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ANNEXURE I

SPECIMEN OF CHARACTER CERTIFICATE

Name of the Department/College..............................................Session......................Certified


that Mr./Miss/Mrs...............................................................................................son/daughter of
Shri....................................................................................has been a bonafide student of this
Department/College during the period............................................................................He/She
appeared in the ................................................................Examination of the University/Board
held in.....................................................under Roll No.........................................and *passed
obtaining.........................................marks out of.................................marks or *failed/ *placed
under compartment in the subject of.....................................................
1. Academic Distinction, if any.......................................................
2. Co-curricular activities, if any.....................................................
3. Brief particulars of disciplinary action by College/Department/University (including
punishments such as expulsion, warning, fined for violation of
College/Department/Hostel rules, UMC/Disqualification etc., if
any...............................................................
4. General Conduct during Stay in the Institution : Good/Satisfactory/Unsatisfactory.

Dated:.......................................... Signature of the Principal/


Chairperson of the Deptt.
(with office seal)

_________________________________________________________________________
*Strike out whichever is not applicable.

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