VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi- 590018

Application for Name Correction in Grade Card (CBCS)/Marks Cards (Non CBCS) (NCMC)
POINTS TO NOTE
 Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid NCMC
 DDs are not accepted (For office use only)
 Fees paid once cannot be refunded.
 Enclose self attested photocopies of SSLC marks card .
 Original Marks card. By Post Only
 Fill the Postal Address Below without fail.

Name of Student
(As on Grade/Marks Cards)
University Seat Number Old USN (if applicable):
Details of Fees Fees: ₹ 200-00 per marks card No. of marks cards: ________
Choose Category “F – Fees to be
paid by student” – Examination
Fees paid: ₹ ________________ Payment ID: ______________________ Date: ____________

CORRECTION TO BE INCORPORATED (Write in Capital letters)

Printed as To be corrected as
Name of Candidate

Name of Father
CHECKLIST
 I declare that I have not studied in an Autonomous college  Enclose self attested photocopies of SSLC marks card
 Online receipt of fees paid  Original marks cards

Name: _____________________________ Mobile: ____________________________ Date:_______________________

Address: _________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________ PINCODE: _______________ Signature: ______________________

Application by Post Application by Hand (In person at VTU Belagavi)

Send the filled and signed application form and online receipt  Applications are not recieved by hand due to Covid-19 Pandemic.
of fees paid to the following addres:
Registrar (Evaluation)
Visvesvaraya Technological University
Jnana Sangama
Belagavi- 590018
For Office Use Only

Case Worker: _________________ Special Officer: _______________ NCMC : _________________ VIIIth sem: _________

To be filled in by Applicant in BLOCK Letters

POSTAL ADDRESS TO WHICH CORRECTED MARKS CARDS ARE TO BE SENT (This portion will be cut and pasted on envelope. Check for
correctness) Note: Postage fee of Rs. 1,500-00 to be added to the fees to be paid, for addresses outside India
Name USN:

Address

PIN Mobile: