Académique Documents
Professionnel Documents
Culture Documents
I,…………………………………………aged…………,S/o/D/o………………………………….,residing
at…………………………………………………………………………………………………......……………
………………………... do hereby solemnly affirm and state as follows.
Now I am residing at ……………………………………………………………………………………………….
…………………………………..……… I have completed my ……………….Course from National Institute of
Technology Calicut in the year ………….. . My ……….. *Semester grade card/Consolidated Grade Card/Degree
Certificate/Provisional Certificate/TC/Migration/………………….. with Roll No…………………. has been lost
irrecoverably from my possession. I published the matter in ……………………………………….dated
…………………. . But all efforts to trace out the same is miserably failed.
Now I want to apply for a duplicate copy of the same. In case I find out the same in future, I will surrender it
before the authorities without fail. I will never misuse it.
This affidavit is to produce before the National Institute of Technology Calicut authorities along with my
application to obtain a duplicate copy as stated above.
I have not concealed or misrepresented any fact.
The above facts are true.
Dated ………………………………..
Deponent
The Literate deponent solemnly
affirmed and Signed before me at
Calicut on …………….