HAZARA UNIVERSITY, MANSEHRA, NWFP, PAKISTAN

APPLICATION FORM FOR OBTAINING DEGREE IN ABSENTIA

Controller Examinations, Hazara University, Mansehra. Sir, I have the honour to apply for my degree which I could not collect in the convocation held in
Reason due to _______________________________________ to be _______________________________________ stated

My particulars are as under:

1. Name in (Capital Letters) ________________________________________________ 2. Fathers Name (Capital Letters) ___________________________________________

3. 5. 6. 7. NIC No.______________________________ Name of Exam: Passed _____________ Roll No.______________ Year __________ (Annual / Supplementary) Session if any ___________________________________ Institution /District from which examination passed __________________________ State etc.) _________________________________________________________________________ _______________________________________________________________________________ ___

4. Registration No. (Hazara University) _______________________________________

8. Permanent home address of parents (State House No./Mohallah Village. Tehsil, District /

9. Address on which the degree to be sent

__________________________________________________ I am etc Signature of the candidate CERTIFICATE

1. I certify that the applicant is the same person whose particulars as given above are correct. His/Her
2. photographs have been attested by me. He/She has completed all the formalities laid down under the rules forwarded of degree in absentia. Draft No._____________ dated ______________________ (attach original receipt)

3. I certify that the applicant has remitted Rs.2000/- OR Rs.4000/- by University Bank Fee Receipt /

Principal / Chairman / Magistrate Ist Class __________________ College/Department Office Seal IMPORTANT 1. College / Late College / University students are required to get the certificate signed by Principal / Chairman of the College / Teaching Department through which they appeared and passed the Examination. to get the certificate signed by an officer who signed their Examination Admission form or by the Magistrate Ist Class

2. Private candidates (Teacher / Laboratory Assistant / Librarians / Army Personnel etc.) are required 3. A photograph is to be attested on the face side (office seal to be invariable affixed) and the other is
4. to be attested on backside for posting on the original degree. Nobody can apply on behalf of the candidates concerned.

5. Degree will be issued by post on the address given at Sr. No. 8 above after two months.

6. The degree on urgent basis will be issued within seven days on the payment of Rs.4000/- (rupees
four thousand only) FOR USE IN THE UNIVERSITY OFFICE ONLY The particulars stated above have been checked & found correct. Degree in absentia may kindly be sanctioned.

Superintendent Assistant

ACE Sanctioned Degree/Certificate Issued Vide No. ______ Dated ______________

DCE

Controller Examinations

VICE CHANCELLOR