UTTARAKHAND OPEN UNIVERSITY
HALDWANI – 263 139
(To be sent by post to University)
Application Form for obtaining Degree/Diploma/Certificate and Duplicate Mark sheet
Name of the Candidate : ……………………………………………………………………….
(In Block Letters Only)
Name of the Candidate: ………………………………………………………………………..
(In Hindi)
Enrolment No. : ………………………………………………………………………………...
Roll No.: ………………………………………………………………………………………..
Address : ………………………………………………………………………………………..
…………………………………………………………………………………………………..
Programme : ……………………………………………………………………………………
Month and Year of the Exam : …………………………………………………………………
Centre from where appeared in the last Examination ………………………………………….
Bank Draft/IPO No. ………………………. Dated …………………… for Rs………….. in favour of Uttarakhand Open University, Haldwani (UK)
Date:……………. Signature
Fee for Original Provisional Certificate Rs.50/-
Fee for Duplicate Provisional Certificate Rs.100/-
Fee for Original Diploma Rs.200/-
Fee for Original Degree Rs.200/-
Fee for Original Certificate Rs.200/-
Fee for Duplicate Degree/ Diploma/ Certificate Rs.1000/- Along with other legal papers.
Fee for Duplicate Mark sheet Rs. 200/-
The filled in form with the requisite fee is to be sent to :
Note : For Degree/Diploma/Certificate photocopy of marksheet is to be attached.
Controller of Examination
Uttarakhand Open University
Haldwani (UK)