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CLC Form

This document is an application form for students of Marwari College in Ranchi, Jharkhand, India to request a character certificate. The form requests information such as the student's name, father's name, date of birth, program of study, registration number, last exam details, and a declaration signed by the student. It also contains a no dues certificate section to confirm the student has no outstanding fees or duties. Once completed, the form is submitted to the office to be processed and a character certificate issued with the student's registration number and date.

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Madwari College
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Download as PDF, TXT or read online on Scribd
162 views

CLC Form

This document is an application form for students of Marwari College in Ranchi, Jharkhand, India to request a character certificate. The form requests information such as the student's name, father's name, date of birth, program of study, registration number, last exam details, and a declaration signed by the student. It also contains a no dues certificate section to confirm the student has no outstanding fees or duties. Once completed, the form is submitted to the office to be processed and a character certificate issued with the student's registration number and date.

Uploaded by

Madwari College
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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MARWARI COLLEGE, RANCHI

(AN AUTONOMOUS CONSTITUENT UNIT OF RANCHI UNIVERSITY)


(COLLEGE WITH POTENTIAL FOR EXCELLENCE SELECTED BY UGC)
Website : www.marwaricollegeranchi.ac.in E-mail : [email protected], Ph : 0651- 2213545

APPLICATION FOR C.L.C / CHARACTER CERTIFICATE


S.No……………………… Date: …………………………….
………………….
Please issue ( ) Character Certificate ( ) College Leaving & Character Certificate
For Purpose ( ) Higher Education ( ) Selection In Job ( ) Other Purpose
1. Student Name (English):

2. Student Name (Hindi): …………………………………………………………………………………………….


3. Father’s Name:

4. Mother’s Name :

5. D. O. B 5. 6. Mob. No.
7.Permanent Full Address:
V I L L -
P O - P S -
D I S T P I N -

8. State.
9.Programme:
U.G :- B.A (H) ( ) / B.Sc. (H) ( ) / B.Com (H) ( )…………………………………….……………

P.G :- M.A ( ) / M.Sc. ( ) / M.Com ( ) ………………………………………………………………

MCA ( ) / M.Sc. BioTech ( ) / MBA ( ) / F.D . ( ) / Amanat ( ) / DPFM ( )

10.Reg. No. Class Roll No.

11.Exam. Roll No. Session:


12. Last Exam Name: ……………………………………….…Passing Year ………………… Division: …….......
Declaration:- I hereby declare that all the information given above is true to the best of my knowledge and belief. I shall
be held responsible for any false / fake information.

Signature of Students…………………………………..
NO DUES CERTIFICATE
1.Fee Paid Up to.…………………………………………………………… 2.Challan No………………....…………3. Counter Sig………………………
4. LAB ………………..…………………………………….5. NCC ………………………..……………….. 6.Library …………………………………………..…
7. Voc.Lib……………………..…… 8. Examination ………………………………….……9. Sports….….........................................................
………………………………………………….…………………………FOR OFFICE USE ONLY……………………………………………………………………….
Date:…………………………………….. C.L.C No. …………………………………………………Registration No. ………………………………………….
p

Assistant. ……………………………………H. Assistant …………………………………Principal/Prof. In_Charge/DSW …………………………..

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