MODY UNIVERSITY

LAKSHMANGARH, Dist. SIKAR 332311 (RAJASTHAN)

APPLICATION FOR RECEIVING DEGREE IN ABSENTIA
(To be submitted through the Dean of the concerned College)
Dated:
The Registrar
MODY UNIVERSITY
Lakshmangarh 332311 (Rajasthan)
Through: Dean, College of ____________________________
Dear Sir,
I was not able to attend the convocation and get the degree in person. Please send my degree to me
at the address given below. My particulars are given as under:
1.
3.
4.
5.

Name: __________________________________
2.
Enrolment No. _______________
Fathers Name: _____________________________________________________________
Degree Obtained: ___________________________________________________________
Address: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Please send my degree by Registered Post at the address given above. I am enclosing herewith a
Demand Draft No. __________________ dated _________ towards the fees for
Rs. 1200 for dispatching within India at the above address.
Rs. 2000 for dispatching outside India at the above address
Yours truly,
__________
Signature
_____________________________________________________________________________
(To be filled in by the Deans office)
The Registrar, MU, Lakshmangarh.
Verified (1) The student has not obtained the degree in convocation, (2) Particulars given above are
correct, and (3) She has cleared all dues and has settled all accounts. Recommended that the
Degree may be issued.
Dean,________
(To be filled in by the office of Registrar)
Degree dispatched through Registered Post / Courier on __________, Receipt No. __________
Signature