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  • Convocation

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    Tyrone Wemyss
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    The document contains an application form for students of Birla Institute of Technology, Mesra to attend the February 2011 convocation ceremony or receive their degree in absentia. It requests information such as the student's name, roll number, degree earned, and date of completion. It lists the required documents to submit with the application, including a demand draft for Rs. 1000 if attending in person or Rs. 1250 for receiving the degree in absentia. It also includes a declaration form for students to select if they will attend in person or in absentia and provide details of the enclosed demand draft. Applications must be submitted by February 19th, 2011.

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    BIT Convocation Form

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    The document contains an application form for students of Birla Institute of Technology, Mesra to attend the February 2011 convocation ceremony or receive their degree in absentia. It requests information such as the student's name, roll number, degree earned, and date of completion. It lists the required documents to submit with the application, including a demand draft for Rs. 1000 if attending in person or Rs. 1250 for receiving the degree in absentia. It also includes a declaration form for students to select if they will attend in person or in absentia and provide details of the enclosed demand draft. Applications must be submitted by February 19th, 2011.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    23 views2 pages

    Convocation

    Uploaded by

    Tyrone Wemyss
    The document contains an application form for students of Birla Institute of Technology, Mesra to attend the February 2011 convocation ceremony or receive their degree in absentia. It requests information such as the student's name, roll number, degree earned, and date of completion. It lists the required documents to submit with the application, including a demand draft for Rs. 1000 if attending in person or Rs. 1250 for receiving the degree in absentia. It also includes a declaration form for students to select if they will attend in person or in absentia and provide details of the enclosed demand draft. Applications must be submitted by February 19th, 2011.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    of 2

    XXICONVOCATIONof

    BIRLAINSTITUTEOFTECHNOLOGY,MESRA,RANCHI
    (FEBRUARY2011)
    ApplicationforAttendingConvocation
    orObtainingDegreeinAbsentia*
    (Important:Pleasestrikeoffwhicheverisnotapplicable)

    To,
    TheRegistrar,
    BirlaInstituteofTechnology
    Mesra,Ranchi835215

    Date:../../2011(dd)/(mm)

    Sir,
    IamtostatethatIhavecompletedtheCourseofStudiesprescribedundertheRegulationsandhavepassedthe
    requisiteExaminationfortheAwardofDegreeintheFebruary2011Convocation.
    Mycompleteparticularsareasgivenhereunder:
    Name(inEnglish,incapitals):
    (inHindi):
    InstituteRollNo......PlaceofStudy:MesraCampus/Extn.Cntr.(Place).
    CompleteMailingAddress:|
    .....
    .
    City/TownDist.&StatePINCode.
    PhoneNo.(withSTDCode)/MobileNo.|...Email:
    ExaminationPassed(Tickwhicheverisapplicable):Ph.D./M.E./M.Tech./M.Pharm./MBA/MCA/M.Sc
    /B.E./B.Tech./B.Pharm./B.Arch./BHMCT/BBA/BCA/B.Sc.Degree
    Month&YearofCompletion:.....(seeProvisionalCertificate)
    Branch/FieldofSpecialisation:....
    SignatureoftheCandidate:..
    ThisApplicationshouldbesubmittedalongwiththefollowing:

    TheDemandDraftforRs.1000/(US$80.00forNRIandSFFSCategory)
    Photocopyoftheprovisionalcertificate
    DeclarationFormdullyfilledonaseparatepage
    testby18thMarch,2

    ApplicationshouldbesubmittedtotheInstitutesoastoreachtheRegistrarlatestby19thFeb.2011.

    XXI Convocation
    (FEBRUARY 2011)

    Birla Institute of Technology, Mesra, Ranchi


    DECLARATION FORM
    (tobefilledupbythecandidate)

    Declaration:IwanttoreceivetheDegree inPerson/ inAbsentia[TicktheappropriateBox].AcrossedBank


    Draft drawn in favour of Registrar, Birla Institute of Technology, Mesra, Ranchi, payable at UCO Bank, Mesra,
    RanchioronanyScheduledBankatRanchiisenclosed.(PaymentwillbeacceptedbyDemandDraftonly)
    DraftAmount:
    AttendingRs.1000/(US$80.00forNRIandSFFSCategory);
    inAbsentiaRs.1250/(US$100.00forNRIandSFFSCategory)

    DetailsofDemandDraftenclosed:
    D.D.No.....D.D.Amount(inwords).Amount
    IssuingBankName
    Branch&Place:Payableat
    ...DateofIssue...
    NameoftheCandidate:
    (inCAPITALletters)
    RollNo.:
    Course:.
    PlaceofStudy:

    Yoursfaithfully,
    SignatureoftheCandidate:
    (NooneelseshouldsignonbehalfoftheCandidate)
    xxxxxxxxxxxxxxxxxxxxxxxxx
    ForOfficeUseonly:
    VerificationofaboveinformationfurnishedbytheCandidateiscorrectasperInstituterecords.
    DateofDeg./Dipl.Certificate:..DateofDispatch#:
    (#ApplicableforDegrees/Diplomasinabsentia)
    Verifiedby:
    Date://
    Registrar010.

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