Scribd
Upload
32 views

Generalized Application Form

1. The document is a general application form from the National Institute of Technology in Kurukshetra, India. 2. It requests the issuance of various certificates like bonafide, character, migration, duplicate ID cards for a fee or resolution of another issue described briefly. 3. It provides details of the student like name, roll number, course, year of passing, and contact information for processing the request.

Uploaded by

richshy dragon
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
32 views

Generalized Application Form

1. The document is a general application form from the National Institute of Technology in Kurukshetra, India. 2. It requests the issuance of various certificates like bonafide, character, migration, duplicate ID cards for a fee or resolution of another issue described briefly. 3. It provides details of the student like name, roll number, course, year of passing, and contact information for processing the request.

Uploaded by

richshy dragon
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

NATIONAL INSTITUTE OF TECHNOLOGY, KURUKSHETRA-136119

GENERAL APPLICATION FORM


INWARD NO. [ACADEMIC] __________

(Through Head of the Department/Respective Warden of Hostel/T&P Cell etc)


Date:-____/___/20____
The Deputy Registrar (Academic)
National Institute of Technology, Kurukshetra-136119

Subject: To issue required Certificate/To solve the issue as mentioned below.

Sir,

Kindly arrange to issue the following certificate for the _______________________________ purpose
or resolve the issue as briefed below.
Please tick which is required Prescribed Fee
1. Bonafide certificate } Rs.20/-
2. Character Certificate } Rs.20/-
3. Migration Certificate } Rs.200/-( Rs. 300/- through Post)
4. Hostel Leave Certificate (Enclose Affidavit) } -
5. Duplicate I-Card (Enclose Affidavit + FIR for loss) } Rs.20/- (Duplicate I-Card)
6. No Objection Certificate } -
7. Transcript } Rs.450/- 1st Set &
Subsequent set @Rs.90/- .
8. Degree Certificate } Rs.500/-(Rs.600/- through Post)
9. Any other __________________________________ }
10. Describe in brief if Any other is applicable______________________________________________
_______________________________________________________________________________
[Brief the issue along with the supporting documents]

Particulars of the student


Name _______________________________________ Roll No. ___________________
Fathers Name _____________________________ Semester & Section_____________
B. Tech/M. Tech./MBA/MCA/Ph. D. (Branch/Specialization_____________________________)
Year of passing (If applicable) ______________Mobile& E-mail _________________________
Thanking you
Yours faithfully,

(Signature of the Student)


_________________________________________________________________________________________
(For office use)
- Prescribed fee is received, details of the student is verified from the record.
- The certificate may be issued as per letter placed below for signatures.

Dealing Assistant Superintendent Deputy Registrar (Academic)


Date of Signature:___/___/20___
_________________________________________________________________________________________
I have received the required certificate(s) on /issue is solved on .

(Signature of the Student)

You might also like