Phone: 0427-2345766; Fax: 0427-2345124; e-mail: registrarperiyar@gmail.

com

PERIYAR UNIVERSITY
Reaccredited with “A” Grade by the NAAC
Periyar Palkalai Nagar, Salem – 636 011.
APPLICATION FOR THE ISSUE OF ELIGIBILITY CERTIFICATE ( UG / PG)
From:
Demand Draft (or) Challan particulars
……………………………………………………
Name of the bank …………………………………………
…………………………………………………… Branch………………………………………………………

…………………………………………………… Amount Rs.500/- DD No. ………… Date …………

MOBILE: …………………………………………

To:
THE REGISTRAR
PERIYAR UNIVERSITY
SALEM – 636 011.

Sir,
Sub: Issue of Eligibility Certificate – Regarding
*****
I request you to kindly issue me an Eligibility Certificate for purpose of admission to ……………………….
Degree course in …………………………(main subject) in the Periyar University during the academic year
200 - In this connection, I am furnishing here under the particulars of the qualifying examination passed by me.

1. Name of the candidate as per the certificate :

2. Name of the examination passed :

3. Name of the University / Board :

4. Register No. Month and year :

5. Whether passed through College / School Study / Open :

University System / Correspondence Course / Private Study

6. Period of study of the qualifying examination now passed :

7. Total duration of the course studied by the candidate so far :

st
(From 1 std.)

8. Name of the School / College where last Studied :

9. Pattern of Education : (10 +2 +3; 11 + 1 + 3; 11 + 2 + 2; under :

which the examination passed, as the case may be)
Note: Candidates who have passed under 10 + 1 are NOT ELIGIBLE for admission to three year degree course.
Candidates who have passed degree course under 10 + 1 + 3 or 10 + 2 + 2 or 11 + 1 + 2 are NOT ELIGIBLE for
admission to Post Graduate degree courses.
10. Date of Birth (as per Transfer Certificate) :

11. Names and Number of certificates enclosed with this :

application (XEROX)

12. Name of the College in which it is proposed to join the :

course
The particulars furnished in the application are true and correct. In case any particulars furnished in
the application are found incorrect at a later stage, I agree to forfeit my admission, no matter at what stage of
the course, I will be in at that time.

Place: Yours faithfully,

Date: Signature of the candidate

 FOR OBTAINING ELIGIBILITY CERTIFICATE

For obtaining UG Eligibility Certificate : (Documents required )

1. X Mark sheet (self-attested )

2. Xll Mark sheet (self-attested)

3. Transfer Certificate (self-attested)

4. Rs.500/- Challan (Account No: 1) paid in Canara Bank, Periyar University Branch.

Rs.500/- ryhd; %ykhf (Account No: 1) nghpahh; gy;fiyf;fof tshfj;jpy;

mike;Js;s fduh tq;fpapy; nrYj;j Ntz;Lk;.

For obtaining PG Eligibility Certificate : (Documents required)

1. X Mark sheet (self-attested)

2. Xll Mark sheet (self-attested)

3. UG Provisional (or) Convocation (or) Consolidated Mark sheet with pass Certificate
(self-attested)

rhd;nwhg;gkpl;L ,sepiy jw;fhypf gl;lr;rhd;wpjo; (m) gl;lr; rhd;wpjo; (m)

xUq;fpize;j kjpg;ngz; gl;bay; Njh;r;rp rhd;wpjo;.

4. Rs.500/- Challan (Account No: 1) paid in Canara Bank, Periyar University Branch.

&.500/- ryhd; %ykhf (Account No: 1) nghpahh; gy;fiyf;fof tshfj;jpy;

mike;Js;s fduh tq;fpapy; nrYj;j Ntz;Lk;.

FOR FOREIGN STUDENTS:

1. Apply through the principal of the college in which the student have been admitted, with the
above documents and visa, passport self attested copies. Original passport should be
submitted before the issue of Eligibility Certificate.

2. Rs.3,500/- Demand Draft drawn infavour of the Registrar, Periyar University, Salem – 11
payable at “Salem”.
(or)

Submission of challan for Rs.3,500/- paid in A/c.No.1 at Canara Bank, Periyar University
branch.
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