Transcription of Application for Issue of PROVISIONAL DEGREE …
1 visvesvaraya technological university , belagavi . Application for Issue of PROVISIONAL DEGREE certificate . (The Candidates, on fulfillment of requirements for the award of the DEGREE , can directly apply to the office of The Registrar (Evaluation), belagavi 590 018 ). Name of the Candidate (As per Marks Cards). university Seat No. Payment ID. No. : Date : Amt : Details of fee paid online Name of the Bank : Note: Online Fees for PDC is Rs. 400/- Enclose Only Online Receipt of Fees Paid. Students of Autonomous colleges to note that PDC and verification of marks cards is not done at VTU. Only DEGREE certificate and its verification is done at VTU.
2 FEES AMOUNT ONCE RECEIVED CANNOT BE REFUNDED. APPLICANT MUST CHECK AND ENSURE THAT PAYMENT. BEING MADE IS CORRECT. Do not Enclose Copies of Marks Cards. Payment of PDC fees should be done only through online. (No any other mode of payment will be accepted). FIRST ATTEMPT TOTAL OF LAST FOUR SEMESTERS ( As per Marks Cards). ** DO NOT INCLUDE CIP /CIV IN TOTAL MARKS **. Course V Sem VI Sem VII Sem VIII Sem Total Class B. ADDRESS :_____. _____Contact No(Resi):_____Mob :_____. UNDERTAKING. I ..do hereby undertake that, I. will not apply for Revaluation, Photocopy of Answer Scripts. PDC. Token No : Date: Signature of the Candidate Receiver Signature With Date POSTAL ADDRESS TO WHICH PDC TO BE SENT (IN CAPITAL LETTERS).
3 Name : USN: Add : Pin Code: Contact No. (Resi) Mob: .. Email ID.