SRI DEV SUMAN UTTARAKHAND UNIVERSITY Badshahithaul, Tehri Garhwal Application Form for obtaining Degree/ Provisional Certificate/ Migration, Duplicate Migration, Degree or Mark sheet* Date........................

RegistrarSri Dev Suman Uttarakhand University,Badshahithaul, Tehri Garhwal.

SirPlease 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/Papers1...................................................... 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,

--------------------------------------------

--------------------------------------------

---------------------------------------------

RegistrarSri 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