Application For Obtaining Duplicate Certificates

MADURAI KAMARAJ UNIVERSITY
(University with Potential for Excellence)

APPLICATION FOR OBTAINING DUPLICATE CERTIFICATES
(IN CASE OF LOSS OF ORIGINAL CERTIFICATES)
Name of the Duplicate Fee Remittance Particulars

Certificate applied for
Demand Draft No.
Degree & Branch
Name of the College / DDE Amount paid (in Rs.)
through which studied
Date of Remittance
Centre Number
Month & Year of Passing Place of Bank
Ac./ No. I. Chalan Date
1 Name of the Student In Tamil (Capital)
In English (Capital)
2 Name of the Father (In Tamil)
3 Register Number
4 Sex
5 Fill in the details against the appropriate column
a) Statement of Marks (fill-in the Month

& Year of Passing)
b) Consolidated Statement of Marks

(fill-in the Month & Year of Passing)
c) Degree Certificate
Month and Year in which qualified for the
degree
Date of convocation in which the degree
was conferred
6 Circumstances under which the certificate

was lost.
7 Whether the prescribed affidavit and other

requirements have been enclosed with the
application
8 Address to which the certificate is to be sent
Place:
Date:
Signature of the Candidate

1
(For Instructions see over leaf)
INSTRUCTIONS TO THE CANDIDATES
1 Duplicate certificate will be issued only when it is lost or destroyed.

2 Application should be made only by the candidate in the prescribed format and should
be sent to the Controller of Examinations directly. Application received on behalf of the
candidate will not be accepted.
3 The following documents should be enclosed along with the application.
1. An affidavit detailing the circumstances under which the original certificate was lost.
(The affidavit should be duly executed before the Notary Public.
2. Xerox copy of the Statement of Marks, Consolidated Statement of Marks and
Degree Certificate for which duplicate is required.
3. The demand draft (Please refer column number 6)
4. Non traceable certificate issued by an Inspector of Police.
5. Original copy of the advertisement in a leading Daily Newspaper regarding the
missing of the Certificate / Statement of Marks.
4 Application should be complete in every respect. Failure to furnish correct details may
cause delay in the issue of the certificate.
5 The fee for the issue of various certificates is as follows:
No. For obtaining Duplicates Prescribed fee (in Rs.)

a. Statement of Marks (for each semester / year) 3000/-
b. Consolidated Statement of Marks 3000/-
c. Degree Certificate 4000/-
d. Triplicate Mark Statement 6000/-
6 The fees should be paid in the form of demand draft in favour of the The Registrar, Madurai
Kamaraj University payable at Madurai 625 021 or in SBI MKU A/c. No.I Chalan. .
7 Fees once paid will not be refunded nor adjusted for any other certificate under any
circumstances.
8 Duplicate Certificate is to be surrendered to the University immediately if the Original Certificate
is recovered.
9 IN THE CASE OF CURRENT STUDENTS

For the current students, who are presently undergoing various courses in Affiliated Colleges /
University Departments it is enough to send the application duly forwarded by the Principal / the
Chairperson of the respective College / School with a certificate as follows.
MODEL CERTIFICATES TO BE ISSUED BY THE PRINCIPAL / THE CHAIRPERSON OF THE
RESPECTIVE COLLEGE / SCHOOL, MKU
It is certified that Mr./Ms.____________________________________ is studying ________________
course in our College / Department and his / her _______ Semester Statement of Marks issued by
Madurai Kamaraj University has been lost / destroyed.
Place Signature of the Principal / the Chairperson
Date Office Seal
2
AFFIDAVIT TO BE FILED FOR OBTAINING DUPLICATE CERTIFICATE
Affidavit of Thiru / Selvi
1 I...Son / Daughter of agedYears,
a student of .. Degree of college
with Register number..and residing at ...
...
do hereby solemnly and sincerely state as follows
2 My
a) Statement of Marks issued relating to the Examinations held during
*
b) Consolidated Statement of Marks issued after the final examinations held during

c) Degree Certificate issued at the Convocation held on.. has /

have
been lost / destroyed.
3 I file this affidavit for the purpose of receiving duplicate certificate.
4 I will return the duplicate certificate(s) to the University immediately if once my original
certificate(s) is / are recovered by chance.
5 The facts stated are true and correct to the best of my knowledge and if found false by
the University, I shall abide by the decision of the University.
Place :
Date : Signature of the Candidate
Solemnly affirmed
at (place)
this ..day of .. 200.
and his / her signature is affixed in my presence. Notary Public

Address:
Office seal:
* delete / strike which is not applicable.

3

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MADURAI KAMARAJ UNIVERSITY

(University with Potential for Excellence)

Name of the Duplicate Fee Remittance Particulars

Ac./ No. I. Chalan Date

1 Name of the Student In Tamil (Capital)

2 Name of the Father (In Tamil)

5 Fill in the details against the appropriate column

a) Statement of Marks (fill-in the Month

b) Consolidated Statement of Marks

6 Circumstances under which the certificate

7 Whether the prescribed affidavit and other

8 Address to which the certificate is to be sent

Signature of the Candidate

INSTRUCTIONS TO THE CANDIDATES

1 Duplicate certificate will be issued only when it is lost or destroyed.

No. For obtaining Duplicates Prescribed fee (in Rs.)

9 IN THE CASE OF CURRENT STUDENTS

Madurai Kamaraj University has been lost / destroyed.

Place Signature of the Principal / the Chairperson

Date Office Seal

1 I...Son / Daughter of agedYears,

a student of .. Degree of college

with Register number..and residing at ...

do hereby solemnly and sincerely state as follows

c) Degree Certificate issued at the Convocation held on.. has /

been lost / destroyed.

3 I file this affidavit for the purpose of receiving duplicate certificate.

this ..day of .. 200.

and his / her signature is affixed in my presence. Notary Public

* delete / strike which is not applicable.

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