FACULTY OF SCIENCE

THE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA

AUTHORITY LETTER (Collecting Degree Certificate)

Date : _____/_____2023

To:
Photo of the authorized
The Deputy Registrar (EXAM) person must be certified
The Maharaja Sayajirao University of Baroda by Gazetted Officer
Vadodara 390 002

I, ___________________________________ authorize ___________________________________

(Your name here…. Please print clearly) (Person authorized to pick up degree on my
behalf… please print clearly)

to pick-up the Degree on my behalf. The details as follows :

PRN No: _________________________________________

Degree Earned ___________________________________

Subject : _________________________________________

Graduation Date : _________________________________

Sincerely,

_______________________________
Signature of Graduate/Post Graduate
(original Signature mandatory)

__________________________
Signature of Authorized Person
(Name: )

Encl… Copy of ID card (Identity Card / Aadhar card / Voters ID / PAN ) of both