Degree Diploma Form

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UNIVERSITY OF KERALA

Price Rs. 10/- (Ten)

APPLICATION FOR THE .............................................................................DEGREE / DIPLOMA CERTIFICATE
For Office Use

Details of remittance of fee (Enclose Original Receipt/ DD)
(Add Rs. 10 if down loaded from Website. Add Rs. 10 as service charge for every DD)
Pay - in - slip / DD No. ....................................... Amount Rs.........................
Date of payment .......................................... Name of Bank & Branch in case
of DD....................................................................................................

Enclose copy of Provisional Certificate
1.

Name of the candidate in full as enrolled in the
University records (in block letters)

2.

Date of Birth

3.

Centre of Examination last appeared

4.

Address of the applicant to which the certificate
should be sent (in block letters) with PIN Code

5.

Details of Examination passed. (furnish details for each part of the examination.
Particulars of Examination passed
(Strike off which is not applicable)

Male

Month &
Year of
passing

Reg. No.

Female

Centre of Examination

Class

B.A. / B. Sc. / B. Com. Degree Examination
Part

I

- English

Part

II

- Additional Language (....................)

Part

III - Optional Subjects

(a) Main.............................................................
(b) Subsidiary 1. .............................................
2. .............................................
B.A. / B. Sc. / B. Com. Degree (Semester)
Examination. Vocational / Restructured
(Vocational / Optionals / Core / Auxiliary)
Subjects :
Semester

II

..................................................

Semester

IV ..................................................

Semester

VI ..................................................

M.A. / M. Sc. / M. Com. / M. S. W. / M.B.A.
Examination
Branch & Subject................................................
Previous .............................................................
Final ..................................................................
M.A. / M. Sc. /M. Com. / M. S. W. / M. B. A. /
M. T. A. Semester Examination
Subject Code.......................................................
Candidate Code....................................................
PTO

Particulars of Examination passed
(Strike off which is not Applicable)

Month &
Year of
passing

Reg. No.

Centre of Examination

Class

B. Ed. / M. Ed. Degree Examination
Optional Subject..................................................
Part I - Written
Part II - Practical Thesis
All Other Examinations
Name of the Examination.......................................
Branch and Subject

.......................................

}
Elective / Specialization ......................................
Year/ Semester

I
II
III
IV
V
VI
VII
VIII
FEE PRESCRIBED FOR VARIOUS DEGREES / DIPLOMAS / CERTIFICATES

[An Additional fee of Rs. 105/- Should be paid as despatch charges of Degree Certificate, including the cost of envelope and postage charges]

For Bachelor’s Degree (B. A. / B. Sc. / B. Com. / B. B. A. / B. C. A / B. P. E. etc.) ..........................................
For Professional Bachelor’s Degree ( B. Tech / B. Arch / M. B. B. S / B. Pharm. / B. D. S. / B. Sc. Nursing)/
B. Sc. (M. L. T.) / B. H. M. S. / B. A. M. S. / L. L. B. / B. Ed. / B. F. A. etc. ..................................................
For Master’s Degree (M. A. / M. Sc. / M. Com. / M. S. W. / M. P. E. etc.) ......................................................
For Professional Master’s Degree (M. D. M. S / M. Pharm. / M. B. L. / M. Tech. / LL. M / M. Sc. (Nursing) /
M. Ed. / M. F. A. etc. and MCA / MBA / MCJ & MTA ..................................................................................
For Doctor’s Degree .................................................................................................................................
For Diplomas Titles & Certificates ..............................................................................................................
For considering application for issue of Degree, Diplomas, Titles and Certificates Received
by the Registrar, One year or more but before expiry of Five Years after the examination .................................
For considering application for issue of Degrees, Diplomas, Titles and Certificates received
by the Registrar, Five Years or more after the examination ...........................................................................
Handling charges of defective Degree applications ........................................................................................

Rs. 175
Rs. 250
Rs. 250
Rs. 400
Rs. 500
Rs. 150
Rs. 100
Rs. 400
Rs.
50

Station:
Date:

1.
2.
3.
4.

5.
6.
7.
8.
9.
10.
11.
12.

Signature of Applicant

INSTRUCTIONS TO THE CANDIDATES
The holding of Convocation has been stopped since 1972.
Candidates may submit their application at any time after the publication of the results of the examination concerned. But the Degree/ Diploma Certificate
will be issued only after the first meeting of the Senate following the publication of the result of the examination concerned.
For obtaining Degree / Diplomas, the candidates are required to submit the applications in the prescribed form together with pay-in-slip / DD for prescribed fee.
The fee may be paid in cash at the University cash counter by means of Pay- in-slip to the credit of Kerala University Fund. Remittance can also be made by
Demand Draft on State Bank of India , State Bank of Travancore or District Co- operative Banks in favour of the Finance Officer, University of Kerala payable
at Thiruvananthapuram. Money orders, Cheques and Postal orders will not be accepted.
Candidates should write their names and purpose of remittance on the reverse side of the Demand Draft.
Candidates who have passed the final B. A. M / M. B. B. S. Examination will be issued the Degree Certificate only on satisfactory completion of PostExamination Internship / House Surgeoncy as required in the ordinance and on production, along with the application, the Post- Examination Internship / House
surgeoncy certificate from the Principal of the College where they had their course of study leading to the examination.
Candidates for B. A., B. Sc. and B. Com. Degree (other than Semester Course) Should state specifically whether they have passed the two
year or three year (Old or Re-organized or Annual Scheme) Degree Examination.
Candidates need furnish only the relevant details required in respect of the degree for which the application is made.
Application not in the prescribed form or defective in any respect will be rejected.
Candidates are advised to send their applications by Registered Post- Acknowledgement due, to avoid loss in postal transit.
The Degree/ Diploma will be sent to the candidate by Registered Post
Applications should be addressed to the Controller of Examinations, University of Kerala, Thiruvananthapuram - 695 034
Enclosures: 1. Pay-in-slip / DD in original
2 . Copy of Provisional Certificate.
kup 468/2008-09 1 Lakh.

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