DRRAJENDRA PRASAD CENTRAL AGRICULTURALUNIVERSITY

Pusa, Samastipur-848 125, Bihar, India

OFFICE OF THEREGISTRAR
2 CONVOCATION-2021
(OCTOBER/NOVEMBER,2021)
APPLICATION FORM FORUG/PG/PhDORIGINAL DEGREE CERTIFICATE
Last Date ofAPplication(Online only)for obtaining Degree In.personis 15" sEPTEMBER,2021up to 17:00hrandafter
Enisno APplcation will be considered for taking Degree IN-PERSON onthe day of 2" Convocation ofOR RPCAU, PUSA)
To receive your degree please tick( IN-PERSON IN-ABSENTIA
any one

Rogn.oA TCAl032017-13
Roll No:19.110.04
Name
of the student
in CAPITALySAUMYA. SING
SANJAYSINAA
Father's Name: (in CAPITAL)

Mothers Name: (in

CAPITAL).SHOBA SING *******

Gender (Piease tick) Male

U emae

SubyectDiscipline:2Ag-) e Batch: .1.I.15.

Current full address with Pin code for sending Certificate for In-absentia candidates (in
CAPITAL)
Kusum kUNT, LRa.FE.S.SORSCOLONY,
NOKIHAsKANINENeGAR61 K.&anGANS, RoiIAS, BIHAR
PIN-.022J.2.
Mobie Noi..01245.Email 1 .Saumya2i3egrut:oalternatveEmalil 1D p12.212.@.icma C i n

Landline No. with STD Chest

Code: Size in inch (of Kurta for boys)

(Signature of the Student)

(in original) with date

Note for students:

*Please fill up this form, scan and ensure to send on or belore the last date (15-09-2021 upto 17:00 hel as attachment in dedicated
emad (Znd-convocationz2021@rpcau.ac.in) of Dr RPCAU, Pusa only, lor the consideratlon of the award of the Degree in-
Person an0/0r in-absentia.
*The UG/ PG/PhD students should take a note that Duplicate Certificate holder or degree before 01" October, 2018 will not be considered
to be conferred on the day of Convocation.
*No hard copy is need to be send either through post or In person
For Office Use Only

Processed by Assistant Verified by Section Oflice Dy.Registror (ACI/ Recistra