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    Provisional Degree Diploma Certificate Form

    Uploaded by

    cuteswati9
    This document is a form for students of Jayoti Vidyapeeth Women's University to request duplicate marksheets, consolidated statements of marks, or provisional degrees. The form requires applicants to provide personal details like name, enrollment number, year of passing, address, and attached documents like photocopies of original marksheets or an FIR if the documents were lost. Fees of Rs. 200 per duplicate marksheet or Rs. 500 for a duplicate degree must be paid in cash, cheque or demand draft along with Rs. 100 for postal charges if the documents need to be mailed. Once completed, the form should be submitted to the Controller of Examinations at the provided address.

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

    Provisional Degree Diploma Certificate Form

    Uploaded by

    cuteswati9
    378 views3 pages
    This document is a form for students of Jayoti Vidyapeeth Women's University to request duplicate marksheets, consolidated statements of marks, or provisional degrees. The form requires applicants to provide personal details like name, enrollment number, year of passing, address, and attached documents like photocopies of original marksheets or an FIR if the documents were lost. Fees of Rs. 200 per duplicate marksheet or Rs. 500 for a duplicate degree must be paid in cash, cheque or demand draft along with Rs. 100 for postal charges if the documents need to be mailed. Once completed, the form should be submitted to the Controller of Examinations at the provided address.

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    This document is a form for students of Jayoti Vidyapeeth Women's University to request duplicate marksheets, consolidated statements of marks, or provisional degrees. The form requires applicants to provide personal details like name, enrollment number, year of passing, address, and attached documents like photocopies of original marksheets or an FIR if the documents were lost. Fees of Rs. 200 per duplicate marksheet or Rs. 500 for a duplicate degree must be paid in cash, cheque or demand draft along with Rs. 100 for postal charges if the documents need to be mailed. Once completed, the form should be submitted to the Controller of Examinations at the provided address.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    378 views3 pages

    Provisional Degree Diploma Certificate Form

    Uploaded by

    cuteswati9
    This document is a form for students of Jayoti Vidyapeeth Women's University to request duplicate marksheets, consolidated statements of marks, or provisional degrees. The form requires applicants to provide personal details like name, enrollment number, year of passing, address, and attached documents like photocopies of original marksheets or an FIR if the documents were lost. Fees of Rs. 200 per duplicate marksheet or Rs. 500 for a duplicate degree must be paid in cash, cheque or demand draft along with Rs. 100 for postal charges if the documents need to be mailed. Once completed, the form should be submitted to the Controller of Examinations at the provided address.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Form No.

    JAYOTI VIDYAPEETH WOMEN’S UNIVERSITY, JAIPUR


    DUPLICATE MARKSHEET/CONSOLIDATED STATEMENT OF MARKS CUM
    PROVISIONAL DEGREE/DIPLOMA/CERTIFICATE FORM
    Please read the instruction carefully. Fill in all the relevant information, provided in
    this form and attached all the required documents. Incomplete form will be rejected.

    For office use only

    Please mark (√) on your requirements No.:


    Duplicate Marksheet: Trimester (T) Semester(S) Year(Y) All ……………………………
    ……
    Name of Particular (T/S/Y)

    Consolidated Statement of Marks Cum Provisional Degree (Original) Duplicate


    ________________________________________________________________________________________________________

    1. Name of the Course with Discipline:

    2. Enrolment No.
    3. Year
    of Passing

    4. Name of the candidate (in Block letters) as per 10th Marksheet

    5.5.Mother’s Name (in Block letters) as per 10th Marksheet

    6.6.Father’s Name (in Block letters) as per 10th Marksheet

    7.Date of Birth as per 10th Marksheet


    D D M M Y Y Y Y
    ADDRES
    S:

    CITY:

    STATE: PIN
    CODE

    PHONE
    NO:
    (with STD
    Code)
    MOBILE
    NO.
    E-mail

    8. Permanent Address-(in Block letters)

    9.Cheque/DD Detail (for Duplicate Marksheet(s))


    Amount ___________________________ Dated
    __________________________________
    Drawn on _________________________ Branch Name
    ____________________________
    Cheque/ DD No. ____________________
    (DD will be in favor of “JAYOTI VIDYAPEETH WOMEN’S UNIVERSITY”,
    payable at Jaipur)
    • Please write your Name & Enrolment No. on Back side of
    DD/Cheque.

    5.Documents to be attached :
    Form No.

    ✔ An attested photocopy of all Trimester/Semester/Year Marksheets


    available.
    ✔ FIR copy/Xerox of lost & found news published (if Applying for Duplicate
    copy )
    ✔ Amount of Rs. 200/per Duplicate Marksheet [cash/cheque/DD]
    ✔ Amount of Rs. 500 for Duplicate Consolidated Statement of Marks Cum Provisional Degree
    [cash/cheque/DD]

    5.Postal charges :

    If the document is to be send through post, an Amount of Rs. 100 shall be


    borne by the student and shall be included in the above draft.

    Applicant

    Signature

    ______________________________

    ________________________________________________________________________________________________________________

    Application to be send to: Contact Details:

    Controller of Examinations Phone: 01428 – 515253, 287427-29


    Vedant Gyan Valley, Village Jharna, E-mail:
    exam.studentquery@gmail.com
    Mahala-Jobner link road, Website:
    www.jvwomensuniv.com
    Jaipur - Ajmer Express Way,
    NH- 8, Jaipur, Rajasthan (India).
    PIN - 303007

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