I.

 No.19278  UG ­ 3 

BHARTHIAR UNIVERSITY: COIMBATORE – 641 046. 
DETAILS OF PAYMENT MADE 
APPLICATION FOR OBTAIINGING  Amount  paid Rs: 
PROVVISIONAL CERTIFICATE / AND 
DD / Challan No.: 
CONSOLIDATED STATEMENT OF 
MARKS  Bank  : 
(U. G. Level Courses) 
Date  : 

Course of Study  Branch 

Name of the Candidate  Sex  College through which qualified 

Period of Study  Register  Month & Year of last appearance 

No. 

Address to which the Certificate is to be sent 

* If the candidate has studied part of the same course in any other college affiliated to some other 
University, (other than Bharathiar University) give name of the college, University, the register 
number the subject/s for which exemption is given and the marks obtained in each subject. 
Name of the College  : 

Name of the University  : 

Register  Semester  Marks 

Number  Number  Subjects Exempted  Max  Min  Awarded
Candidates should  furnish semester wise details in the same order as found in grade sheets 
pertaining to the title of the papers, month and year of examination at which they have passed each 
subject and marks obtained in each subject.  If the candidate has improved his / her performance in a 
subject/s in the subsequent examination/s, the marks awarded will have to be entered in the last 
column meant for and the same will be taken into account for classification purpose. 

Semester  Marks  Month & Year  Improved marks 

Number  Subject  of Passing  & Month & Year 
Max  Min  Awarded 
of Examination
Semester  Marks  Month & Year  Improved marks 
Number  Subject  of Passing  & Month & Year 
Max  Min  Awarded 
of Examination 

Grand Total  Average Percentage  Class Obtained 

** Part I 

** Part II 

Part III 

**  Not to be filled in by candidates to whom  part­wise classification is not given.  These candidates shall fill­in­major 
subject mark under part III. 

Date  : 

Place  : 
Signature of the Candidate 
FOR OFFICE USE ONLY: 
Prepared  by :  Folio No. & Date  P. C. & G. S. M. issued on: 

Read by  :  PC  :  Sent by Regd. Post on : 

Examined by:  GSM:  Regd. Post No. : 

Controller of Examinations
 INSTRUCTIONS

 Application duly filled-in should be sent to the Controller of Examinations

directly.
 Consolidated statement of marks is issued only to candidates whose results
are processed in computer.
 Application should be complete in every respect. Failure to give correct
details may cause delay in the issue of the certificate. The application shall be
filled-in only by the candidate. Otherwise if will be rejected.
 A sufficiently stamped self addressed envelop should be enclosed for sending
the certificate by Registered Post.
 The fee for the issue of provisional certificate is Rs.200*/- and for consolidate
d statement of marks is Rs.200*/- if applied separately.
If applied for both in the same application the fees will be Rs.350*/-
 Provisional certificate / Consolidated statement of marks will not be issued
for the second time, only Duplicate provisional Certificate/consolidated
statement of marks will be issued. The fee for duplicate certificateis Rs.800/* .
 Provisional Certificate will not be issued to candidates who had already obtai
ned or applied for the degree (Diploma).
 Consolidated statement of marks will not be issued to the candidates of “AUT
ONOMOUS’ Colleges.
 An additional search fee Rs.350/- is to be paid if applied after 1year but
before 4 years and Rs.500/- is to be paid, if applied after 4 years, from the
date of passing the examination.
 The fee should be paid in the form of Bank of India Challan / DD drawn in fav
our of “The Registrar Bharathiar University” payable at Coimbatore..
 The fee once paid will not be refunded or adjusted to any other certificates un
der any circumstances.

*It is includes cost of applications Rs.50/-