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Past here pass-port
size photo

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other University/ Instituteforfurtherstudy. I humbly beg to saythat kindly issue me Migration Certificate and oblige.

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(For use of Account Office qq\lsrnp
affix seal of fee deposition with date ft-m or ilq Fathe/sName
and Sig). srdT or crq Mothe/sName.
qQrq qdrT e-{/ oeil First Admission Session/Class
frofro/qofro/frtenq/dquniversity/College/lnstitute/Centre.................
qdT,/ g-td,/ qlo;io(Address/e-mail/Mob. No.). .. . .. ... .

Aadhar N0. e-mail ll)


Mob. No Pin-Cndn
R-q-io eRe ryf awerv Full Signature with date

oriqdr qqu-qr (No Dues) ffin qqcn cqq-rt-t €o (lssued Mig.No.)

(€<fuc orowo d asaw*) q6rq|qer/ Rqr.nqalftic|fi/crqrd 6Rr 3t:'FHr{vr r{t $-a d qrq
Signature of Dealing Assistant with Rubber Seal (Deans/ HoD/ Director/Principal with Rubber Seal)
r4qfuc ororso 6 eironn (Sig. of Dealinq Asstt./ Date)

oTrqr{fr frfu/ 3ni{q_T{ qqr oli al vg-E Tf,qq gqrul_qt qlk v$-E
I qR ftffi or qFTio{ riqr 3l5l( B aY qrqifr-{ riqr FId o-{i d ft\ so 10,/- d-er tqnr d frhE {@ or$qr q qqr6-{ s$-s scmer osdl | (p,ouide Rs 10t
receipt to know enrolment number)

2. gg3lfifi q: d qrq.ro qfren d crqto q-jr of gasrerR-a trH offi qdr{ al vEIl(Enclosedphotocopyof marksheelof pass{utctass)
3. 3ii({ qe sdfc voru d uBeroTlqqFnqnZqefaqroq d sErirqT{ EM sqrf-f fqr qrrT

4 g@-5o 100l- Agr fr|Tfrr d @N€{ !T vlr oitl DepositRs.100/-migrationcertificatefeeinaccountsectionof thisuniversity)


s 3{|i({ ql w o{i d crqKl crflq q? 4fi grfu ig o R-c qrq S o|qfflr q wqd of (Kindty contact after six days to receive Migralion Certificate)
6 wa//wat 31q-4 9H, q',f,q.1;F d ftili silqR 61.f at y6 orqrqfr 3lrifi-qr d qla rid.{ of t qrqc g-rilq q-{ *d qqq 3nqn q;d o1 orqr cpr qT-$.g1
tF d d"* qi cTfu-r-$-E d qrpl €dr{otl (Pleaseenclosedphotocopyof AadharlDProof andputup onecopyofsameatthetimeof takingMigrationCertificatewithreceipt),
7. carq qtril Rctd o1 1a uft lloriginar copyof F.t.R.)

L YIqq ql o1 to cftl (orisinatcopyof Affidavit)


s crs*d gl{q ste) ftqfR-c TeT|{ qq qw oii ftc qT €cd-{ or rdq s'td-f, B | (past pass-port size photo on specify ptace do not stapte or pin.}
1O qqFII{-qZ OT VO XO-Vfr l(Main copy of Daily News paper in which information has been pubtished)

Candidate's Name --- Enrolment No, ------

Date of lssue Sig, of Dealing Asstt,

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