Scribd
Upload
5K views

Application For Attending Convocation

Pradeep Kumar has submitted an application form to attend the 22nd convocation ceremony of Birla Institute of Technology, Mesra, Ranchi scheduled for June 3rd, 2012. He completed his MCA degree in June 2011 and is applying to receive his degree certificate in absentia. The application requires his personal details like name, institute roll number, address, contact information, degree details and a declaration of his preference to receive the degree in absentia. He must submit the form along with a copy of his provisional certificate by May 28th, 2012. Degree certificates of candidates applying to receive their certificates in absentia will be sent via registered/speed post.

Uploaded by

Pradeep Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
5K views

Application For Attending Convocation

Pradeep Kumar has submitted an application form to attend the 22nd convocation ceremony of Birla Institute of Technology, Mesra, Ranchi scheduled for June 3rd, 2012. He completed his MCA degree in June 2011 and is applying to receive his degree certificate in absentia. The application requires his personal details like name, institute roll number, address, contact information, degree details and a declaration of his preference to receive the degree in absentia. He must submit the form along with a copy of his provisional certificate by May 28th, 2012. Degree certificates of candidates applying to receive their certificates in absentia will be sent via registered/speed post.

Uploaded by

Pradeep Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

XXII CONVOCATION of BIRLA INSTITUTE OF TECHNOLOGY, MESRA, RANCHI

(JUNE 2012)

Application for Attending Convocation or Obtaining Degree in Absentia*


(Important: Please strike off whichever is not applicable)

To The Registrar, Birla Institute of Technology Mesra,Ranchi 835 215 Date : 10/5/ 2012 [dd / mm] Sir, I am to state that I have completed the Course of Studies prescribed under the Regulations and have passed the requisite Examination for the Award of Degree in the XXII Convocation to be held on 03rd June 2012. My complete particulars are as given hereunder: Name (in English, in capitals):PRADEEP KUMAR

(in Hindi) : Institute Roll No.- MCA/2008/07 Place of Study: Extn.Cntr- LALPUR (Place). Complete Mailing Address- Pradeep Kumar,C/O Sri Dhaneshwar Prasad,Prakash Puri, Shital Tola,Near-Sapna Cinema City/Town - Arrah Dist. & State - Bhojpur,Bihar PIN Code 802301 Phone No. (with STD Code)/Mobile No. |09088879001 Email : [email protected] Examination Passed (Tick whichever is applicable): Ph. D. / M. E. / M.Tech. / M. Pharm. / M B A / MC A / M. Sc /B.E. / B.Tech./ B. Pharm. /B.Arch. / B H MC T/ BB A/BC A/B.Sc. Degree- MCA passed Month & Year of Completion :June,2011 (see Provisional Certificate) Branch / Field of Specialization : Master Of Computer Applications Declaration : I want to receive the Degree in Person/in Absentia [ Tick the appropriate Box]. In Person Signature of the Candidate: pradeep kumar This Application should be submitted along with the following: Photocopy/scanned copy of the provisional certificate [You may communicate and send your application by email to : [email protected] Degree certificates of candidates who apply for receiving certificates IN ABSENTIA will be sent by Registered /Speed Post to the addresses in their application form]. NB : Filledin forms with necessary enclosures should reach the Registrar by 28th May 2012.
es8thMarch

You might also like