Degree Form - Dr. Babasaheb Ambedkar Marathwada University

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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