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_____________________________
Signature of Candidate
Phone No. : ………………………………..
Forwarded and strongly recommended that the student is eligible for Migration Certificate.
______________________________________
Principal/ Head of the Institution
Date :
Seal
RULE
(a) Application for a Migration Certificate should be made through the Head of the Institution in which he/ she prosecuted
his/ her studies last, along with a Migration fee of Rs. 1,000/- (Rupees One thousand) only in cash/ by demand draft
drawn in favour of the Registrar, Dibrugarh University payable either at SBI, DU Branch (Code : SBIN0002051) or
PNB, DU Branch (Code : PUNB0994000).
(b) Migration Certificate is issued only to registered student of this University. If he/she is private student his/ her
application will have to be countersigned by a Gazetted Officer.
(c) No action will be taken unless the prescribed fee is received in this office.
N.B. : (1) Original Registration Card/ Duplicate Registration Card (in case of loss of Original Registration Card)
must be surrendered along with the application form.
(2) Loss of Original Registration Card must be accompanied by an affidavit.