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Transcript Application Form Template

The document is an application form for students at Central University of Rajasthan to request issue of transcripts. It requests the applicant's name, enrollment number, degree details, payment details, address where the transcript should be sent, contact information, and notes that copies of final grade sheets and bank receipt must be attached. The form includes sections for the applicant's signature, a receipt for the student/representative, and an acknowledgement section.

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Saurabh Shubham
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84 views1 page

Transcript Application Form Template

The document is an application form for students at Central University of Rajasthan to request issue of transcripts. It requests the applicant's name, enrollment number, degree details, payment details, address where the transcript should be sent, contact information, and notes that copies of final grade sheets and bank receipt must be attached. The form includes sections for the applicant's signature, a receipt for the student/representative, and an acknowledgement section.

Uploaded by

Saurabh Shubham
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

From No.

CoE/2014/007
CENTRAL UNIVERSITY OF RAJASTHAN
BANDARSINDRI, KISHANGARH
APPLICATION FOR ISSUE OF TRASCRIPTS

1. Applicant’s Full Name (Without any prefix and abbreviation)


…………………………………………………………………………………………………………………………………………………

2. Enrollment Number Department:


……………………………………………………… ……………………………………………………………

3. Sex : Male/Female

4. Degree completed: M. A./ M. Sc. Subject: …………………..

Year and Month of Passing………………………. CGPA……………………. SGPA………………….

5. Details of Fee paid (FIRST COPY): Amount: Rs. 1000/- Date…………. DD/Receipt No. ……………….
(For Additional copy of Transcript add Rs. 100/- per copy over and above Rs. 1000/-)

6. Complete Address to which Transcript should be sent (if not being received by hand):

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

---------------------------------------------------------------------------------------------------------------------------PIN--------------------

7. Phone number with STD Code………………………………. Mobile number……………………………………………

Note: Please attach self-attested copy of Final Semester Grade Sheet and Bank Receipt.

Date: (Signature of the Student)

Receipt from the Student/Representative

I ……………………………….have received the Transcript (….. copies) in respect of Mr./Ms……………………………………

Details of Speed Post or Registered (if sent by post) No…………………………………………….. dt…………………………..

Date Signature

……………………………………………………………………………………………………………………………………………

ACKNOWLEDGEMENT

Received application from…………………………………………….along with all documents for issue of Trascripts .

Date:
(A. O. Exam)

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