressed envelope with requisite postal charges.
7. Prescribed fee is as follows:-
Transcript
If Applied from within India If applied from abroad upto 6 years Rs. 1000/- US$ 100* more than 6 years Rs. 1500/- US$ 150*
Additional copies Rs. 100/- each US$ 10* each
(At the time of application only) (*including postal charges)
Other Certificate i.e. Nomenclature/Verification etc.
If Applied from within India If applied from abroad upto 6 years Rs. 500/- US$ 50
more than 6 years Rs. 1000/- US$ 100
8. Please note that the additional copy charges are applicable only in case the copies are requested at the time of original Transcript and not at a later stage.
9. The number of year will be calculated from the last examination passed.
10. If the student passed out from any college under South Delhi Campus, he/she has to apply for official transcript to the Section Officer, Examination Branch – III, South Delhi Campus, University of Delhi, Benito Juarez Road, New Delhi – 110 021 behind A. R. S. D. College Building, Dhaula Kuan, New Delhi.
Received documents.
Signature of the applicant
Please write full name with date
And residential address below