( Within Pakistan ) E-43 APPLICATION FORM FOR THE ISSUANCE OF DMC/PROVISIONAL CERTIFICATE/DEGREE/MIGRATION CERTIFICATE All the

particulars required below should be legible and accurately filled by the candidate in his own handwriting. Form complete in all respects would only be accepted. The incomplete form would be returned to the candidate which must be resubmitted to this office immediately. THIS OFFICE WILL NOT BE RESPONSIBLE FOR ANY DELAY IN A CASE WHERE THE FORM IS NOT COMPLETE IN ALL RESPECTS (READ CAREFULLY INSTRUCTIONS OVERLEAF) 1. Name of applicant in block letters __________________________________________ 2. Father’s Name _________________________________________________________ 3. Present Address________________________________________________________ 4. Permanent Address _____________________________________________________ 5. National ID Card No. ___________________________________________________ 6. Nature of Certificate Required ____________________________________________ 7. Regd. No. ________________ 9. Record of Examinations Passed (For Undergraduate Students ) Degree___________________ Faculty ________________ Major/Section ___________ Year of passing ____________ Marks obtained ____________ CGPA ______________ (For Postgraduate Students ) Degree___________________ Faculty ________________ Major/Section ___________ Year of passing ____________ Marks obtained ____________ CGPA ______________ I solemnly declare that the facts mentioned in the application are correct 8. Bank Challan No. ________ Dated _____________

Signature of the Applicant IF THE CERTIFICATE/DEGREE IS TO BE DESPATCHED, ADDRESS MUST BE GIVEN HERE __________________________________________________________________________ __________________________________________________________________________

Signature of the Applicant Note:Original Identity Card must be shown at the time of receiving Certificate/Degree

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His/her particulars filled in by the application are correct and his/her signature is attested. District Office Labour. 3. 4. Signature ______________________ Seal of the Office _______________ Clearance certificate by the Head.2500/400/2500/3000/500/- . Department of Library & Fee Clerk. Provided that in a proper case. Application for certificate should be accompanied by the following documents:a) Certificate ‘A’ signed by Dean of the Faculty/Director of Div. ____________________________________________________ Son/Daughter of _______________________________________ is the same person whose particulars given in this application form is the same person who passed the ____________________________ Major ________________ Examinations in ___________________________ (year) from University of Agriculture. DMC will be issued to successful candidates only._______________________________________ hereby certify on the basis of my personal knowledge and on the evidence produced before me that Mr. 2. Dated ____________________ Signature _______________________ Seal of the Office _________________ Rate of fee as approved by the Vice Chancellor in anticipation of the approval of the Statutory Bodies vide Notification No.______________________________________ hereby certify on the basis of my personal knowledge and on the evidence produced before me that Mr./Miss/Mrs. Dated ___________________ 1. DGK. 5. DGK. 3. DGK] 1. ________________________________________________ Son/Daughter of ________________________________________ is the same person whose particulars given in this application form and his/her signature is attested. Degree in Absentia Detailed Marks Certificate/Transcripts for two semesters Migration Certificate Duplicate Degree/Provisional Certificate/Migration Certificate Duplicate copy of Registration Card Rs. College of Agri. (ii) Pakistani students studying aboard. Faisalabad/College of Agri. Principal College of Agri./Miss/Mrs. b) Clearance certificate from the Hostel Warden. C E R T I F I C A T E ‘A’ [ To be signed by the Dean of Faculty/Director of DEE/Principal. a certificate of good character signed by the Dean of the Faculty. Department of Library ______________________________________ Clearance certificate by the Hostel Warden _________________________________________________ Clearance by the Fee Assistant __________________________________________________________ Clearance certificate by Senior Tutor. Faisalabad (for Provisional Certificate) only) CERTIFICATE ‘B’ 1. Fee/7324-7/NBP/0/484-99 dated 26-7-2010 iiiiiiivvNote:iiiDouble fee will be charged if DMC/Transcript is required urgently within 48 hours (Syndicate meeting dated 21-5-1987). In case the candidate is employed in Government or Semi-Government Institution.2 INSTRUCTIONS 1. an attestation from his Supervisor be required. 2. In the case of a candidate who seeks admission to a degree more than two years after the sanction of the degree ( i ) if he is not employed in any Government or Semi-Government Institutions. (for Provisional Certificate only) __________________________ Clearance from Employment Services. the Vice Chancellor may waive the requirements of such certificates. certificate ‘B’ must be signed by the Head of Institution. c) Clearance certificate from Senior Tutor and Employment Services for Provisional Certificate only. Head.

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