ANNEXURE – 06
Proforma for submitting original Marks cards and other original documents in respect of
candidates selected in selection list with allotment and who wish to get admitted to the
allotted institution for admission to [Link] Course during 2024-25
1) Name of the Candidate :
2) Name of the Father. :
3) Postal address in full with pin code. :
4) Nodal Centre No. and Registration No :
5)
Sl. Particulars of original Documents Submitted Number
No.
A S.S.L.C./ X Std. Marks Card.
B II P.U.C./ XII Std. Marks Card.
C I, II and III Year Degree / P.G. Degree Marks Cards.
D 7 Years Study Certificate / 7 Years Domicile Certificate/
Kannada Medium Study Certificate from I to X Std.
E University Migration Certificate
F Caste cum Income Certificate
G Special Group Certificate:
( D.P./Ex-M.P./G.K./H.K./N.C.C/N.S.S./SPO)
H PH Certificate issued by District Medical Board of
concerned District
I Kalyana Karnataka candidates have to produce Domicile
Certificate compulsorily
Enclose documents for Sl. No. E,F,G,H&I only if applicable.
TOTAL NO. OF ORIGINAL DOCUMENTS SUBMITTED
Signature of the Candidate
Attestation by the Head of the Nodal Centre
The above candidate has submitted original marks cards and other original
certificates as noted against Sl. No.5. The same have been submitted to the Centralised
Admission Cell for further verification.
Place:
Date: Signature of the Head of the Nodal Centre
with Seal
NOTE: Do not enclose certificates like T.C, Character certificate Etc.
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