BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
(A Central University)
Vidya Vihar, Rae Bareli Road, Lucknow-226025
DEGREE FORM
FOR RECEIVING THE DEGREE/DIPLOMA CERTIFICATE/MEDALS
Dated: …………………
To,
The Controller of Examinations
BBA University Please Paste
Lucknow-226025 Passport size
Photo
Sir/Madam,
Please send my Degree/Diploma Certificate as per particulars given below:
Name (In BLOCK Letter) : …………………………………………………………
(as written in the Examination Form)
Name (In HINDI ) : …………………………………………………………
Father’s Name : …………………………………………………………
Year of Passing : …………………………………………………………
Examination Roll No. : …………………………………………………………
Enrollment No. : …………………………………………………………
Program (Course) Name : ………………………………………………………….
Title of the Ph.D. Thesis : …………………………………………………………
(if applicable)
.…………………………………………………………
………………………………………………………….
………………………………………………………….
School : ………………………………………………………….
Department : ………………………………………………………….
Full Address : ………………………………………………………….
Mobile No.: ………………………… E-mail. : ………………………………………..
I am enclosing herewith a Demand Draft No. ………………..Dated……………..….in
favor of “Finance Officer, BBA University”, payable at Lucknow for above
degree/diploma certificate. My degree may please be sent through present (above)
address or may kindly be given by hand.
(Strike the portion, which is not applicable)
(Tick one of the following)
i. Rs. 500/- for degree awarded in 2013 onwards.
ii. Rs. 300/- for degree awarded before 2013
Yours Faithfully,
(Signature of the Student)
Full Name ………………………………….
