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Application For Issue of Provisional Certificate

This document is an application form for the issuance of a provisional certificate from Sikkim Skill University. It includes instructions for filling out the application, payment details for normal and express modes, and a declaration by the applicant regarding the accuracy of the provided information. Mandatory enclosures required with the application include a transaction fees slip, marksheets, and proof of identity.

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0% found this document useful (0 votes)
35 views1 page

Application For Issue of Provisional Certificate

This document is an application form for the issuance of a provisional certificate from Sikkim Skill University. It includes instructions for filling out the application, payment details for normal and express modes, and a declaration by the applicant regarding the accuracy of the provided information. Mandatory enclosures required with the application include a transaction fees slip, marksheets, and proof of identity.

Uploaded by

singhji25355
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Campus: Namthang, Namthang Bazar

P.O. District Namchi, Sikkim-737132

EDUCATION FOR ALL

Recent passport
size photograph.

APPLICATION FOR ISSUE OF PROVISIONAL CERTIFICATE The photo may


appear on final
document

Instructions:
1. The application is to be filled out by the candidate in English CAPITAL Letters.
2. Incomplete and wrong details in the application will not be entertained and no correspondence will be made on that behalf.

Enrollment No.

Name of the Applicant

Father’s / Husband’s Name

Mother’s Name

Programme

Session CGPA

Complete Address for correspondence

City State Pin Code

Contact No. E-mail

PAYMENT DETAILS

Normal Mode : The Certificate will be dispatched within 4 week of receiving the complete application.
Enclosed transaction slip of Rs. 3,000/- of online transfer in the account of Sikkim Skill University, Account No- 41792713741
IFSC Code- SBIN0009727, State Bank of India

Express Mode : The Certificate will be dispatched within 2 week of receiving the complete application.
Enclosed transaction slip of Rs. 6,000/- of online transfer in the account of Sikkim Skill University, Account No- 41792713741
IFSC Code- SBIN0009727, State Bank of India

DECLARATION

I hereby declare that all the information provided by me is true to the best of my knowledge & belief, and all the documents submitted are true
copies of the original. I further declare that I am abided by the regulations and eligibility conditions of the University. I understand that I may
be required to furnish additional information/ documents in case of a requirement from the University. I also understand that my candidature or
award from the University can be withdrawn at any given point of time even after issuance, if, the information submitted by me is found to be
incorrect or counterfeited.

Date:.................................. Signature of the Applicant

MANDATORY ENCLOSURES
1. Online Transaction Fees Slip.
2. Self Attested Copy of all semesters/ years marksheet.
3. Self attested photo copy of Proof of identity i.e. Aadhaar Card

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