Migration Certificate From Form – Fill Out and Use This PDF

6677-20,000-6-4-2010-K.U.K

		KURUKSHETRA UNIVERSITY, KURUKSHETRA
	R.F. 5.		(Established by the State Legislature Act XII of 1956)
			("A" Grade, NAAC Accredited)
	Price: At the Counter: Rs. 10/-
		If form is downloaded Rs.20/-
			Serial No
			Case No
			(For office use only)

APPLICATION FORM FOR INTER UNIVERSITY MIGRATION CERTIFICATE

(i)All the particulars should be filled in by the candidate himself/herself.

(ii)Read instructions carefully on overleaf before filling in this form.

(iii)No person is entitled to apply on behalf of another person or to receive the Inter University Migration Certificate.

(iv)The office will not be responsible for any delay if the form is found incomplete.

1.Name of the Applicant (Block Letters) ...........................................................................................................

2.Father’s Name (Block Letters) ........................................................................................................................

(Spellings of Name & Father’s Name should be same as shown in Registration Card)

3.Registration No. of Kurukshetra University ...................................................................................................

4.Particulars of Last Examination:

Name of Last Exam

Session/Year

Roll No

Result

IMPORTANT NOTE: - ATTESTED PHOTOSTAT COPY OF THE CERTIFICATE OF LAST EXAM. ALONGWITH THIS MIGRATION FORM MUST BE SENT TO THE DEPUTY/ASSTT. REGISTRAR (REGN.) KURUKSHETRA UNIVERSITY, KURUKSHETRA-136 119.

5.Whether disqualified by this University? if so, give the following particulars :-

(i)Examination in which disqualified __________Session/Year ____________Roll No._________

(ii)Period for which disqualified_________________________________

6.	Name of the Institution/College, if still on Roll_________________________	For Use of Accounts
	Class_________________ Roll No.__________________________________	Branch only
7.	Name of the Institution/College last attended__________________________	Rs
	Year/Session ___________Class ______________Roll No._______________	Univ. Receipt No.
8.	Name of the University to which the applicant wants to migrate	..................................
	______________________________________________________________	Dated
	Name of the Institution/College where the applicant has joined/intends to join	Asstt. (Accounts)
	______________________________________________________________
	Year/Session ______________Class _____________Roll No.___________

9.Fee remitted Rs.____________

(a)University Receipt No., Book No. and Date______________________________________________

(Also attach original receipt)

(b)OBC Scroll No.______________________Date__________________________________________

(c)Postal Order(s) Bank Draft No. & Date__________________________________________________

[Postal Order(s)/Bank Draft should be drawn in favour of the Registrar, Kurukshetra University, Kurukshetra and should be Payee’s A/C, Payable at S.B.I., University Campus, Kurukshetra]

10.Postal Address

_____________________________________________________________________________________

_____________________________________________________________________________________

I solemnly declare that: -

(i)The particulars filled in by me are correct and nothing has been concealed;

(ii)I did not appear in any other examination thereafter from this University;

(iii)In case of compartment/re-appear, I will not appear in the comptt./re-appear subjects of the last examination from Kurukshetra University; and

(iv)I shall be responsible for the consequences, if the above statements are found incorrect.

Dated_________________	______________________
	(Signature of the Applicant)
FOR OFFICE USE
Form and particulars in the M.C. No. ______________M.C. Checked	M.C. Signed and be issued
Checked. Fee received entered in the Register.
Issue of M.C. is in order

Dealing Official

Assistant

Supdt.(Regn.)

Asstt./Deputy Registrar (Regn.)