HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY
PATAN-384265 (N.G.)
Accredited by NAAC with “A” Grade (CGPA 3.02)
APPLICATION FOR ADMISSION TO AN EDUCATIONAL INSTITUTION IN THE UNITED STATE, CANADA,
U.K., GERMANY & ALL COUNTRIES
(TRANSCRIPT)
Name of Applicant:
(Underline Family / Surname Words)
Name and Address of Institution at which courses listed below were taken:
(Name of Institution) (Town or City) (Dist) (State) (Country)
Date of Entrance JUNE Date of leaving Mar-Jun / Oct-Dec
(Month) (Year) (Month) (Year)
Certificates, Diplomas or Degrees received from Institution named above.
(Give Month and Year Received.)
Note: Kindly indicate the system of grading used indicating highest obtai nable grade and lowest passing marks.
36% To 47% : Pass Class
48% To 59% : Second Class
60% To Above : First Class
70% To Above : Distinction
Note: Enter below the information requested for each of the subject which will have been completed before beginning studies in
the United States / Germany / U.K. & All other countries. Enter Subject in Chronological order and evaluation will be made
on the statement made bellow.
Period in which
subject was Number Hours per week Marks obtained in
taken of Final
Subjects
Months Practical / Lab. Examination
Lectures
From To taken /Field Work or External/Internal
Reception Time
Drawing
June March External Internal
TOTAL :
Result : Uni. Total :
Seat No. : Grand Total :
Attempt :
Exam.By:
HEMCHANDRACHARYA
NORTH GUJARAT UNIVERSITY
Office Seal of College /Universi ty Signature :
Official Title :
Address :
Signature of Applicant :
Date : Full Name :