CENTRAL UNIVERSITY OF KERALA

FORM FOR APPLYING FOR ADMISSION TO DEGREE IN ABSENTIA

( Please Fill up in Block Letters, Print on both sides)
1. Name of the Applicant ----------------------------------------------------------2.Reg.No--------------------

3. Fathers Name-----------------------------------------------------------------------------------------------------

4 .Name of the Examination passed----------------------------------------------------------------------------

5. Year and Month of Passing-------------------------------------------------------------------------------------

6. CGPA

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Rs.500/- remitted vide cash receipt No./Demand Draft No------------------------------------------

Dated ----------------------------- (Demand Draft drawn in favour of the Finance Officer, Central
University of Kerala, payable at Kasaragod) .
8. Copy of No Dues certificate produced : Yes / No
9. Address on which the Degree / Diploma is to be sent by Registered Post

-------------------------------------------------------- (Signature of the applicant)

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Mobile No:
I know that my knowledge and intellect are the sacred wealth of the nation. I shall therefore, use it in
a manner befitting the honour and dignity of my country and of my alma mater. I shall make good
effort, in all circumstances, to uphold the dignity of my profession and the integrity of my character. I
shall endeavour in every way, through thought, word and deed, to bring about the well being of all
people. I shall live a well disciplined life and shall forever uphold the meaning of the motto of this
University contained in the University Logo.

Date: (Signature of applicant)

____
Remarks by Dealing Asst:

Date: Sign
Remarks by SO / AR

Date: Sign
Approval by CE:

Date: Sign
 FOR OFFICE USE ONLY

---------------------------------------------------passed the----------------------------------------------
examination held in -----------------------------------------20---- under Roll
No.----------------------------- His /Her name stands already approved by the Academic
Council. He/She could not attend the convocation of the University to obtain the
degree. The application is in order and the payment for degree in absentia has been
verified. The candidate may be admitted to the degree in absentia.

Entered on Page----------------------- at Sr.No ------------------------ of the Degree Register.

Assistant SO / AR

Date: Controller of Examinations