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Page 1 of 4 Sr. Number ________________________ ARNI UNIVERSITY Kathgarh, Indora, Hiimachal Pradesh-176401 Application Form for

Sr. Number ________________________

ARNI UNIVERSITY

Kathgarh, Indora, Hiimachal Pradesh-176401

Application Form for Obtaining Degree/Diploma

Note:

  • 1. All particulars should be carefully filled in by the candidate in own handwriting. The university will not responsible for any delay in case when the form is not filled completely. Read Instructions carefully before filling the form.

II.

Personal Detail (Fill information in Capital letters only):

1.Name of the Candidate(in Hindi): As per Matriculation Certificate

_____________________________________________________________________

2. Name of the Candidate(in English): As per Matriculation Certificate

Affix a recent duly attested passport size photograph
Affix a recent duly
attested passport
size photograph
Page 1 of 4 Sr. Number ________________________ ARNI UNIVERSITY Kathgarh, Indora, Hiimachal Pradesh-176401 Application Form for

3.Date of Birth: ________________________________________________________________________________

4.Father s Name(in Hindi): As per Matriculation Certificate _____________________________________________ 5.Father s Name (in English): As per Matriculation Certificate

Page 1 of 4 Sr. Number ________________________ ARNI UNIVERSITY Kathgarh, Indora, Hiimachal Pradesh-176401 Application Form for

6.Mother s Name(in Hindi): ______________________________________________________________________ 7.Mother s Name(in English): As per Matriculation Certificate

8.Gender: Male Female
8.Gender:
Male
Female

Detail of Degree/Diploma Passed from this University

9.Full Name of Degree Passed: _____________________________________________________________________

  • 10. Specialization (if any):________________________________________________________________________

  • 11. .___________________________

Reg. No

Session:

____________

Date of Admission:

Batch:

_______

  • 12. Marks obtained/Total Marks:

_________________________Percentage(upto

one decimal place):

__________________

  • 13. Division/Class:

______________________

with Distinction(Marks>=75%)Yes/No

__________________________

  • 14. Name of Department_____________________________School:______________________________________

Year of Passing

  • 15. Month

_____________

of Passing:

___________

 
  • 16. Permanent Address : _________________________________________________________________________ _________________________________________________________________________________________

__________________Phone

Number________________________________________Pin

Code ____________

  • 17. Present/Correspondence Address ______________________________________________________________ __________________________________________________________________________________________

_____________Phone

Number

_________________________________________Pin

Code ________________

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I hereby declare that all the given particulars are correct

Signature of Candidate (In English)

_____________________

Signature

of Candidate(in Hindi)

___________________

Signature of Father/Guardian

__________________________

Place:

___________________________Date:________

18. Enclosures to the applications (Use for mark) without following application is liable to be cancelled a.Attested Xerox copies of the all DMC s, Provisional Certificate or any certificate issued by this University: Yes/No b.Attested Xerox copy of the previous Degree/ Diploma/Certificates : Yes/No

Certify that the above particulars are correct in accordance with record/testimonial/certificate produced before me. The applicant has signed this application form in my presence.

HOD

________________________

Dean/Gazetted Officer

(Signature)

________________________

(Signature)

_______________________

(Official Seal)

________________________

(Official Seal)

(To be filled by the office of the Controller of Examinations)

The Candidate has fulfilled all the academic requirement for the award of ______________________________________

Degree/ Diploma in

_________________________________________.

The candidate has secured

class.

_____________

The Degree/Diploma Certificate bearing

No.

_________________Register

No.________________Page

No.____________

is dispatched/awarded on

_____________Registered/Speed

Post No.(if dispatched) ______________________________

Name and Signature of dispatched clerk _________________

Date:

Checked by

Verified By

Superintendant, Exam Branch

Controller of Examinations

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Detail of all Certificates/DMCs already issued to Candidate: Filled by candidate

Attested Name of Certificate/ Certificate/DMC Date of Year of Xerox copy Degree/Diplo Specialization Semester Batch DMC
Attested
Name of
Certificate/
Certificate/DMC
Date of
Year of
Xerox copy
Degree/Diplo
Specialization Semester
Batch
DMC Type
No.
Issue
Passing
is attached
Verified
(For Office use only)
ma
(Yes/No)

Signature of the Candidate

Verified By

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Page 4 of 4 ARNI UNIVERSITY Instructions to Candidates (To be retained by the Candidate) 1.

ARNI UNIVERSITY

Instructions to Candidates

(To be retained by the Candidate)

  • 1. Application form for Award of Degree/Diploma filled in all respects, , Attested Xerox copies of the all the DMC s, Provisional Certificate or any certificate issued by this University, Attested Xerox copy of the previous degree Diploma passed from this or from other university/board are also attached with this and should sent to the Controller of Examinations, ARNI University, Kathgarh, Indora, District Kangra, Himachal Pradesh-
    176401.

  • 2. Application not received in the form of prescribed or defective will not be accepted.

  • 3. Candidates are advised to send applications forms filled in all respect by Registered/Speed post.

  • 4. Candidates are advised to keep a Xerox copy of the filled in Application form for verification, in case of any clarification required in future.

  • 5. All candidates should enclose XEROX COPIES OF THEIR HSC AND DEGREE/DIPLOM A PROVISIONAL CERTIFICATES (IF OBTAINED) for name and result verification.

  • 6. Applicants of post graduate degrees (MCA, MBA, M.Sc. etc) should enclose Xerox copies of their previous Bachelor Degree certificate, otherwise the application will be rejected and returned to the candidate.

Controller of Examinations