Sl. No.
THE UNIVERSITY OF BURDWAN
Form Price-Rs. 20/- APPLICATION FORM FOR OUTWARD
MIGRATION CERTIFICATE
Read the instructions carefully
Rates of fee :
before filling up the form
(Only Demand Draft / SBI Collect payment / Cash will be accepted )
(a) On date Rs. 300/- (b) Urgent Rs. 200/-(after 72 working hours)
(c) Ordinary Rs. 100/- (after ten working days)
To
The Registrar
The University of Burdwan
Rajbati, Burdwan-713104
West Bengal.
Sir,
I am to request you to be so kind as to grant/issue a Migration Certificate in my favour for thecause stated hereunder.
Necessary particulars relating to my prayer are given in the following statement.
Yours faithfully.
SIGNATURE OF THE STUDENT
STATEMENT OF PARTICULARS :
1. (A) Name of the student (in block letters)
(a) in English according to Registration Certificate :
(b) in Bengali
(B) Male/Female :
2. (a) Name of the father :
(b) Name of the mother :
(c) Husband’s name (in case of married women student):
3. Name of the Course and University where the student
Desires to join on migration
:
4 Registration Number of this University with year of
Registration (Original Registration Certificate is to
be enclosed) :
5. Home Address with Pin Code and Contact No. should
be mentioned here :
6. (a) Name of the College where from the student’s name
was registered first under this University :
(b) Name of the College/University where the student
studied last :
(c) Citizenship of the students
7. Last Examination of this University (with Year & Roll
No.) passed or appeared :
8. Particulars of fee deposited (Draft No.
with date / for cash deposit, challan / online receipt :
is to be attached)
………………………………
Signature of the student in full
9. Countersigned, recommended and forwarded for issuing/granting migration certificate (applicable in case
of student who did not complete the course).
………………………………………..
Date Principal/ Head of Deptt.
Director/Asst. Director, DCC with
Office seal
Checked
Dealing Assistant :
Superintendent :
Deputy/Asstt. Registrar :
INSTRUCTIONS
1. Fees should be deposited in Cash at the University Cash Counter, Rajbati as Migration fee. Only
Demand Draft in favour of “The Finance Officer, The University of Burdwan” will be accepted.
For Downloaded form, the price of the form should also be submitted along with the fees.
2. Migration Certificate will be sent by post (enclose a self addressed stamped envelope) / hand delivery for
‘urgent’ and ‘on date’ cases as desired by the applicant.
3. Incomplete application will not be considered. The matter of granting/issuing Migration Certificate is
subject to satisfying all the stipulations stated above.
4. Application forms completed in all respect with relevant documents must be submitted personally /
through authorised messenger / by post only.
5. Application must be accompanied with an attested copy of Mark sheet / Certificates of last examination
Passed from this university and Original Registration certificate (which will be returned with the Migration
Certificate.)
6. If required, mark-sheets & other testimonials (in original) will have to be produced by the students.
7. Students who got registered under this University and did not complete his/her course have to produce
a certificate from concerned College/Institute/Department and the application should be forwarded by
that authority.
8. If a student is not already registered under this University, he/she will have to be registered first under the
University before applying for having Migration Certificate in his/her favour.
9. In case of foreign student, this application is to be forwarded through the concerned High
Commission/Embassy after fulfilling the above requirements.
