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Migration Certificate Form

The document is a form for requesting a migration certificate from Karnatak University. It requests information from the applicant such as name, address, last exam details. It also requires documents like statement of marks and eligibility certificate. The principal of the last institution must sign to confirm the applicant was not rusticated.

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0% found this document useful (0 votes)
65 views2 pages

Migration Certificate Form

The document is a form for requesting a migration certificate from Karnatak University. It requests information from the applicant such as name, address, last exam details. It also requires documents like statement of marks and eligibility certificate. The principal of the last institution must sign to confirm the applicant was not rusticated.

Uploaded by

Soul Beats
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KARNATAK UNIVRSITY

DHARWAD
M.C.No:__________
Case No:__________
Receipt No. & Date:__________

( To be filled in by authorities of the college last attended by the candidate in this University)

To,
The Registrar,
Karnatak University,
Dharwad.
Sir,
I have honour to forward herewith the application of Shri/Smt. ___________________________
______________________ along with the attested marks card for a Migration Certificate.

The applicant has not been rusticated or debarred by the University, and I have no objection to
issue a Migration Certificate being granted to him/her by the University.

No. application for a Migration Certificate on behalf of this candidate was made previous to this
date.

Place : Yours faithfully,

Date : PRINCIPAL/CHAIRMAN
P.G. Dept. KUD.

To be filled in by the students

N.B.: A.D.D. of Rs. _1100/- drawn in favour of Finance Officer, Karnatak University, Dharwad
should be enclosed.
To,
The Registrar,
Karnatak University,
Dharwad.
Sir,
I beg to request you to issue me a Migration Certificate. The particulars required are given below:

1. Name in full :
(Beginning with Surname
and block letters).
2. Full Address to which the
Migration certificate is
To be sent.

3. The prescribed fee Rs. ____ SBI Challan No. ______


Date : ______________ OR
D.D.No. ____________ Date:_____________
5. Name of the College / Dept.
last attended with the date
of leaving.

6. The Last examination (with Last Exam Year Center Class Seat No.
year & class obtained)
passed of the University
buy by the applicant.

7. a. The name of the University


attended by the student now.
b. course name :

8. The student should furnish the following documents with an attested copy of each certificate:
i) The statement of marks obtained at the last examination.
ii) Certificate of Eligibility (In case of students who had registered migration from other
University/Board)

9.Contact No:

Yours faithfully,

(Signature of the Applicant)

Date:

Place :

N.B.: Incomplete applicant will not be entertained.


The above certificate will be issued on the next day of submission of the application.

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