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Degree Extension Application

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30 views1 page

Degree Extension Application

Uploaded by

myfreshcookies
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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Lovely Professional University

Division of Examination Academic Administration Cell Contact No. 01824-444379


Request for Degree Extension
Date of Application::_________

Registration No: _______________________ Student Name: _______________________________

Program Name: _______________________ Program Duration_____________________________

Admission Year: _______________________ Last Attended Session e.g. (17181) _______________

Email Id______________________________ Student’s Contact No.: _________________________

Parents Contact No.: ___________________

Tick reasons of delay in completion:

Family Issues Financial Problem Visited abroad Job

Medical Reason Pending Backlog/Reappears Any Other

Reason mention in details (In case of Any Other)


_____________________________________________________________________________________

_____________________________________________________________________________________

I ___________________________________ S/o, D/o ______________________________________ is

applying for Extension of degree for the Session (e.g. Aug 2023 - July 2024) ______________________

SELF-DECLARATION

(i) I am aware that I will be given extension only for the current academic session and I assure that I will
register my pending courses within this period only.

(ii) I will ready to clear previous pending dues (if any) as per university norms.

(iii) I will pay the fee as prescribed for these backlog courses.

(iv) I am aware that my degree duration time has been exceeding with my normal duration and completion date
will be mentioned on the Degree/DMC after completion of pending reappear/backlog courses.

(v) I declare that the information stated in the application form is correct to the best of my knowledge & my
parents are fully aware about the same.

Sig. of Student: _________________________ Place: _______________________

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