Website: http://forms.puchd.ac.

in

Panjab University Chandigarh

Serial No._____________ Case No...............................
Application for Degree in Absentia
(for office use)

Particulars of applicant:
Name (in capitals)

Bank Draft/University receipt

Father's Name: (in capitals)
No:...................................
Dated................................

Regd. No:...............................

Particulars of examination passed:

Examination.....................................Roll No..........................Session & Year...............................
Marks obtained............................Division................................................................................
College/District (for private candiate).........................................................................................

Dated:......................... (Signature of the applicant)

Attestation:
I certify that the applicant...................................................................................................
son/daughter of Shri................................................................... is the same person who passed
the .....................................................................examination under parituclars given above.

Full name, designation and address of the attesting authority: Signature of attesting authority
...............................................................................
................................................................................ Official Stamp

Attestating Authorities:
i) For College/University Teaching : Principal of the College/Chairperson of the
Department candidates: Department concerned
ii) For Private Candidates : A Gazetted Officer, Principal of an affiliated College,
Chairperson of the University Teaching Department, a
Fellow of University. University officer not below the
rank of Assistant Registrar.
(To be filled in by the applicant)

Address for Correspondence Address for despatch of Degree

(The postal expenses for despatch of Degree
abroad shall be borne by the applicant.

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