[Those students who will obtain the application form from web-site are requested to add Rs.

to add Rs. 5/- towards an

Application Form Fee in addition to Migration Fee.]
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NORTH MAHARASHTRA UNIVERSITY, JALGAON
FOR OFFICE USE ONLY
Case No. ______________________ Outward No. ____________________
Migration Certificate No. _______________________ Date _____________________
Application for Migration Certificate
(To be filled in by the student)
Name in full :Shri./Smt.. ___________________________________________________________________
(Beginning with Surname and in Block letters)
Name before Marriage (if applicable)
Address : _______________________________________________________________________________
________________________________________________________________________________________
Please give details i) Name of the last examination of this University ________________________________
ii) Year of examination ____________ iii) Seat No. iv) Transference Certificate No. _______
v) Permanent Registration No.
* Other particulars, if necessary
Date : Signature of applicant __________________________
________________________________________________________________________________________________
(To be filled by the Authorities of the College last attended by the applicant in this University)
To,
The Registrar,
North Maharashtra University, P.B.No. 80,
Umavinagar, Jalgaon 425 001.
Sir,
I have the honour to forward herewith an application of Shri/Smt. _______________________________
__________________________ for a Migration Certificate.
The applicant has not been rusticated by the University and I have no objection to a Migration Certificate
being granted to him/her by the University. The University has issued eligibility to him/her vide
letter No. _________________________________________________________Dt. ___________________
OR * A.Y. ________________________ Sr. No. ____________________ Form No._____________________
His / her Permanent Registration No. is _________________________________________________
He/She has been a student of this College since ________________ and left on ___________
The original Transference Certificate bearing No. ___________________ is sent herewith
No application for a migration Certificate on behalf of this candidate was made previously to this date.
Your faithfully,
Place _________________
Date__________________ Sign of Principal/HOD________________________
Office Seal
N.B. : If there is any period intervening between the date of application and the date of the transference Certificate
issued from the Institution last attended, it should be accounted for in this column.
* If the eligibility is finalised by MKCL process in that case, Academic Year & Sr. No. of the list and eligibility
Form No. should be mentioned.
(Please Read instructions before filling the form.)
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INSTRUCTIONS TO CANDIDATES
(1) The fee for Migration Certificate is Rs. 125/- which may be remitted by Demand Draft of the Nationalised
Bank drawn in favour of The Registrar, North Maharashtra University, Jalgaon or Cash only along with the
application form. Add Rs. 05/- extra if Migration Form is obtained from Website.
(2) The Fee once paid for Migration Certificate shall not be returned under any circumstances.
(3) Students are advised to ensure that the original Transference Certificate is enclosed with the application
form. The Migration Certificate will be issued on to basis of original Transference Certificate & same will not
be returned to the candidate.
(4) The Student applying for Migration Certificate are requested to attach photo copy of the Marks Statement of
last qualifying examination of this University.
(5) Migration Certificate will not be given to the candidate in person.
(6) The candidate is requested to attach the self addressed envelope in the size of 28 x 12 cm (5 x 11 Inch.) to
send a Migration Certificate.
(7) The address written on the envelope & in the Application form must be same.
*****