HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY
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APPLICATION FORM FOR OBTAINING THE CERTIFICATE OF MIGRATION
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IMPORTANT INSTRUCTIONS
1. The fee of 100/- (One Hundred Only) should be sent to the Registrar North Gujarat
University PATAN. by Indian Postal Order / Demand Draft or paid in cash.
2. The application for the Migration Certificate be accompanied by the Transference Certificate
from the college / Institution last attended and the original marksheet or passing certificate
(of the last examination) a true copy of each duly certified by the Principal / Head of the
College / Institution concetned.
3. The application for the Migration Certificate will not be entertained if the required
documents are not supplied.
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TO BE FILLED BY THE APPLICANT sVZHNFZ[ EZJ]\f
1 Name in full in Capital letters ___________________________________________________
beginning with surname & full ___________________________________________________
address ___________________________________________________
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___________________________________________________
2 Name of College / University ___________________________________________________
Department last attended in ___________________________________________________
this University ___________________________________________________
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________________________________________________________________________________
Hemchandracharya North Gujarat University, Patan Migration Form Page No. 1
3 Name of all the examination of this University appeared.
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Name of Main optional Month & Year of Result with
No. Centre Seat No.
Examination Subject Exam Class if any
i
ii
iii
iv
v
vi
4 The Examination if any, of this
University, at which the applicant
appeared but which he / she failed Name of Month & Year of Result
to pass, or the admission to Examination Examination
the Examination was cancelled
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_________________________________________________________________________________
5 Particulars regarding activity after
the last Examination of this University
in which he/she passed/failed or his/her
admission to the Examination was cancelled,
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________________________________________________________________________________
6 (A) Date on which the Transfer
Certificate was applied for
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(B) Date on which the T.C. was
issued by the Principal/Head of the T.C. No. ______________________
College / Institution, last attended by 8LP;LP G\AZ o _________________
the applicant and and T.C. No.
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Hemchandracharya North Gujarat University, Patan Migration Form Page No. 2
_________________________________________________________________________________
7 Name of College and University
Joined by the applicant/OR want SM,[HG]\ GFD _______________________
to join External Examination
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______________________________________________________________________________
8 Name and address for sending the To,
Migration Certificate Shri/Smt/Kum
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____________________________
____________________________
_________________________________________________________________________________
I have read all the instructions printed in this form and submit this form duly completed together
with the prescribed fee and required documents with a certified copy of each of them through the
Principal of the College / Head of the Institution last attended.
I Confirm that the information contained in this form is complete and correct to the best of my
knowledge & belief.
__________________________
Date : - - Signature of the applicant
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Hemchandracharya North Gujarat University, Patan Migration Form Page No. 3
TO BE FILED IN BY THE AUTHORITIES OF THE COLLEGE OR HEAD OF
INSTITUTION LAST ATTENDED BY THE APPLICANT IN THIS UNIVERSITY
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To,
The Registrar,
HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY,
PATAN-384 265
Sir,
I forward herewith the application of Shri _____________________________________________
________________________________ for a Migration Certificate.
The applicant has not been rusticated or debarred by the University and I have no object to a
Migration Certificate being granted to him / her by the University.
His/Her date of birth as entered in this College/Institution Register is ________ He/She has been a
student of this College/Institution since _________________ 200______ and left it in
____________ 200________
The Transference Certificate No. ______________ was issued to the applicant on _____________
and is sent herewith.
No. application for Migration Certificate on behalf of this candidate was made previous to this
date.
Yours faithfully
Signature of the Principal / Head
of the College/Institution and the
Date : - -200 Seal of the College / Institution
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Hemchandracharya North Gujarat University, Patan Migration Form Page No. 4
(TO BE FILLED IN BY THE UNIVERSITY OFFICE)
The Prescribed fees of Rs. 50/- received on ________________ in cash/by I.P.O. Demand Draft No.
____________ Fee receipt No. ______________ Dated _____________ Shri/Smt/Kum
_________________________ has passed _______________________ examination in
___________ 200 from this University Order may please be passed for Migration Certificate.
Clerk in-charge Senior Clerk Head Clerk Office Superintendent
ORDER : The Migration Certificate Should be issued
MIGRATION CERTIFICATE NO. ______________ FOR REGISTRAR
DATED : _____________ OR DISPATCHED VIDE No. ________ RECEIVED IN
PERSON ____________ DATED _____________
(SIGNATURE OF APPLICANT) (SIGNATURE OF CLERK)
Hemchandracharya North Gujarat University, Patan Migration Form Page No. 5
