Proviosional Certificate From Form PDF Details

The process of obtaining a Provisional Certificate from the Sam Higginbottom Institute of Agriculture, Technology and Sciences, which is a deemed-to-be university, signifies a critical step for students nearing the completion of their academic journey. This document, vital for those who have finished their studies but have not yet received their official degree certificate, serves as an interim validation of their academic achievements. The application procedure, detailed in the provided form, emphasizes the importance of accuracy and integrity. Students are required to fill the form meticulously in their own handwriting, using block letters and a black ballpoint pen. Each section—from personal and academic details to the specific demand draft instructions—highlights the institute's meticulous approach to ensuring that all provided information is verifiable and in compliance with their records. A nominal fee of Rs. 150, payable to the Directorate of Distance Education (DDE) via demand draft, underscores the formal nature of this transaction. Furthermore, the form includes a declaration section where students affirm the truthfulness of the provided information, alongside a checklist of attachments, including self-attested mark-sheets. The instruction set concludes with directives for both the coordinator of the Distance Education Study Center (DESC) and the students, indicating the need for copies of the form and the demand draft for future reference. By adhering to these directives, prospective graduates can smoothly transition to the next phase of their professional or academic endeavors.

QuestionAnswer
Form NameProviosional Certificate From Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesshiats degree certificate, shuats degree form, shiats dde, shuats dde degree form

Form Preview Example

Sam Higginbottom Institute of Agriculture, Technology and Sciences

 

 

 

 

 

 

(Formerly Allahabad Agricultural Institute)

 

SHIATS

 

Deemed-to-be-University

 

 

A University

 

DIRECTORATE OF DISTANCE EDUCATION

 

 

 

With

 

 

 

 

GLOBAL REACH

APPLICATION FORM FOR THE ISSUE OF PROVISIONAL CERTIFICATE

 

 

 

 

 

 

Read the Instructions carefully before filling the Form

 

 

 

 

 

 

 

 

Enrollment Number (As in the ID card)

DESC Code

Programme

–

Name of the Student as registered with the University at the time of admission

Complete Address (Do not repeat the name)

 

e-mail Address

 

 

 

 

 

 

 

 

STD Code

 

 

 

Phone/Cell

Pin code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Demand Draft No.

 

 

 

 

Date

 

 

 

 

 

 

Amount

 

 

 

 

 

 

 

 

 

Name of the Bank

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d

d

m

m

y

y

y

y

 

 

Rs.

1

5

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(The Demand Draft of Rs. 150/- (One Hundred Fifty only) in favour of DDE, AAI-DU, A/c payable at Allahabad)

 

 

 

 

 

 

 

Academic Details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sl.

Programme & Semester/Year

Month & Year of passing

 

 

 

DESC Code

 

 

 

 

 

 

Total Marks obtained in the Semester/Year

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Note : Attach self-attested copies of Mark-Sheets of all Semesters/Years.

Declaration

I hereby declare that all the information given by me in this form are true and correct to the best of my knowledge and belief. I have attached all required documents and demand draft with this form.

Date

 

 

 

 

Place

 

 

 

 

 

 

 

 

 

 

 

 

Signature of the Student

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For Hony. Co-ordinator, DESC Use Only

 

 

 

 

 

DESC Code

 

 

 

Phone/Cell

e-mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

It is certified that all the informations mentioned by the student in this Form are correct as per the record.

Date

Place

Seal & Signature of the Coordinator

Important Instructions

1.Provisional Certificate Form is to be filled by the student in his/her own hand writing in English, using black ball point pen very carefully in Block Letters only.

2.The address of the students must be complete in all respect. It is compulsory to mention PIN Code, Telephone/Cell No. and e-mail address (if any).

3.The Form having overwriting, striking out or erasure of any kind is liable to be rejected.

4.The Provisional Certificate fees is to be paid by demand draft of Rs. 150/- (One hundred fifty only) in favour of DDE, AAI-DU, A/c payable at Allahabad.

6.The Coordinator DESC and Students are required to retain the Xerox of the filled Form and the Demand Draft for future reference. The complete Provisional Certificate Forms along with demand drafts are to be sent on the following address:

The Assistant Registrar

Directorate of Distance Education

Sam Higginbottom Institute of Agriculture, Technology & Sciences

Naini, Allahabad - 211 007

Ph. : 0532-2684317

STUDENT NOT TO WRITE BELOW THIS LINE (For Office use only)

Enrollment No.

Date of Receiving

Send for verification to

D.D. No.

D.D. Amount

Issuing Branch

 

Issuing Date

 

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