Application for the award of final DEGREE/ DIPLOMA

The form should be complete in all respects and to be filled in by student in English (CAPITAL LETTERS) with blue ink pen.

Name of Course

Year of Completion
DOB D D / M M / Y Y Y Y Paste recent
Passport Size
Photograph. It will
Enrollment no. be printed on
Degree/ Diploma.

Student’s Name

Father’s Name

Mother’s Name

Address

City Pin
Contact No

Details of Examinations passed:

Year Roll.no Maximum Marks Marks Obtained

I Year
II Year
III Year
IV Year

Original Migration / TC submitted Yes No

 Attach the following Documents herewith:

 Photocopy of Aadhar Card (Both Side) Self Attested
 Photocopy of High School Marks Sheet and Certificate Self Attested
 Photocopy of Intermediate Mark Sheet & Certificate Self Attested
 Photocopy of Graduation Marksheets of All Semester/ Year Self Attested
 Photocopy of Marksheets of P.G. Course Self Attested
 Note: - In Absence of Original Migration/ Transfer Certificate, this Application shall not be entertained.
 Read the form carefully and all columns to be filled in by the applicant himself/ herself.
 Payment Details:
Enclose Demand Draft of Rs. 4000/- in favor of “Maharaja Agrasen Himalayan Garhwal University” payable at
Dehradun.
DECLARATION

I hereby declare that the information/ document/s submitted by me, is/are true copies of the original and are true to the best of
my knowledge & belief. I further declare that I am abided by the regulations and eligibility conditions of the University. I
understand that I may be required to furnish additional information/ document/documents incase the University so demands. I
also understand that my candidature or Degree/Diploma/Certificate from the University can be withdrawn at any given point of
time even after issuance of the same, if the said information/document/s submitted by me is/are found to be incorrect or
counterfeited.

Signature of Applicant Date