MARWARI COLLEGE, RANCHI

(AN AUTONOMOUS CONSTITUENT UNIT OF RANCHI UNIVERSITY)

(COLLEGE WITH POTENTIAL FOR EXCELLENCE SELECTED BY UGC)
Website : www.marwaricollegeranchi.ac.in E-mail : marwaricollegeranchi@gmail.com, Ph : 0651- 2213545

APPLICATION FOR C.L.C / CHARACTER CERTIFICATE

S.No……………………… Date: …………………………….

Please issue ( ) Character Certificate ( ) College Leaving & Character Certificate

For Purpose ( ) Higher Education ( ) Selection In Job ( ) Other Purpose
1. Student Name (English):

2. Student Name (Hindi): …………………………………………………………………………………………….

3. Father’s Name:

4. Mother’s Name :

5. D. O. B :
6. Permanent Full Address:
V I L L -
P O - P S -
D I S T P I N -

7. State.

8. Programme:
U.G :- B.A (H) ( ) / B.Sc. (H) ( ) / B.Com (H) ( )…………………………………….……………

P.G :- M.A ( ) / M.Sc. ( ) / M.Com ( ) ………………………………………………………………

MCA ( ) / M.Sc. BioTech ( ) / MBA ( ) / F.D . ( ) / Amanat ( ) / DPFM ( )

9. Reg. No. Class Roll No.

10. Exam. Roll No. Session:

11. Last Exam Name: ……………………………………….…Passing Year ………………… Division: …….......

Declaration:- I hereby declare that all the information given above is true to the best of my knowledge and belief. I shall
be held responsible for any false / fake information.

Signature of Students…………………………………..
NO DUES CERTIFICATE
1.Fee Paid Up to.…………………………………………………………… 2.Challan No………………....…………3. Counter Sig………………………
4. LAB ………………..…………………………………….5. NCC ………………………..……………….. 6.Library …………………………………………..…
7. Voc.Lib……………………..…… 8. Examination ………………………………….……9. Sports….….........................................................
………………………………………………….…………………………FOR OFFICE USE ONLY……………………………………………………………………….
Date:…………………………………….. C.L.C No. …………………………………………………Registration No. ………………………………………….
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Assistant. ……………………………………H. Assistant …………………………………Principal/Prof. In_Charge/DSW ……………………………