Get Affidavit For Migration Certificate

DIBRUGARH UNIVERSITY Application form for Migration Certificate Name in Full in Block Letters Registration Number with year of of D. 500/- Rupees Five hundred only in cash/ by Bank Draft drawn in favour of the Registrar Dibrugarh University payable at State Bank of India Dibrugarh University Branch Code 2051. b Migration Certificate is issued only to registered student of this University. If he/she is private student his/ her application will have to be countersigned by a Gazetted Officer. Complete address to which the certificate should be sent by post forwarded and strongly recommended that the student is eligible for Migration Certificate Signature of Candidate Forwarded Principal/ Head of the Institution Date Seal RULE he/ she prosecuted his/ her studies last along a Migration fee of Rs. 500/- Rupees Five hundred only in cash/ by Bank Draft drawn in favour of the Registrar Dibrugarh University payable at State Bank of India Dibrugarh University Branch Code 2051. U. Migration fee paid Receipt No* Date College/ University where studied last The name of the last Pre-Degree/ Degree Examination in which appeared The Roll Number with year in the aforesaid Examination Whether passed failed or simply appeared in the annual examination student or a private candidate Migration to 10. Reason for Migration 11. Whether expelled from appearing at any examination previously Yes/ No* 12. Complete address to which the certificate should be sent by post forwarded and strongly recommended that the student is eligible for Migration Certificate Signature of Candidate Forwarded Principal/ Head of the Institution Date Seal RULE he/ she prosecuted his/ her studies last along a Migration fee of Rs. 500/- Rupees Five hundred only in cash/ by Bank Draft drawn in favour of the Registrar Dibrugarh University payable at State Bank of India Dibrugarh University Branch Code 2051. b Migration Certificate is issued only to registered student of this University. If he/she is private student his/ her application will have to be countersigned by a Gazetted Officer. c No action will be taken unless the prescribed fee is received in this office. N*B. 1 Original Registration Card/ Duplicate Registration Card in case of loss of Original Registration Card must be surrendered along with the application form* 2 Loss of Original Registration Card must be accompanied by an affidavit. U. Migration fee paid Receipt No* Date College/ University where studied last The name of the last Pre-Degree/ Degree Examination in which appeared The Roll Number with year in the aforesaid Examination Whether passed failed or simply appeared in the annual examination student or a private candidate Migration to 10. Reason for Migration 11. Whether expelled from appearing at any examination previously Yes/ No* 12. Reason for Migration 11. Whether expelled from appearing at any examination previously Yes/ No* 12. Complete address to which the certificate should be sent by post forwarded and strongly recommended that the student is eligible for Migration Certificate Signature of Candidate Forwarded Principal/ Head of the Institution Date Seal RULE he/ she prosecuted his/ her studies last along a Migration fee of Rs.