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DR. BALASAHEB SAWANT KONKAN KRISHI VIDYAPEETH, 30 t h CONVOCATION

DR. BALASAHEB SAWANT KONKAN KRISHI VIDYAPEETH, 30 th CONVOCATION

(Please read instructions before filling the form)

To,

The Registrar, Dr. Balasaheb Sawant Konkan Krishi Vidyapeeth, Dapoli, Dist. Ratnagiri.

Sir,

I wish to attend the convocation to receive my Degree of

in person

Tick as

in absentia

to receive my Degree of in person Tick as in absentia (Examination) My particulars are as

(Examination)

My particulars are as follows :

Name in full (in block letters as per transcript issued by the university)

(Surname)

(Name)

(Middle Name)

Sex

Male

Female

 

Degree Examination Passed in the Month

Regd.

Name of College

Year

Class awarded

First Class with Distinction / First Class / Second Class

Post Graduate Degree Examination Passed in the Month

Regd.

Discipline

Name of College

Year

Class awarded

First Class with Distinction / First Class / Second Class

Doctoral Degree Examination Passed in the Month

Regd.

Discipline

Name of College

Year

Class awarded

First Distinction/First Division/Second Division/By Research

(Copy of transcript enclosed)

[P.T.O.]

I have read the notes overleaf and accordingly I remit the prescribed fee of Rs. 250/100 (Two hundred fifty / Hundred only) by Demand Draft Date

Address for correspondence (Degree Certificate will be sent on this address)

Name

At

Post

Tal

State

Tel / Cell

Place

Date

Candidate’s Signature

(Entries to be made by the University Office)

Result Checked by :

Degree Certificate Checked by :

Dealing Assistant

Supdt.

Dy. Registrar

Demand Draft

Date

Degree Certificate issued by in person / sent by post on

 

Dealing Assistant

Supdt.

Dy. Registrar

INSTRUCTIONS

1. The fee for admission to the First / Second Degree of this University is Rs. 250/- (in absentia) and Rs. 100/- (in person). Candidates who seek admission to more than one Degree at the same Convocation must submit a separate application and pay separate fee in respect of each Degree.

2. The student should send the prescribed Convocation fee by demand draft in the name of the Dr. Balasaheb Sawant Konkan Krishi Vidyapeeth, Dapoli, Dist. Ratnagiri and payable at Dapoli

3. Incomplete forms and those received after the expiry of the prescribed date will not be considered.