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    Convocationformpg

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    Kashif Ullah
    This document is an application form for students of Maharashtra University of Health Sciences, Nashik to apply for their PG degree or diploma certificates. It requests personal details of the student like name, gender, address, college and year of passing. It lists the required documents to submit along with the application and provides instructions to candidates on the application process and collection of certificates. It also includes an acknowledgement slip that will be provided to the student upon receiving the application.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Convocationformpg

    Uploaded by

    Kashif Ullah
    1K views2 pages
    This document is an application form for students of Maharashtra University of Health Sciences, Nashik to apply for their PG degree or diploma certificates. It requests personal details of the student like name, gender, address, college and year of passing. It lists the required documents to submit along with the application and provides instructions to candidates on the application process and collection of certificates. It also includes an acknowledgement slip that will be provided to the student upon receiving the application.

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    This document is an application form for students of Maharashtra University of Health Sciences, Nashik to apply for their PG degree or diploma certificates. It requests personal details of the student like name, gender, address, college and year of passing. It lists the required documents to submit along with the application and provides instructions to candidates on the application process and collection of certificates. It also includes an acknowledgement slip that will be provided to the student upon receiving the application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Convocationformpg

    Uploaded by

    Kashif Ullah
    This document is an application form for students of Maharashtra University of Health Sciences, Nashik to apply for their PG degree or diploma certificates. It requests personal details of the student like name, gender, address, college and year of passing. It lists the required documents to submit along with the application and provides instructions to candidates on the application process and collection of certificates. It also includes an acknowledgement slip that will be provided to the student upon receiving the application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK

    fnaMksjh jksM] EgljQG] ukf'kd&422004- Dindori Road, Mhasrul, Nashik-422004

    Tel: 0253-2539251, 54 /Fax: 0253-2539260,222


    Website: www.muhsnashik.com
    MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS MUHS

    Application for PG Degree / PG Diploma Certificate


    Affix a
    To be filled in and submitted by the successful candidate immediately photograph of
    after declaration of Final Year Result. size 35mm
    x45mm duly
    (Before filling this form, please read the instructions given at the end. signed across
    Fill up the form in CAPITAL letters only) &attested by
    Dean/Principal of
    the Concerned
    college.
    To,
    The Registrar,
    Maharashtra University of Health Sciences,
    Nashik.
    Mandatory Enclosures:-
    (i) Attested Xerox copy of Passing Certificate (PG Degree / PG Diploma).
    (ii) One additional photograph.
    (iii) Attested Xerox copy of UG Degree Passing Certificate/UG Degree Marks
    Statement.
    Sir,
    I hereby apply for PG Degree / PG Diploma certificate of the University at the
    ensuing convocation, to be held in the month of March / April, 20 _ .

    PERSONAL DETAILS
    1) Applicant’s Full Name in English (as per UG Degree Certificate) (one block Should be
    kept blank after each name)

    2) Name in Devnagri Script ____________________________________________________


    3) Sex : (Male Female ) Phone No :____________Mobile No:_____________
    4) Address for Correspondence
    ____________________________________________________________________________
    ____________________________________________________________________________
    _____________________________________Pin Code________________________________

    5) Name of College / Institute: -------------------------------------------------------------------------


    6) College Code: ----------------------Month & Year of passing final year: -----------------------
    7) University Permanent Registration No.----------------------------- Seat No.:--------------------
    8) Convocation Attendance Status ( P-In Person, A-In Absentia )

    DECLARATION BY THE CANDIDATE


    I have carefully read & noted the Instructions to the candidates, before filling in this form. I declare that
    the information given above is true and correct to the best of my knowledge and belief. I undertake that I shall
    be responsible for any omission / errors and wrong / incomplete entries made by me in this form.

    Place____________ Date_______________ Signature of Candidate


    INSTRUCTIONS TO THE CANDIDATES

    1) Incomplete forms and without attested Xerox copies of Final Year Passing
    Certificate, UG Degree Passing Certificate/ UG Degree Marks Statement, will not be
    accepted.
    2) The acknowledgement of this form should be preserved carefully and produced at the
    time of collection of the PG Degree / PG Diploma Certificate on the day of the
    convocation, or as and when the same is collected.
    3) Any complaint, regarding non-receipt of PG Degree / PG Diploma Certificate or
    correction in Name, College, Class, Subject, Year of Passing, etc., will be entertained
    within a period of three months from the date of the concerned convocation. No
    complaints will be entertained after the Specified period.
    4) Two identical visa type photographs (size 35mm X 45 mm). Of which one duly
    attested by Dean / Principal of concerned college and should be pasted on the form at
    the space provided for it and other photograph should be enclosed with application
    mentioning the course, name and Permanent Registration Number on the reverse side.
    No photograph other than the stipulated size i.e. 35mm X 45mm (Visa type) will be
    accepted.
    5) Please check the details of convocation programme on University web site
    <www.muhsnashik.com>, which will be notified one month in advance from the date
    of Convocation Ceremony.

    For Office use only


    The applicant’s name, Academic and other details as stated in this application have been
    checked with the office record and have been found correct / incorrect. Acknowledgement
    observation letter issued vide letter No______________dated___________________

    In-charge Faculty

    NAME & ADDRESS OF THE CANDIDATES


    (to be filled in by the Candidate)

    ______________Tal.: ____________Dist. : ________________Pincode:___________________

    ----------------------------------------------------------------------------------------------------------------------------------------------------

    ACKNOWLEDGEMENT SLIP
    Convocation Application in respect of _________________________________________
    PRN _______________Course _________________________has been duly received and found
    correct in all respects. Degree will be issued in person to the student on production of this receipt
    and photo identity, to the blood relatives (Father / Mother / Sister / Brother) of the student on
    production of their photo identity and the authority letter issued by the concerned student on the
    day of convocation or any working day after one month from the date of convocation.

    In-charge Faculty

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