University Degree Certificate Form – Fill Out and Use This PDF

University Campus:

NH 58, Modipuram,

Meerut- 250 110, INDIA

T.: 0121-2575091/92; F.: 0121-2575724

Email: mail@shobhituniversity.ac.in

U.: www.shobhituniversity.ac.in

Dear Sir,

Reference is made to notification No. SU/RO/ACS/6/2014 dated 14th October, 2014 regarding Convocation. My particulars are as under:

Name (In English- Capital Letters): ……………………..………S/O, D/O……….….……………

and date of Birth………………. (Write correct spelling of the name as per your 10th class certificate which

will be reflected in your Degree Certificate)

CONSENT

I hereby request you to provide the degree in person for which I am sending the Bank DD of Rs.500/- DD No………………..….…….. dated……..…………. in favour of Registrar,

Shobhit University, payable at Meerut towards the Convocation fee and I will /will not attend the convocation in person.

or

Please dispatch my degree certificate on the following address. I am sending the Bank DD of

Rs. 600/-, DD No…………………….dated………………….:

(Candidates to fill the below columns in Capital Letters)

House No. ……………………………. Street Name ………………………….…………………....

Area ……………………………………………………….City …………………….…………….....

Pin Code. …………………… State / Country ………………………………..…….…………….....

Res. Tel. No. …………………………………Mobile No. ……………………………….…………

Email ID (1) …………………………………… (2)………………………………………. ………...

I have carefully read and noted the instructions to candidates before filling this form. I declare that the information given above is true and correct to the best of my knowledge and belief. I undertake that I shall be responsible for any omission / errors and wrong / incomplete entries in this form.

Thanking you,

Yours Sincerely,

Instructions:

1)The prescribed fee may be deposited in cash at the University cash counter or Corporate Office, University Tower, Pocket-B, Mayur Vihar Phase-II, New Delhi-91 with intimation to the undersigned or by Demand Draft to be issued in favour of Shobhit University, payable at

Meerut. Cash receipt / Demand Draft may be sent along with the application form to “Registrar, Shobhit University, NH-58, Modipuram, Meerut-250110, INDIA” by post or

email registrar@shobhituniversity.ac.in along with the scanned copy of the same.

2)Cheque/M.O. will not be accepted.

3)Please note that name given under (A) above will be PRINTED on your degree certificate and should not be at variance with the name as shown in class 10th certificate.

4)Incomplete forms or those not accompanying Xerox copy of Consolidated Statement of Marks will be rejected and no correspondence in this regard shall be entertained.

5)Counter slip of DD application itself shall be a receipt for payment of fee. It should be preserved carefully till the receipt of Degree Certificates.

6)Complaints regarding non-receipt of degree, issue or receipt of wrong degree (viz. name, school/centre, class, subject, year of passing etc.) will be entertained within a period of one month only from the date of receipt of application.

NOTE- No need to send a fresh application who have already submitted their application with stipulated fee for 6th Convocation prior to issue of this Notification.

Sd/- (Registrar)