UTTAR PRADESH TECHNICAL UNIVERSITY
LET Campus, Sitapur Road, Lucknow, U.P, India
APPLICATION FOR THE MIGRATION CERTIFICATE
NAME OF THE STUDENT ...
FATHERS NAME.
DATE OF BIRTH...
COURSE/BRANCH..
YEAR OF ADMISSION ..
YEAR OF PASSING .
ENROLLMENT NO. ..
ROLL NO.
COURSE COMPLETED OR NOT...
RESULT OF LAST COURSE. ..
DIVISION /% ..
RAESON FOR WITHDRAWAL
(Signature of Student)
Date-
CERTIFICATE
Student of this institute
/her stay in college have been found good.
It is certified that above entries are correct and Mr/Ms./ Mrs./........
has cleared his/her all dues. The conduct and bahavir of the student
He/she never found indulged in ragging /punished for raging.
The institutehas no objection if his/ herMigrationis issued.
(Signature of the Director)
Name of the Director/ Pricipal
Date & Seal
Encolse : photo copy all year MarksheeDegree