VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi 590018

Application for issue of Consolidated Marks Cards (CMC) for Non CBCS Students
For Students of Non-Autonomous colleges only
POINTS TO NOTE
 Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid CMC
 DDs are not accepted (For office use only)
 Fees paid once cannot be refunded. Please check you are eligible to apply for PDC before submitting application.
 PDC is valid only until the next convocation. Do not apply for PDC if you have received your Degree Certificate By Post
 PDC is issued only once. If you lose it, you can only obtain a duplicate copy.
 Attach self attested copies of marks cards to be consolidated. Final year marks cards cannot be consolidated
Name of Student
(As on Grade/Marks Cards)
University Seat Number Old USN (if applicable):
Details of Fees Fees: ₹ 750-00 per Semester + Rs 50 Postage Fee (within in India) or Rs 2000 (Outside India)
Choose Category “F – Fees to be
No. of semester Marks Cards to be consolidated Fee paid: ₹ ________________
paid by student”– Examination
Additional Rs 50 Postage Fee (within Payment ID: ______________________ Date: ______________________
in India) or Rs 2000 (Outside India)
Only for B.Arch
Semester 1 2 3 4 5 6 7
8 9
First Attempt Marks
Max. Marks (Out of)
Final Result
Month & Year of completion of Degree: ________________ Class Obtained: __________________
CHECKLIST
 I declare that I have not studied in an Autonomous college
 Online receipt of fees paid
 Self attested copies of marks cards

Name: _____________________________ Mobile: ____________________________ Date:_______________________

Address: _________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________ PINCODE: _______________ Signature: ______________________
Application by Post
Send the filled and signed application form and online receipt of fees paid to the following addres:
Registrar (Evaluation)
Visvesvaraya Technological University
Jnana Sangama, Belagavi- 590018

For Office Use Only

Case Worker: _________________ Special Officer: __________________

To be filled in by applicant in BLOCK Letters

POSTAL ADDRESS TO WHICH CMC IS TO BE SENT (This portion will be cut and pasted on envelope. Check for correctness)
Note: Postage fee of ₹ 2000-00 to be added to the fees for addresses outside India

Name USN:

Address

PIN Mobile: