UNIVERSITY OF GUJRAT For office use only

No:………………………………..……
Controller of Examinations
Examination Block, Hafiz Hayat Campus, Gujrat. Date: ………………………..……………

Degree Issuance Form

Please read the instructions overleaf carefully. Fill in all the relevant information, provided in this formand
attach all the required documents. Incomplete forms will be rejected.
Please mark (√) your requirement:
DegreeUrgent/Original Duplicate Revised Affix Photograph
- (Passport Size)
1. Examination: __________Annual/Supply ______ Roll No.
(For Semester System) Session: _______ Batch: _______ Department: _______________________ Attested from Front

2. Gujrat University Registration No:

3. Reason: ________________________________________________________________________
If Revised: From: ___________________________ To: ________________________________
4. Name of Candidate: _________________________________________/_______________________________
(IN BLOCK LETTER)
- -
5. C.N.I.C No: 6. Date of Birth:

7. Father’s Name: ____________________________________/_____________________________

(IN BLOCK LETTER)

- -
8. Father’s C.N.I.C. No:

9. Marks Obtained: Division/CGPA:

10. Name of Institute:

11. Postal Address:

12. Contact No: __________________________

Fee Information:
Amount: ____________ Bank Challan No: ___________ Dated: ____/____/____
Branch: _____________________________________________________________________
I hereby declare that the entire particulars are correct and that in case of any difficulty arising out of inaccuracy therein, I shall be
responsible for the consequences. I have attached
1. Attested photocopies of the following documents
a. CNIC……………….……………………….….
b. Matriculation (Final Certificate)…………….…
c. Intermediate (Final Certificate)…………….......
d. Bachelor (Degree)……………………………....
e. Masters (Degree)……………………………….
2. Fee Chalan Rs. 1500 (original) if result declaration date is within one Year
Signature of the Candidate:

Attestation:
a. Private Candidates (Any Gazetted Officer)
b. Regular (Only by the College Principal/Head of the Institute)
c. Semester System candidates (only by the head of department)

It is certified that the applicant has completed all the requirements for the issuance of degree. It is further stated that institute (in case of
regular candidate of College/Campus/PPP Campus/Sub-Campus) has no objection if the candidate collects his/her degree personally
from the Degree Cell, Hafiz Hayat Campus, University of Gujrat.

Attested by
i. Principal of College
ii. Head of Department
iii. Director PPP Campuses/Sub-Campuses Signature and Office Stamp
iv. Gazetted Officer (in case of private candidate)…

Name: ……………………………………………………………………

CNIC#
 ‫‪P.T.O‬‬

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