Press 290/ I 2-201 Fee Receipt No. Date . Fee 41 50,000 Copies Price Rs. 10/- if paid in Cash FOR OFFICE USB ONLY Degree written by amounl . if paid by D.D. (Date) Demand Draft Nos. Degree issued lbtal Date amount Rs. Postage Receipt . No. . Date. .. . Fee Checked by if paid in cash . by Signature of the Clerk Rs. .. DR. BABASAHEB AM EDKAR MARATHWADA UNIVERSITY N.B. ANNUAL CONVOC TION FOR CONFERRING DEGREE :- All entries must be correctly made in applicant's own Hand writing. Application with incorrect and incomplete entries will be re.iected. To, The Registrar, Dr. Babasaheb Ambedkar M hwada Un iversity, Aurangabad. (M. S.) Sir, I request admission in Person/Absenti totheDegree.... .asmyFirst/Second/ Third Degree of this University at the con ion to be held in the month Full particulars about the examination passed, etc. are given below :I Narne in full in CAPITAL letters Applicant's Name / Father's / Husband's Name Surname Male / Female (As per Examination Form) 2 Name in full Devnagri Script (Marathi) 3 4 Whether Regular or External? 6 REGULAR / EXTERNAL Narne of the College if regular OR Na External Centre Please the Caste if you ong to Sub-Caste backward classes. Name of the Degree Examination Division in words ( 7 Month and Year o Examination passed Seat No Oct.-Nov 8 I AprilMay 20 Special or optional subjects offered at t Degree Examination. or Methods of B.Ed. or B.P.Ed. (Only of M.B.B.S./B.A.M.S./B.H.M.S B. Pharm. Degree holders) infi regarding completion of Internship / at Training. From Dr. Certified Marathwada I have cornpleted the Internship/Industrial Training Coursefrom. Babasaheb ...to Un i versitv. Signature of Dean/Principal Signature of the with stamp applicanl l0 Only for Second Degree holders, ( Information regarding First Degree o the candidate from Dr. Babasaheb A Marathwada University or any other U (Attested Copy of latest marks Degree Certificate be subrnitted in I have obtained First Desree i.e. bearing ined by bedkar versity and se First SeatNo. from. Degree is obtained.) 10(a) Only for B.E. & B.E. (Arch.) Studen Please submit the marks memo of T.E. & B l0(b) Please submit the Marks Memo to final Year of the all Course. Passed I yea AnnualConvocation .... ..... Passingyear Universityconferred. (2) I I (a) Correspondance Address: (with Pin Your b flirhfully, ode) Signature Date (b) (Devnagari Script) (Marathi) 12 : Permanent Address : (with Pin Code) . Mobile No. (for quick reply) Importanl Note :- Tlte Candidate sltould tlteiir ldentity proof while Collecting tlte Degree CertiJicote. be IDENTITY CERTIFICATE in filled and completed while submitting PHOTO the form) hereby certify that the marginal photograph Shri/Kum i/Smt.. of ....whoisapplying ....of Degree/Diploma/Certificate has signed in my presence, (Latest Passport size photograph with Signature and Stamp ofAttesting Officer) Signature of the atlesting Officer/Teacher/Member with designat ion Stomp Sign ature o/' the appl icant (Stamp is essential) CONTROL HEET FOR (Office use only) NAME OF THE CANDIDATE EXAMINATION PASSED March-Apri SEAT NO. FORM PROCESSED BY : Signature Date RESULT / DIVISION / REMARKS Signature Date REMARKS BY I/C Signature Date DEGREE WRITTEN BY Signature Date DEGREE CHE,CKED BY Signature Date Date of Convocation the Concerned RECEIPT Received From the Registrar, Dr. Babasaheb Ambed Degree / Diploma / Certificate r Marathwada Universiry Aurangabad. (M.S.) Receiver s Signature Date : with Mobile No. (3) 0.5 Every person who passes an examin ion for degree, diploma or certificate of University Exarrinatiorr same, in person or in absentia at his option, on payment of fees, as shall be elisible for conferment of mentioned below and in testirnony th degree, diploma or a certificate, as tlre case may shall be awarded to him. First Degree Holders Degree certificate fees For taking degree certificate in person. For taking degree certificate in absentia. For Second Degree Rs. 100f Registration Rs. Rs. Rs. 100/- fees l00A 100/- Total Rs. 2001 Rs.200A olders in the same Faculty or thereafter In person ln absentia Rs. Rs. l50f l50f Rs. 150/- Rs. 300/Rs. 300/- ln Person ForM.Phil Rs.250/- Rs. 250/- Rs. 500/- Degree Certifi cate Ph.D. Rs. 300/Rs. 250/Rs. 300/- Rs. 300/Rs. 250/Rs. 300/- Rs. 600/Rs. 500/Rs. 600/- ln absentia For M.Phil Degree Certifi cate Ph.D. Rs. 150/- *Note : Those who apply for Certificate or examination or Certificate Examination shall have to pay a fee of Rs. 3001 for takins the sa in person and Rs. 300/- in absentia. The candidate who apply for ferment of degree/diploma/certificate in person, should collect the same on the day of Convocation nd also should be present in the procession failing which their application will be treated as in a tia andifee will be charged to them accordingly. Provided that, if a degree/dipl ma/certificate is not demanded at a siven address on oavment of Rs.50A for one year and t fter Rs. 50/- per year for Maharashtra State, Rs. 100/- for out of Maharashtra and Rs. 1000/- out of ountry. towards postalcharges or not collected by the candidate in person whithin a period of one from the date of respective convocation, an additional amount of Rs. I 00f per annum and thereafte Rs. 50/- per annum Annual Fee may be paid in cash in the Regist sent by Demand Dgraft payable to t sent in an unregistred cover. will be charged. vocation For Conferring Degrees r's Office between I l-00 a.m. to 2-30 p.m. on all working days or Registrar. The Registrar will not be responsible for loss or money A ll candidates taking their Degree/Di loma/Certificate whether inAbsentia or in Person are requested to write in their application the pe t as well as conespondance address in full. On production of fee receipts the C person in the University Office, on t ificate will be distributed to candidate receiving their degree In Convocation day. They must bring with them the original receipts. Candidates who have applied for ving their degree in person and are including in the Procession are requested to be present at the place o procession before one hour of the Convocation ceremony on the Convocation Day with Degree certifi te and must appear in the prescribed Academic Costume. Those who desire to receive their in person, and join the procession are requested to receive their degree and Gowns from the Office of he University from 09-00 a.m. to 2-00 p.m. on a Convocation Day. The Gowns will be made available on payment of Rs.25l- as hire charges, ln addition to this Rs. 50/- will have to paid as deposit for Cowns w h will be refunded after the Gowns is returned to the office. Onlv those who wear the Academic Cos Complaints regard ing the Non-recei should be made within one month fi e, as prescribed will be allowed in procession at the Convocation. of fee receipt Degree Certificate or error in the Degree Cerlificate the date of tlre Convocation or receipt of the Degree Certificate. The candidate who desires to obtain Degree / Diploma in Absentia and resides outsides Aurangabad should remit Rs. 50/- for Maharas ra State Rs. 100/- for out of Maharashtra and Rs. 1000/- out of pulsory for dispatchin g the Certi fi cate al on gw ith appl i cati on. Country; towards Postal Charges (4) Candidates wlro are submittins forms br a obtaining their Degree are requested to write tlre receipt No. and date of fee (Receipt) paid for the onvocatior.r purpose at the top at left side of the Application forms. The prescribed application forrns and obtai n ing tlrei r Degree/Diploma/Certi 'ees should be sent irr time. Only fees or only application form for will not be accepted. r0 In case fee receipt issued by this office and Rs. 1000/- out of Country should lost Rs. 50/- for Maharashtra State Rs. | 00/- for out of Maharashtra remittt:d for despatching Degree Certificate by Post. il Cefiificate of the candidate who are ing the oertificate in absentia and those who have paid the postal charges 12 In will be dispatched at the address. their correspondence/letters for i of certificates, the candidate should invariably write their name year and contact Number of the examination at the top for a ould be brief and to the point. Letters received without above of the Examination, the Seat No., quick action by the office, Letters particulars l3 will not be attended. Latest marks memo and True Copy Degree/Diploma/Certifi cate and Passing Certifi cate shou ld be submitted. l4 Duplicate degree Cerlificate alongwith prescribed fee application form. will & Rs. be i - after Submission of an affidavit from Maeistrate / Tahsildar towards fee for duplicate Degree certificate alongwith the Book-Post Ref,No. Ex/Conv./ From: To, The Registrar, Dr. Babasaheb Ambedkar Marathwada University, University Campus, Aurangabad-431 004 (M.s.) Shri/Shrimati/Kumari. Bank of Maharashtra -----------------------------------------Branch Bank of Maharashtra -----------------------------------------Branch Bank of Maharashtra -----------------------------------------Branch Pay in Slip – Branch Copy Date Pay in Slip Student copy Date A/c Maintained at Dr. BAMU, Aurangabad Branch Name : Dr. BAMU Aurangabad A/c Maintained at Dr. BAMU, Aurangabad Branch Name : Dr. BAMU Aurangabad Pay in Slip - University Copy- to be submitted by student to University Date A/c Maintained at Dr. BAMU, Aurangabad Branch Name : Dr. BAMU Aurangabad A/c No. 20060500140 Student Name : A/c No. 20060500140 Student Name : A/c No. 20060500140 Student Name : Name of Degree: Name of Degree: Name of Degree: Final Seat No.: Final Seat No.: Final Seat No.: Passing Year: MARCH/APRIL/MAY-2016 Nature of Fee : Convocation Fees (For Bachelor Degree Fees. Rs. 250/-, Master Degree Fees Rs. 350/-,M. Phil. fees Rs. 550/- & for Ph.D. Degree Fees Rs. 650/-) Rupees:- Passing Year: MARCH/APRIL/MAY-2016 Nature of Fee : Convocation Fees (For Bachelor Degree Fees. Rs. 250/-, Master Degree Fees Rs. 350/-,M. Phil. fees Rs. 550/- & for Ph.D. Degree Fees Rs. 650/-) Rupees:- Passing Year: MARCH/APRIL/MAY-2016 Nature of Fee : Convocation Fees (For Bachelor Degree Fees. Rs. 250/-, Master Degree Fees Rs. 350/-,M. Phil. fees Rs. 550/- & for Ph.D. Degree Fees Rs. 650/-) Rupees:- Rs. (in words):-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------Deno. NO. Total Amt. 1000 Rs. (in words):-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------Deno. No. Total Amt. 1000 Rs. (in words):-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------Deno. No. Total Amt. 1000 500 500 500 100 100 100 50 50 50 20 20 20 10 10 10 Total Total Total J.No. J.No. J.No. Depositor Cashier Depositor Cashier Depositor Cashier
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