7/27/2019 Degree Certificate form.pdf

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UNIVERSITY OF CALICUTApplication for obtaining .......................................... Degree in Absentia

1. Name of the course/programme passed : 2. Optional Subject : .....................................................3. Name of the candidate (in capital letters) : 4. Gender : male / female5. Mobile number : 6. E-mail ID : .....................................................7. Address to which degree certificate is to be sent :

(in capital letters, with PIN) : .....................................................

..

7. Details of course/programme passed

Part/Year/

semester

Register

Number

Month & Year

of passing

Marks/

Grade obtainedCentre of exam Remarks

1

23

4

5

6

7

8

9

10

8. Details of fee remittedChalan Number Amount Date Name of treasury/bank

Details of documents attached with the application

1) .......................................... 2) ..........................................

3) .......................................... 4) ..........................................

5) .......................................... 6) ..........................................Declaration

I hereby declare that no revaluation or improvement results are pending with the university.

I further declare that effecting of grace marks also is not pending.Place : .........................Date : .......................... Signature of the Applicant

Ur ent / Ordinar

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Fee rate for degree certificate (including postal charge and cost of application form)

If applying for

degree

certificate

Ordinary

Degrees

Professional

degrees

PG ,PG diploma

and M Phil

Certificate,

Diploma and TitlesPh D

Ordinary

fee

Urgent

fee

Ordinary

fee

Urgent

fee

Ordinary

fee

Urgent

fee

Ordinary

fee

Urgent

fee

Ordinary/

Urgent fee

within 1 year ofpublication of

result140 390 175 425 190 440 125 375 515

Within 3 years 165 415 200 450 215 465 150 400 515

Within 5 years 265 515 300 550 315 565 250 500 515

within10 years 290 540 325 575 340 590 275 525 515

After 10 years 540 790 575 825 590 840 525 775 515

Enclosures with the application

DEGREE BA P.O.TPROFESSIONAL

DEGREE

PG, P G Diploma

and M PhilPh.D

Self attested copy ofplus two marklist

Self attested copy ofplus two marklist

and qualifying

certificate of orientaltitle

Self attested copy ofplus two marklist

Self attested copy ofdegree certificate

Self attested copyof PG certificate

Chalan receipt(original)

Chalan receipt(original)

Chalan receipt(original)

Chalan receipt(original)

Chalan receipt(original)

Photocopy ofCSS certificate

Photocopy ofCSS certificate

Photocopy ofCSS certificate(if

applicable)

Self attested copy ofall marklists of PG

course

Self attested copyof notification

Self attested copy of all

marklists/grade cards ofdegree

Self attested copy of

all marklists/gradecards of degree

Self attested copy of

all marklists ofprofessional degree

Consolidated

marklist copy(if any)

Address to which the application is to be sent:

Controll er of Examinations

University of Calicut

Calicut University (P.O)

Malappuram (D ist)

PIN673635.