Degree Form

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Page 1 of 4
Sr. Number________________________

ARNI UNIVERSITY
Kathgarh, Indora, Hiimachal Pradesh-176401

Application Form for Obtaining Degree/Diploma
Note:
1.

All particulars should be carefully filled in by the candidate in own handwriting. The university will not responsible for any
delay in case when the form is not filled completely.
II. Read Instructions carefully before filling the form.

Personal Detail (Fill information in Capital letters only):

1.Name of the Candidate(in Hindi): As per Matriculation Certificate

Affix a recent duly
attested passport
size photograph

_____________________________________________________________________
2. Name of the Candidate(in English): As per Matriculation Certificate
3.Date of Birth:________________________________________________________________________________
4.Father’s Name(in Hindi): As per Matriculation Certificate_____________________________________________
5.Father’s Name (in English): As per Matriculation Certificate

6.Mother’s Name(in Hindi):______________________________________________________________________
7.Mother’s Name(in English): As per Matriculation Certificate

8.Gender:
Male
Female
Detail of Degree/Diploma Passed from this University
9.Full Name of Degree Passed:_____________________________________________________________________
10. Specialization (if any):________________________________________________________________________
11. Reg. No.___________________________ Session:____________ Date of Admission:_________Batch: _______
12. Marks obtained/Total Marks: _________________________Percentage(upto one decimal place):__________________
13. Division/Class:______________________ with Distinction(Marks>=75%)Yes/No__________________________
14. Name of Department_____________________________School:______________________________________
15. Year of Passing_____________Month of Passing:___________
16. Permanent Address : _________________________________________________________________________
_________________________________________________________________________________________
__________________Phone Number________________________________________Pin Code ____________
17. Present/Correspondence Address ______________________________________________________________
__________________________________________________________________________________________
_____________Phone Number_________________________________________Pin Code ________________

Page 2 of 4
I hereby declare that all the given particulars are correct
Signature of Candidate (In English)_____________________Signature of Candidate(in Hindi)___________________
Signature of Father/Guardian__________________________ Place:___________________________Date:________
18. Enclosures to the applications (Use √ for mark) without following application is liable to be cancelled
a.Attested Xerox copies of the all DMC’s, Provisional Certificate or any certificate issued by this University: Yes/No
b.Attested Xerox copy of the previous Degree/ Diploma/Certificates : Yes/No
Certify that the above particulars are correct in accordance with record/testimonial/certificate produced before me.
The applicant has signed this application form in my presence.
HOD

________________________

_______________________

Dean/Gazetted Officer

________________________

________________________

(Signature)

(Signature)

(Official Seal)

(Official Seal)

(To be filled by the office of the Controller of Examinations)
The Candidate has fulfilled all the academic requirement for the award of ______________________________________
Degree/ Diploma in _________________________________________. The candidate has secured_____________ class.
The Degree/Diploma Certificate bearing No. _________________Register No.________________Page No.____________
is dispatched/awarded on _____________Registered/Speed Post No.(if dispatched)______________________________
Name and Signature of dispatched clerk_________________
Date:
Checked by
Controller of Examinations

Verified By

Superintendant, Exam Branch

Page 3 of 4
Detail of all Certificates/DMCs already issued to Candidate: Filled by candidate
Certificate/
DMC Type

Certificate/DMC
No.

Name of
Degree/Diplo Specialization Semester
ma

Signature of the Candidate

Date of
Issue

Batch

Year of
Passing

Attested
Xerox copy
is attached
(Yes/No)

Verified
(For Office use only)

Verified By

Page 4 of 4

ARNI UNIVERSITY
Instructions to Candidates
(To be retained by the Candidate)

1. Application form for Award of Degree/Diploma filled in all respects, , Attested Xerox
copies of the all the DMC’s, Provisional Certificate or any certificate issued by this
University, Attested Xerox copy of the previous degree Diploma passed from this or from
other university/board are also attached with this and should sent to the Controller of
Examinations, ARNI University, Kathgarh, Indora, District Kangra, Himachal Pradesh176401.
2. Application not received in the form of prescribed or defective will not be accepted.
3. Candidates are advised to send applications forms filled in all respect by
Registered/Speed post.
4.

Candidates are advised to keep a Xerox copy of the filled in Application form for
verification, in case of any clarification required in future.

5. All candidates should enclose XEROX COPIES OF THEIR HSC AND DEGREE/DIPLOM A
PROVISIONAL CERTIFICATES (IF OBTAINED) for name and result verification.
6. Applicants of post graduate degrees (MCA, MBA, M.Sc. etc) should enclose Xerox copies of
their previous Bachelor Degree certificate, otherwise the application will be rejected and
returned to the candidate.

Controller of Examinations

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