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SRI DEV SUMAN UTTARAKHAND UNIVERSITY Badshahithaul, Tehri Garhwal Application Form for obtaining Degree/ Provisional Certificate/ Migration, Duplicate Migration, Degree or Mark sheet* Date........................ Registrar Sri Dev Suman Uttarakhand University, Badshahithaul, Tehri Garhwal. Sir Please send my..............................................................................Details of which are as follows: 1- Name (as per High School Certificate) (i) Name (in English)........................................................................................................................ (ii) uke ¼fgUnh esa½ ............................................................................................................................... 2- Father's Name............................................................................................................................. 3- Mother's Name............................................................................................................................ 4- Date of Birth..................................Telephone No........................................................................ 5- Roll No..........................................Enrolment No. (SV)................................................................. 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- Correspondence Address:........................................................................................................ ........................................................................................................................................................ (Signature of Applicant) FOR OFFICE (ACCOUNT SECTION) USE ONLY Received a Sum of Rupees...............................................................Through cash/ Bank Draft and entered in the Cash Book Sr. No..................................... Date......................... (Accountant) (Cashier) Book with Care Registered Post Address to be filled By the Candidate To, -------------------------------------------- -------------------------------------------- --------------------------------------------- Registrar Sri Dev Suman Uttarakhand University, Badshahithaul, Tehri Garhwal.249199 Details of Fees (In Rupees) (1) Degree Fee 100.00 (2) Provisional Degree Fee 100.00 (3) Migration Certificate Fee 100.00 (4) Duplicate Marksheet Fee 100.00
