You are on page 1of 1

Bharath Institute of Higher Education

and Research
(Declared as Deemed to be University under Section 3 of UGC Act 1956)
Chennai-73
39th Convocation on 30th MAY 2023
Registration From

Reg Number:_____________________________________________

Full Name (Block Letters) :_________________________________

Tick √ Relevant Faculty below


Faculty of Engineering/ Faculty of Architecture/Faculty of Arts & Science /
Faculty of LAW/ Faculty of Agriculture / Faculty of Management Sciences

Program;_______________Dept:_____________________________

Year of Completion:________________________________________

Contact Details:___________________________________________

--------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------
-----------------------------------------------------Phone------------------------------

Mobile No-----------------------------Email.ID--------------------------------------
Offline -- Yes/No : Yes,I shall attend the convocation and receive the degree in
person(Offline mode). A fee of Rs -500/- to be paid for receiving the degree in person.

Online Yes/No : Yes,I shall attend the convocation and receive the degree in online mode. A
fee of Rs -200/- as fee for receiving the degree in online.

If ONLINE selected means virtual convocation


If offline selected- come directly and get your degree at convocation ceremony.
Please indicate the names of persons accompanying;-Maximum 2 only
The last date for registration is 15/05/2023
Please send this filled form to 39thconvocation@bharathuniv.ac.in

Signature of the Candidate

You might also like