JADAVPUR UNIVERSITY

KOLKATA-700032, INDIA
Website: www.jaduniv.edu.in
Phone: (033) 2457- 2540, 2337

APPLICATION FOR ISSUANCE OF FINAL SEMESTER GRADE CARD

Name(in CAPITAL LETTERS):

Course of study Passed:
Year of Passing: Exam. Roll No of Final Sem.:
Whether already applied or will apply for review of aforesaid Result(Yes/No):
Registration No.(with Session): Class Roll No:
Email Address: Mobile No:
Need to enclose the photocopy of JUMS generated online Final semester grade card.

CLEARANCE REPORT:
SL. Section/Office/Department/School Report with stamp
No
1 Muster Roll Section(Please report his/her dues)

2 Dean of Students(Please confirm whether he/she is a hostel boarder)

3 Hostel Supdt.(Please confirm whether his/her dues, if he/she is a

hostel boarder)

4 Accounts(Please mention his/her dues including hostel dues)

5 Librarian (Please report 1. His/her dues, if any

2.whether he/she has return all books)

6 Placement Cell( Please report His/Her dues if any)

Date:

Signature of Candidate

*The clearance certificate is mandatory for collection the original Final semester Grade card/
Degree Certificate.

For use of COE Section

Date: Office of the COE