M.S /M.PHIL &Ph.

APPLICATION FORM FOR PROVISIONAL CERTIFICATE AND DEGREE

Name (IN BLOCK LETTERS) --------------------------------

Father’s Name --------------------------------

Address (Permanent) --------------------------------

University Registration No. --------------------------------

Date of Registration. --------------------------------

Programme of Study. --------------------------------

Topic of Research. --------------------------------

Research Supervisor. --------------------------------

Signature of Researcher.

CLEARANCE CERTIFICATE
This is to certify that nothing is outstanding against
Mr./Miss- - - - - - - - - - - - - - - - - - - - - - - - - - - S.D/O- - - - - - - - - - - - - - - - - - - - - - -
Student of - - - - - - - - - - - - - - - - - - - - - - - - - - Department- - - - - - - - - - - - - - - - - - -

Signature with Stamp;

1. Head of the Department/Chairman/Director- - - - - - - - - - - - - - - - - - - - - - - - - - -

2. Departmental Librarian. -------------------------------

3. Research Supervisor. -------------------------------

4. Chief Librarian. -------------------------------

5. Accounts Officer. -------------------------------

6. Deputy Registrar (Planning) -------------------------------

7. Assistant Registrar, (Planning) -------------------------------