Transcription of Please affix latest APPLICATION FORM FOR AWARD …
1 Web site: APPLICATION FORM FOR AWARD OF U .G / , convocation DEGREE IN ADVANCE Group of Study: _____ NOTE: Intermediate or its equivalent certificate in ORGINAL and Xerox copies of the PC / CMM / Marks Memos must be enclosed failing which the APPLICATION will be rejected and returned to the candidate FOR OFFICIAL USE ONLY 1. Name of the Candidate (as per Intermediate Certificate} 2. Register Number Group of Study: 3. Division in which the Candidate passed the Examination and year of passing TO BE FILLED IN BY THE CANDIDATE WITH OWN HANDWRITTING 1. Name of the Candidate in full (along with the surname as per Intermediate Certificate) (if the name has be subsequently changed and the change was recognised by the University both names should be give) ( A copy of the evidence should be enclosed) 2. Name of the Father/Mother 3. Permanent address of the candidate: Phone/Mobile Number: 4. U G Degree Particulars Reg.)
2 No: Month & Year of Passing: Class Obtained: Group of Study: 5. College in which Examination appeared: Period of Study: 6. Particulars of examination passed: U. G Month and year of Passing AWARD of Class I Year Total No. of Marks Awarded II Year III Year Percentage (%) Class of Awarded 7. PARTICULARS OF THE FEES PAID: In favour of DIRECTOR DISTANCE EDUCATION S K UNIVERSITY S V PURAM ANANTAPURAMU BY Demand Draft Only ( Any Nationalised Bank) Challan No. _____ Date: _____ Amount Name of the Bank: ANDHRA BANK , S. K. University Branch, Anantapur DDE A/C No 152210011050053 1. convocation Minimum Fee for U G : Rs. 2500/- (In Advance) 2. convocation Minimum Fee for , : (In Advance) Place: Date: SIGNATURE OF THE CANDIDATE Encl: 1. DEMAND DRAFT 2. Xerox copy of (a) Intermediate Marks Memo (b) PC Cum CMM 3. Xerox copy of Lower Degree Convacation 4. 2 recent Photos 5. Self address cover with sufficient postal stamps for sending by Regd.
3 Post. 6. For Duplicate Degree Certificate, Police Complaint and Affidavit must be enclosed. Please affix latest passport size photo attested by gazetted officer or Principal of the College
