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Date .
Fee
41
50,000 Copies
if paid in Cash
amounl
Degree issued
lbtal
Date
amount
Rs.
Postage Receipt
No.
Date.
..
Fee Checked by
if paid in cash
by
Rs. ..
Sir,
totheDegree....
.asmyFirst/Second/
Third Degree of this University at the con
ion to be held in the month
Full particulars about the examination passed, etc. are given below :I Narne in full in CAPITAL letters
Applicant's Name / Father's / Husband's Name Surname
Male / Female
(As per Examination Form)
3
4
REGULAR / EXTERNAL
Sub-Caste
backward classes.
Name of the Degree Examination
Division
in words (
Seat No
Oct.-Nov
I AprilMay
20
(Only of M.B.B.S./B.A.M.S./B.H.M.S
B. Pharm. Degree holders) infi
regarding completion of Internship /
at
Certified
Marathwada
Coursefrom.
Babasaheb
...to
Un i versitv.
l0
bearing
ined by
bedkar
versity
and
se First
SeatNo.
from.
Degree is obtained.)
Please
Passed
I yea
AnnualConvocation
....
.....
Passingyear
Universityconferred.
(2)
I
Your b flirhfully,
ode)
Signature
Date
12
Permanent Address :
Importanl Note
:-
be
IDENTITY CERTIFICATE
in
filled and completed while submitting
PHOTO
the
form)
Shri/Kum
i/Smt..
of
....whoisapplying
....of
Degree/Diploma/Certificate
ofAttesting Officer)
Signature of the atlesting
Officer/Teacher/Member with designat ion Stomp
(Stamp is essential)
CONTROL
SEAT NO.
FORM PROCESSED BY
Signature
Date
RESULT
/ DIVISION / REMARKS
Signature
Date
REMARKS BY I/C
Signature
Date
DEGREE WRITTEN BY
Signature
Date
DEGREE CHE,CKED BY
Signature
Date
Date of Convocation
the Concerned
RECEIPT
Received
From the Registrar, Dr. Babasaheb Ambed
Date
(3)
0.5
Every person who passes an examin ion for degree, diploma or certificate of University Exarrinatiorr
same, in person or in absentia at his option, on payment of fees, as
shall be elisible for conferment of
mentioned below and in testirnony th
degree, diploma or a certificate, as tlre case may shall be awarded
to him.
First Degree Holders
Degree certificate fees
Rs. 100f
Registration
Rs.
Rs.
Rs. 100/-
fees
l00A
100/-
Total
Rs. 2001
Rs.200A
In person
ln absentia
Rs.
Rs.
l50f
l50f
Rs. 150/-
ln Person ForM.Phil
Rs.250/-
Rs. 250/-
Rs. 500/-
Rs. 150/-
Annual
Fee may be paid in cash in the Regist
will
be charged.
r's Office between I l-00 a.m. to 2-30 p.m. on all working days or
Registrar. The Registrar will not be responsible for loss or money
A ll candidates taking their Degree/Di loma/Certificate whether inAbsentia or in Person are requested to
write in their application the pe
t as well as conespondance address in full.
e, as prescribed
will
(4)
Candidates wlro are submittins forms br a obtaining their Degree are requested to write tlre receipt No.
and date of fee (Receipt) paid for the onvocatior.r purpose at the top at left side of the Application forms.
The prescribed application forrns and
obtai n ing tlrei r Degree/Diploma/Certi
'ees
should be sent irr time. Only fees or only application form for
will not be accepted.
r0
lost Rs. 50/- for Maharashtra State Rs. | 00/- for out of Maharashtra
remittt:d for despatching Degree Certificate by Post.
il
ing the oertificate in absentia and those who have paid the postal
charges
12
In
will
be dispatched at the
address.
of the
l3
submitted.
l4
will
&
Rs.
be
Book-Post
Ref,No. Ex/Conv./
From:
To,
The Registrar,
Dr. Babasaheb Ambedkar
Marathwada University,
University Campus,
Aurangabad-431 004
(M.s.)
Shri/Shrimati/Kumari.