ABHILASHI UNIVERSITY
Chailchowk, Tehsil Chachyot, District Mandi, HP – 175028, India
APPLICATION FOR OBTAINING CERTIFICATE For Office Use Only
(Please Use Separate Form for Each Certificate)
No………………………………………………..
The Controller of Examinations / Registrar Date……………………………………………..
Abhilashi University .
Sir,
I request you please issue me the Certificate mentioned below. I certify that I am the same candidate who appeared
at the following examination. My signature and particulars given below are attested by the Dean/ HOD/ Principal concerned
& I am attaching the required documents.
Yours faithfully
Date: ………………………. CANDIDATE
PARTICULAR
(To be filled in Block Letters only)
1. Candidate’s Name ………..…………………………………………………………………………………………………………………………………………………
2. Father’s Name …………………………………………………………………………………………………………………………………………………………………
3. Address …………………………………………………………………………………………………………………………………………………………………………..
……..…….………………………………………………………………………………………………. Pin …………………… Contact ……………………………….
4. Registration Number …………………………………………. Course ……………………………………………….. Session ……………………………….
5. Name of Last Exam Passed …………………………………………………………………… Month …….………………………. Year ……………………
6. Certificate Required ………………………………………………………………………………………………………………………………………………………..
7. Fee payment details:
Amount (Rs.) DD No./Receipt No./Transaction ID Date Name of the Bank Branch
DEAN/ HOD/ PRINCIPAL concerned
I authorized ………………………………………………………………… to collect my ………………………………………………………………. Certificate
Specimen Signature of Messenger CANDIDATE
_________________________________________ For Office Use Only _________________________________________
Received application for ……….…………………………………………………………………………………….……………………………………… Certificate
from Mr./Ms. …………………………………………………………………………….
Date …………………………………. For Abhilashi University
I ……………………………………………………………………………………………………………………….. Received the Certificate mentioned above
Date ………………………. CANDIDATE
RULES
(Please read carefully)
1. The application must be completed in all respects and to be submitted with the recommendation of Head of
Department along with self attested copy of documents.
2. All Certificates are to be collected from the University during office hours. Time limit for issuance of Certificates is 7
(seven) working days from the date of submitting the application.
3. Fee and documents required to be submitted with the application form:
SN Name of Certificate Fee (Rs.)
1 PROVISIONAL DEGREE/ DIPLOMA CERTIFICATE (attach copies of all the marksheets) 1000/-
2 DUPLICATE MARKSHEET / MIGRATION / PROVISIONAL (attached a copy of F.I.R./Affidavit) 1000/-
Each
CORRECTION IN MARKSHEET / CERTIFICATE (attach copies of all the relevant documents )
3 1000/-
* Free if reported within 3 months from issuing of document and in case the error is on University part. Each
4 CONSOLIDATED MARKSHEET/ TRANSCRIPTS (attach copies of all the marksheets) 1000/-
MIGRATION CERTIFICATE (attach copies of all the marksheets)
5 a. After passing the examination for the applicant was studying 500/-
b. Before passing the examination for which applicant was studying 5000/-
6 CHARACTER CERTIFICATE 200/-
Note: Postage Charges Rs. 100/- extra (if required by post)
4. You may pay fees by Cash / Demand Draft in favour of Finance Officer, Abhilashi University payable at
Nerchowk or in any mode as prescribed by the University from time to time. No other mode of payment
will be accepted.
You may collect the Certificates in Person or can also fill up this form and send it along with DD by Speed Post to:
Controller of Examination, Abhilashi University, Chailchowk, Tehsil Chachyot, District Mandi, HP – 175028,
INDIA.
