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Vasuki-5000/5-15 SAURASHTRA UNIVERSITY Migration Fee Rs. 100/- Code No. : 404 No. 101 [Reaccredited “A" Grade By NAC] Clerk APPLICATION FOR CERTIFICATE OF MIGRATION ASD UEBIVq wWaeduar (You can also download form from www.saurashtrauniversity.edulexamination ) Instruction : (To be filled in & submitted through the Authorities of the College or University Department? P.G. Centers attended by the Applicant and ‘submitted to the University.) WAALS BAF AAW YR, cearsacgeuds Sond acewe ou ST aM ae ae mtaea oA SH PARA Mise) NB. : 1. The fee Rs. 100/- student migrating from this University to any other University. A D. D. in favour of ‘Registrar, Saurashtra University’ is to be sent to Exam Section OR fee can be paid in cash at cash counter of Saurashtra University, Rajkot 2, An external student should submit the application directly tothe Exam Cell Departmnent, University with attested copy of Marksheet. vik: 4. ou aa Blalaiel a1 ASuaL yRaRaal naa Sasa ABER H 100/-- gl arr sues d. A A Saloizat Szvct dl il ‘Registrar, Saurashtra Uni rsity’tl willl Hisaail. AY ARAL ORAL Haid del yA 3a Rourei wu sual. (oad aa:ad dasa a ale) 2, Marea Rewelle muda dol aisalledl wll se aud wlan da sealer yRaRlaniegd laud ald Asad. To, THE REGISTRAR, SAURASHTRA UNIVERSITY, . RAJKOT-360 005. Sir, forward herewith the application of Shri/Smt./Kum for a Migration certificate. e's ne application has not been rusticated or debarred by the University and | have no objection {or a Migration Certificate being granted to him / her by the University. His/Her date of birth as entered in the Dept. / P.G. Centre / College Register is He/Her has been a student of the Dept./P.G. Centre/College since left in —__ and he/she eon yt: Ot OF The Transference Certificate was issued to the applicant on, herewith. and is sent No application for Migration Certificate on behalf of this candidate was made previously to this date. Your faithfully, Place Date Seal and Signature of the Principal / Head of Received Migration Certificate No. ‘With Original Certificates. — Dates (Signature of the Candidate) 2 (To be filled in by the Candidate) (Maula ma cred) Name in full in Capital letters Beginning with Surname (yi «4 ¥i2i 242 avi) Address :. Ph.No. Mobile No. (sissies) .. i:) The prescribed fee of Rs. 100 is paid in cash/ by D.D. No. Brad dl at s00/- ashe | Lo. Dat Mora d, 4. (A) Uni. Dept. or P.G. Centre / College now intended for study by the applicant. (oraverd 08 & BR. ota / segues Bes / AAMAL OUI seat IOLA Da A AL ag.) = (B) The University to which migrated (% yRaRAi sid adi wotend,) 5. — Saurashtra Uni. Dept. or P.G. Centre / College last attended with the date of leaving. (nae Bed ¥ abeng yRaRA art j aeyruas Bou / AAA moar sa Dy a 4 weUd,) : 6. Details of Examination of this University in which the applicant appeared, PI. specify if remained absent. (rere an yaa Beall % ualau nde Qe, AML Rad ena, Rewina Va Ad awe ead.) Name of the T Main Examination Year Centre Class ‘Seat No. Subjects welt 04 af hea af Bsssuls aa Rowe 7. — Other particulars, if necessary. - “2 Adi xz dad 8 External Students should submit an attested copy of marksheet / passing certificate. Arete Ream qavors ac Wor ABR e wala $2 satel WA Date: Signature of the Applicant »2wer(l aul dle: N.B. : Migration Certificate cannot be issued unless the Original Transference Certificate issued by the institution with a copy thereof is received by the University along with this application. cle: uareeo ad A mate raza AEB Be 4 Aas ese all dla dl rae aR sua aud ell air yaad deel wat yenvasel wd tse Bel ag B True Copy of the marksheet of Last Examination of this University must be attached. OFFICEOF THE, SAURASHTRA UNIVERSITY UNIVERSITY ROAD, RAJKOT - 360 005 PHONE NO. 0281-2576511 FAX NO. 0281-2586411 www.saurashtrauniversity.edu

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