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Migration Form

The document is an application form for a migration certificate from Desh Bhagat University. It requests information like name, program, university attended, and payment details from the applicant. Various departments then review and recommend the application.

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mana khant
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0% found this document useful (0 votes)
169 views

Migration Form

The document is an application form for a migration certificate from Desh Bhagat University. It requests information like name, program, university attended, and payment details from the applicant. Various departments then review and recommend the application.

Uploaded by

mana khant
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Examination Branch

Amloh Road, MandiGobindgarh, Fatehgarh Sahib, Punjab


Contact: 01765-521957 email: examsupport@deshbhagatuniversity.in

APPLICATION FOR MIGRATION CERTIFICATE


(Fill in Capital letters only)
1. Name: …………………………………………………………………………………………….
2. Father’s Name: ……………………………………………………………………………………
3. Mother’s Name: ….……………………………………………………………………………….
4. University Roll No.: ………………………………………Registration No…..…………………
5. Last Examination of the University in which appeared/pass/fail/absent/cancelled:
Name of Examination: …………………………………. Year/Session: …………………….
Program: ………………………………………………….. Result: …………………………
6. Name of University/School last attended: ..…………………………………………………….
7. Has candidate applied for re-evaluation (Yes/No): ……………………………………………….
8. Name of University which migration is sought: …………………………………………………..
9. Payment Detail: ……………………………………………………………………………….......
Receipt No/Draft No…………………………. Dated ………………………………….
(Draft to be made in favour of Registrar, Desh Bhagat University)
Date: …………………..………. Student Signature: ……………………………
10. Mode of dispatch required: ……………………………………………………………………….
_______________________________________________________________________________________
NOC (From Accounts Department):
Date: …………………………….. Signature (with seal)………………………….
_______________________________________________________________________________________
Recommendation of Director:
Date: ……………………………… (Signature with Seal): ……………. …………

Remarks……………………………………………….. Controller of Examination


FOR OFFICE USE ONLY (Document/DMC Section ) FOR OFFICE USE ONLY (Registration Section)
Discrepancy in Application (if any): …………….. Discrepancy in Application (if any): ……………..
Recommended/ Not Recommended: Recommended/ Not Recommended:
………………………………………………………………… …………………………………………………………………
Reasons for Rejection: Reasons for Rejection:
……………………………………………………………………. …………………………………………………………………….
Action Taken: ……………………………………………… Action Taken: ………………………………………………

Dealing Clerk Dealing Clerk


Date: Date:

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