ALAGAPPA UNIVERSITY, KARAIKUDI

(Accredited with “A” Grade by NAAC)

Application for Migration Certificate

Payment Details:
Name and Place of Bank :
Amount :
Date of Payment :
Demand Draft No. :

1. Name of the Candidate (In English) :

2. Name of the Candidate (In Tamil) :
3. Name of the Course Undergone in this University :
4. Register Number :
5. Month & Year of last appearance :
6. Furnish the name of the college and year of study
in which the candidate has studied the course
If studied through correspondence or by private
study, give particulars thereon. :
7. Whether passed or failed in the above course :
8. The Course and university in which the candidate
proposes to join. :
9. Address of the Candidate :
Name____________________________________
Address__________________________________
________________________________________
____________________ Pin Code: ___________
Signature of the Candidate

For Office Use Only

Book No
.
Folio No.

Written by:

Checked by: Asst. Supdt. A.R. / D.R.

INSTRUCTION :

The application should accompany with the following documents :

1. Demand draft for Rs. 100/- drawn in favour of the Registrar, Alagappa University.
2. An attested Xerox Copy of the Transfer certificate/Course completion certificate,
application should be forwarded by the Head of the Institution stating the Course of study
in their institution .
3. An attested Xerox Copy of Diploma or Provisional Certificate or statement of marks of
last appearance or a declaration in case of non – appearance for any examination in this
University.
4. The filled in application form should be sent to : "The Dean,College Development
Council, Alagappa University, Karaikudi – 630 003

Communication Address
Name____________________________________
Address__________________________________
_________________________________________
______________________ Pin Code: __________