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Convocation Application Form Nov 2016

This document is an application form for admission to the convocation of Jain University. It requests information such as the applicant's name, gender, category, course details, contact information, examination details, and a declaration to be signed. It provides instructions for candidates, such as writing their name clearly, enclosing marks cards, specifying electives, and information on fees to be paid.

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Kireeti
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121 views3 pages

Convocation Application Form Nov 2016

This document is an application form for admission to the convocation of Jain University. It requests information such as the applicant's name, gender, category, course details, contact information, examination details, and a declaration to be signed. It provides instructions for candidates, such as writing their name clearly, enclosing marks cards, specifying electives, and information on fees to be paid.

Uploaded by

Kireeti
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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Application form for admission to the photo here
Convocation of Jain University

In Person In Absentia

(Tick whichever is applicable.)

APPLICANT DETAILS
Name of the Candidate
(IN BLOCK LETTERS AS REGISTERED FOR THE UNIVERSITY
EXAMINATION)

 
Gender
Male Female

  
Category
SC ST General

Mother’s Name

Father’s Name

University Registration Number

Course / Degree

Elective / specialization

M.Phil / Ph.D. (Title of the Thesis)

Name of the Centre in which candidate studied

Complete postal address with pin code to which

communication to be sent.

Telephone / Mobile Number

E - mail
Details of Examination Passed
Reg. No.
Total Month & Class Total Month & Class
Semester Semester
Marks Year Obtained Marks Year Obtained

First Seventh

Second Eighth

Third

Fourth
Grand
Fifth
Total
Sixth

DECLARATION TO BE SIGNED BY THE CANDIDATE

I hereby solemnly declare and promise that, if admitted to the degree of ……………………………………… for
which I have been recommended , I shall, in my daily life and conversation of, conduct myself in a
manner that befits a member of this university, that shall support the cause of ethics and sound
learning to my utmost capacity and that I shall uphold and advance the social order and the well being
of my fellowmen.

Signature of the candidate


__________________________________________________________________________________
Verified from the office records and found correct. Recommended for award of the above degree.

Signature of the Centre Head with seal & date

FOR OFFICE USE ONLY

ELI. SL. NO. ………………………………….. JUC No. …………………………………………….


Class Obtained …………………………………………

Signature of the Controller of Examination


INSTRUCTIONS TO THE CANDIDATE

1. Candidates should write their names (in Block letters) legibly as registered for the University

Examination.

2. Photo copies of Marks Cards of all the examinations should be enclosed.

3. Candidates should write their Optional / Electives / Specialisations clearly in the application.

6. The prescribed fee for the degree certificate are as follows :

For General Rs. 1,500/- (in person) SC/ST Rs. 750/- (in person)
For General Rs. 1,000/- (in absentia) SC/ST Rs. 500/- (in absentia)

7. Prescribed fee should be remitted to “Jain University” account through Cash / Demand Draft.

8. Prescribed Fees once paid will not be refunded or adjusted for the future convocation.

9. No applications will be accepted after the due date.

10. Incomplete and incorrect applications will be rejected.

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