RAJASTHAN TECHNICAL UNIVERSITY
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Phone: +91-0744-2473014, 2473106, 2473063, 2473861
APPLICATION FOR OFFICIAL TRANSCRIPT
COURSE : B.Tech. M.Tech. MBA MCA BHMCT B.Arch.
NAME: ROLL NO.:
ENROLLMENT NO. : DATE OF BIRTH:
FATHER’S NAME: MOTHER’S NAME:
COLLEGE/INSTITUTE NAME:
MARKS DETAIL
I II III IV V VI VII VIII IX X Grand
Sem. Sem. Sem. Sem. Sem. Sem. Sem. Sem. Sem. Sem. Total
Total Marks of
Papers Cleared in
Main/Reval
Total Marks of
Papers cleared in
Back
Semester Total
NO. OF SETS OF TRANSCRIPT REQUIRED: (Please mention number)
1. SEMESTERWISE: 2. SUBJECTWISE:
PAYMENT DETAIL:- Challan/DD No…………………………………….....…Date……………….……….
Bank Name………………………………………..……………….……….………Amount……………….……
Check List :
1. Xerox of All Semester Marksheets, Photocopy of Provisional Degree & Consolidated Marksheet.
2. Xerox of Class X Marksheet/Date of Birth Certificate.
3. Xerox of Personal ID with address ID.
4. A4 size blank envelopes equal the number of transcripts demanded and one outer Self-addressed
envelope.
5. Demand Draft in the name of Rajasthan Technical University, Kota payble at Kota in original.
Mobile No…………………………………. E-Mail ID ………………………………...
Address: ………………………………………………………………………………………………….
……………………………………………………………………………………………………………
State ……………………………………….. Pin Code ………………………………….
Date …………………………………………
Signature of Candidate with full name
Note :- 1. All attached photo copies of documents should be self attested and properly ligible, otherwise
transcript will not be prepared.
2. In case of any wrong information provided in the form, candidate will be fully responsible for the
same and University may take appropriate action against him.
(For Office Use Only)
Reference No. ……….……… Date……..……… Dispatch No……..………… Date……...……
Address :- Office of the Controller of Examination, Rajasthan Technical University, Rawatbhata Road,
Kota-324010
