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S. No. Particulars of The Documents Charges (In RS.) : Semester. For Each Additional Copy)

This requisition form is for obtaining official transcripts and other certificates from a university. It lists 12 types of documents that can be requested along with the associated charges for each. These include transcripts, grade sheets, degree certificates, verification of degrees, migration certificates, and more. The candidate's name, roll number, department, and date of completion are required at the top. The form also provides spaces to list the particular documents requested, charges, number of copies, payment details, and total amount deposited.

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Sam Desilva
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45 views1 page

S. No. Particulars of The Documents Charges (In RS.) : Semester. For Each Additional Copy)

This requisition form is for obtaining official transcripts and other certificates from a university. It lists 12 types of documents that can be requested along with the associated charges for each. These include transcripts, grade sheets, degree certificates, verification of degrees, migration certificates, and more. The candidate's name, roll number, department, and date of completion are required at the top. The form also provides spaces to list the particular documents requested, charges, number of copies, payment details, and total amount deposited.

Uploaded by

Sam Desilva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REQUISITION FORM

(For obtaining the official transcripts and other certificates)


Date:_5th-March-2018__

Name of the Candidate ____________Roll No.__ __________

Department:_CIVIL ENGINEERING__ Completion date of Academic Program:__30-May-2009_

S. Particulars of the Documents Charges Number of Mode of payment & Amount


No. (in Rs.) Set/Copies its details deposited
1. TRANSCRIPTS 1 Set 1000 (1set)
Pass-out student + 200 (postal
 (1965 to 1990) - 2000/- Charges)
 (1991 till date) - 1000/-
(Minimum 1 set, contains five Transcripts) = 1,200 Rs
Student enrolled (Total)
(Any number of copies) - (Each) 100/-

2. DUPLICATE GRADE SHEETS


Pass-out student
 (1965 to 1990) - 1000/-
 (1991 till date) - 500/-
Student enrolled (Free of cost once in a 100/-
semester. For each additional copy)
3. DUPLICATE DEGREE CERTIFICATE - 4000/-
(Only for pass-out student)
4. VERIFICATION OF DEGREE/CERTIFICATE - 2000/-
(Pass-out and student enrolled)
5. MIGRATION CERTIFICATE 500/-
6. BONA FIDE CERTIFICATE
Pass-out student 500/-
Student enrolled (Free of cost once in a 50/-
semester. For each additional copy)
7. MEDIUM OF INSTRUCTION CERTIFICATES
Pass-out student 200/-
Student enrolled 100/-
8. CPI TO % CONVERSION CERTIFICATE
Pass-out student 200/-
Student enrolled 100/-
9. NO-OBJECTION CERTIFICATE 50/-
10. PROVISIONAL DEGREE CERTIFICATE 200/-
11. MISCELLANEOUS CERTIFICATE NOT LISTED 200/-
ABOVE
12. POSTAL CHARGES : (within India) 200/-
(outside India) 1500/-
Official transcripts of the Pass-out students will be issued within seven days from the date of receiving requisition form

FOR OFFICE USE ONLY

Receiving Date of the Requisition Form:______________________ Issuing Date:________________________

________________________________________
(Signature of the person preparing the document(s))
____________________________
(Signature of the Issuing Authority)
Details of the dispatch:
Track No. ___________________________

Date: ___________________________

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