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15 views

Application-Form-for-Issue-of-Transcript-of-Marks

Uploaded by

faeikmalik
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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UTTARANCHAL UNIVERSITY

(Established vide Uttaranchal University Act, 2012)


Uttarakhand Act. No. 11 of 2013

Application Form for Issue of Transcript of Marks


NOTE: PLEASE READ INSTRUCATIONS GIVEN OVERLEAF CAREFULY BEOFRE YOU APPLY

1. Name of Candidate (In Block Letters) Mr/Ms: __________________________________________________


2. Father’s Name: _____________________________________________
3. Name of Course/Branch (for which transcript is required): _________________________________________
4. University Enrollment No: _______________________________ Roll No. ____________________
5. Particulars of Examinations Appeared/Passed. (Please attach copies of all the marksheets):

Examination Year of Passing Roll No. Marks Obtained Division

6. Residence Address: _______________________________________________________________________


________________________________________________________________________________________
7. No. of copies for Transcript/required : ________________________________________________________
8. Telephone (Mobile): ____________________________ E-mail ID: _____________________________

Date Signature of the Applicant

For Office Use

The particulars regarding the above examination mentioned by the student have been verified
from the record and found correct.

Sl. No. Year Roll No. Marks Obtained Division

Registrar Office

Transcript Fee Amount Rs _____________Paid vide receipt No _________ Dated ______________

Account Office

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