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    Convocation Form 2021-22

    Uploaded by

    Sudan Prabhu

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Convocation Form 2021-22

    Uploaded by

    Sudan Prabhu
    22 views4 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views4 pages

    Convocation Form 2021-22

    Uploaded by

    Sudan Prabhu

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    INSTRUCTIONS

    1. The exact date, time of Ceremony of the Convocation and mode of distribution of Degree
    certificates will be as per Government regulations at that time. / दी क्षां त स मा रं भ सो ह ळ् या ची ने म की ता री ख ,
    वे ळ आ णि प द वी प्र मा ण प त्र वि त र णा ची प द्ध त त् या वे ळ च् या शा स की य नि य मां नु सा र ठरविण्यात येईल.
    2. Fee for Convocation/ Degree Certificate/ पदवी प्रमाणपत्रासाठी शुल्क:
    Sr. Fees in
    Details
    No. Rs.
    st
    1 Up to 1 Year from the Year of Passing / उत्तीर्ण झाल्यापासून १ ल्या वर्षापर्यंत Rs. 500/-

    2 After 1st to 4th Year from the Year of Passing/


    उत्तीर्ण झाल्यापासून १ ल्या वर्षानंतर ते ४ थ्या वर्षापर्यंत Rs. 700/-

    3 From 5th Year and above from the Year of Passing /


    Rs. 2000/-
    उत्तीर्ण झाल्यापासून ५ व्या वर्षापासून पुढील वर्षांसाठी
    3. Air-mail postage for foreign countries will be at actual./ परदेशात प्रमाणपत्र पाठविण्यासाठी वास्तविक शुल्क आकारण्यात येईल.
    4. Convocation Fees will be accepted in Cash or by Online Transfer or by Demand Draft /
    पदवीप्रदान शुल्क रोखीने/ ऑनलाईन पद्धतीने / डि. डि. ने स्विकारण्यात येईल.

    5. Demand draft should be drawn in the name of “The Registrar, Tilak Maharashtra
    Vidyapeeth, Pune” / डिमांड ड्राफ्ट “कु लसचिव, टिळक महाराष्ट्र विद्यापीठ, पुणे“ या नावे पाठवावा.
    6. The details for Online Transfer of the same are as follows:
    Sr.
    Bank Name A/c No. IFSC Code
    No.
    1. Bank of Maharashtra 60149048265 MAHB0000320
    T.M.V. Colony Branch,
    Mukundnagar, Pune 37
    7. Convocation Form must be accompanied by attested photo copy of Mark-sheet of final year
    examination and photo copy of Provisional Passing Certificate. Do not attach original
    documents./ पदवीप्रमाणपत्राच्या अर्जासोबत अंतिम वर्षाच्या गुणपत्रिके ची आणि प्रोव्हिजनलपासिंग प्रमाणपत्राची
    छायांकित प्रत जोडावी. मुळ कागदपत्र जोडू नयेत.

    8. For Regular Courses, original No Dues Certificate is must along with Convocation Form /
    नियमित अभ्यासक्रमासाठी ना- देय प्रमाणपत्र अर्जासोबत जोडणे अनिवार्य आहे.

    9. Incomplete / Late received forms will not be accepted and no correspondence will be made
    regarding this matter./ अपूर्ण भरलेले अर्ज/ उशीरा मिळालेले अर्ज स्विकारले
    जाणार नाहीत. तसेच त्याबाबत कोणताही पत्रव्यवहार के ला जाणार नाही.

    10. Vidyapeeth will not be responsible for any damage of certificate during postal delivery. /
    पदवी प्रमाणपत्र पोस्टाद्वारे पाठविताना ते खराब झाल्यास त्यास विद्यापीठ जबाबदार असणार नाही.

    11. Student needs to completely fill the required details in Convocation form and along with
    required documents and payment details it should be sent to the following E-mail ID in PDF
    format.examination@tmv.edu.in / विद्यार्थ्यांनी दीक्षान्त फॉर्ममध्ये आवश्यक तपशील पूर्णपणे भरुन, आवश्यक कागदपत्रे आणि देय
    तपशीलांसह ते पीडीएफ स्वरूपात खालील ई-मेल आयडीवर पाठवावेत. examination@tmv.edu.in

    *****
    TILAK MAHARASHTRA VIDYAPEETH
    GULTEKDI, PUNE 411037
    APPLICATION FOR DEGREE CERTIFICATE

    A Personal Details:
    Applicant's Full Name in English(As It Appeared in Result Sheet) :
    Surname : First Name : Middle Name :

    Name in Marathi
    Surname : First Name : Middle Name :

    Mother Name (in English) Mother Name (in Marathi )

    Sex : Male/ Female a) Designation


    Present Employment b)Name of Employer
    c)Address of Employer

    d)Present Total Salary/Income per Year


    B Address for Correspondence
    (Your Full Address) :
    District : City :
    Pin Code : State :
    Phone No. (With STD Code) : Mobile No. :
    Email - Id

    C Academic & Other Details:


    Center Code :
    Center Name :
    Faculty :
    Examination :

    Month of Examination : Year of


    Date of Result Declaration:(dd/mm/yyyy) Examination
    Last Seat No. : Permanent Registration No. :
    Subjects :
    Special/Principal/Branch /Method :
    Optional or Subsidiary : a) b)
    Class or Grade Obtained :
    Whether Re-appeared & Passed Under Provision of Class Improvement Scheme :
    D Fee Details :
    Mode of payment:
    Date of payment(dd/mm/yyyy) Transaction ID / Bank challan
    No.
    E Declaration By Candidate:
    I have carefully read and noted the Instruction 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
    I will accept the degree certificate IN PERSON BY POST

    Date: Signature:
    STUDENT SHOULD WRITE THE COMPLETE ADDRESS AND
    REQUIRED DETAILS ON BOTH THE COPIES BELOW FOR
    CORRESPONDANCE REGARDING CONVOCATION.

    विद्यार्थ्यांनी पूर्ण पत्ता आणि आवश्यक तपशील खाली असलेल्या दोन्ही प्रतींवर पदवी प्रमाणपत्र संबंधित
    पत्रव्यवहारासाठी लिहिणे आवश्यक आहे

    NAME/ नाव:

    ADDRESS/ पत्ता:

    DISTRICT/जिल्हा : PIN CODE/पिन कोड:

    STATE/ राज्य:

    CONTACT NO:

    NAME/ नाव:

    ADDRESS/ पत्ता:

    DISTRICT/जिल्हा : PIN CODE/पिन कोड:

    STATE/ राज्य:

    CONTACT NO:
    TILAK MAHARASHTRA VIDYAPEETH
    GULTEKDI, PUNE 411037

    NO DUES CERTIFICATE

    NAME OF THE STUDENT:


    ______________________________________________________

    COURSE: _________________________ ACADEMIC YEAR: ________________________

    PRN: ______________________________ FINAL YEAR SEAT NO: ____________________

    EMAIL ID: _________________________ MOBILE NO: ______________________________

    REASON FOR LEAVING COURSE: ______________________________________________

    SR. NAME OF NAME OF THE SIGNATURE DATE


    NO. DEPARTMETN PERSON
    1. Concerned Department

    2. Admission Department

    3. Library Department

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