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Migration Application Form

This document is an application form for a student to request a migration certificate after completing or withdrawing from their academic program. It requests information such as the student's name, parents' names, date of birth, program details, enrollment number, semester, reason for migration, qualifying exam details, proof of migration fee payment, and signatures of the student and verifying officer. The head of institution must also recommend the request.

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Prabhansh Varshney
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1K views1 page

Migration Application Form

This document is an application form for a student to request a migration certificate after completing or withdrawing from their academic program. It requests information such as the student's name, parents' names, date of birth, program details, enrollment number, semester, reason for migration, qualifying exam details, proof of migration fee payment, and signatures of the student and verifying officer. The head of institution must also recommend the request.

Uploaded by

Prabhansh Varshney
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Application Form for issue of Migration Certificate

to the Student

Name of Institution : ___________________________________________

Name of student : ………………………………………………….

Father’s Name : ………………………………………………….

Mother’s Name : ………………………………………………….


(Please attach copy of Secondary
School Examination Certificate)

Date of Birth : ………………………………………………….

Name of the Programme : ………………………………………………….

Batch : ………………………………………………….

Enrolment No. : ………………………………………………….

Year & Semester number : ………………………………………………….

Reason of Migration – successfully : ………………………………………………….


completed the course / withdrawal

Month/Year of qualifying Exams : ………………………………………………….


(Copy of final Grade Card/withdrawal
letter to be enclosed)

Details of Migration charges paid :


(Original copy of receipt to be
enclosed)

Signature of the student : ………………………………………………….


with date

The above facts have been verified.

(Name and signature of the Verifying Officer)

Recommended : ………………………………………………….
Name of HoI/HoD & Signature with date
and Stamp

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