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Convocation Form

The document appears to be an application form for students to apply for convocation to receive their degrees or diplomas from Goa University. It lists the various convocation fees for professional and non-professional degrees. It requests information from applicants such as their registration number, name, degree/diploma details, and payment details. Applicants must provide their personal details and sign the undertaking declaring that the information provided is true.

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pareshprabhu
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0% found this document useful (0 votes)
187 views

Convocation Form

The document appears to be an application form for students to apply for convocation to receive their degrees or diplomas from Goa University. It lists the various convocation fees for professional and non-professional degrees. It requests information from applicants such as their registration number, name, degree/diploma details, and payment details. Applicants must provide their personal details and sign the undertaking declaring that the information provided is true.

Uploaded by

pareshprabhu
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office use only CONVOCATION FEES (In Rs.

)
a. Professional Degree/Diploma Rs.900.00
Faculty Code b. Non-Professional Degree Rs.600.00
c. Postal Charges in absentia(India) Rs.100.00
Application No. d. Postal Charges in absentia(Abroad) Rs.350.00
GOA UNIVERSITY Search fees of Rs.100/- per year will be charged if
applied after 5 years from the date of passing.

APPLICATION FOR CONVOCATION FOR CONFERRING DEGREES & AWARDING DIPLOMAS


(Candidate is requested to read the instructions carefully before filling up the Form)
To (To be filled in Block Letters only)
The Registrar
P.O. Goa University,
Taleigao Plateau, Goa - 403 206 (INDIA). Photograph
(Please strike off whichever is not applicable. See overleaf to know the Professional/Non-Professional courses)
Sir, Size:3.5 cms x 3.5 cms.
I request admission to the Professional Non-Professional Degree Diploma at the ensuing N.B.
1. Please do not use
Polaroid/scanned photos.
Convocation of the University. My particulars are as follows: 2. Avoid using white, light
and fancy background.
01. Permanent Registration No.: 3. 2nd Photo to be attached
to form in an envelope

02.Candidate
Name:
(As per marks card)

03.Father’s Name:

04.Mother’s Name:

05. Residential
Address:

06. Pin/Zip Code: 07. Mobile No.

Please enter appropriate codes in the boxes as mentioned overleaf


08. Sex (M / F): 13. Vocational Subject Code
(Only those students who have opted for
Vocational Degree may enter Vocational
09. Degree/Diploma Code: Subject Code)

10. Class / Grade Code


14. Seat No.:

11. Month & Year of Exam:


(MMYYYY) 15. College Code:

A 16. COA No.:


12. Special Subject Code : (Only Architecture students should enter the COA No.)
B
17. Date of Internship completion M M Y Y YY
: (if applicable)

Paid Rs. ____________vide Bank Challan / I.P.O. / D.D. No. & Date : ________________________________________
.

UNDERTAKING
I declare that statements made in this application are true, complete and correct to the best of my knowledge and belief.

Yours faithfully,

Signature :
Candidate’s
Name :
GU-CC/2013

Receiver’s Signature
Date: D D M M Y Y YY

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Cut Here ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

GOA UNIVERSITY Taleigao Plateau, Goa. ACKNOWLEDGEMENT SLIP


Received the Convocation Application Form submitted by
Degree Applied :
Month/Year of Passing :
Date: Receiver’s Signature

---- This slip must be retained for collecting the Degree/Diploma Certificate, alongwith Photo Identity ----
Degree/Diploma, Special Subject, Vocational Subject, Class/Grade and College/University Codes
Code Degree / Diploma Code Special Subject (contd.) Code Vocational Subject
NON-PROFESSIONAL 114 Geography 161 Tax Procedures & Practice
01 Bachelor of Arts 115 Physics 162 Foreign Trade Practices & Procedure
02 Bachelor of Science 116 Electronics 163 Computer Applications
03 Bachelor of Commerce 117 Mathematics 164 Tourism & Travel Management
04 Master of Arts 118 Computer Science 165 Electronics Equipment Maintenance
05 Master of Science 119 Chemistry 177 Adv., Sales Promotion & Sales Mngt.
06 Master of Commerce 120 Inorganic Chemistry 187 Bio-Technology
65 Master of Commerce(DEM) 121 Physical Chemistry 196 Industrial Chemistry
74 Master of Commerce(DE) 122 Organic Chemistry v v v
PROFESSIONAL 123 Bio-Chemistry
124 Botany
07 Doctor of Philosophy 125 Microbiology
08 Master of Philosophy(M.Phil) 126 Zoology Code Class / Grade
09 Bachelor of Fine Arts 127 Geology 01 Distinction
11 Bachelor of Music 128 Marine Biotechnology
12 Bachelor of Education 02 First Class Honours with Distinction
129 Marine Science 03 First Class with Distinction
13 Master of Education 130 Financial Accounting & Auditing
14 Master of Computer Applications 131 Cost Accounting 04 First Division with Honours
15 Bachelor of Science (Special) 132 Business Management 05 First Class with Honours
16 Bachelor of Science (Home Sc.) 133 Pharmacology
17 Doctor of Medicine 06 First Division
134 Latin American Studies 07 First Class
18 Master of Surgery 135 Vocal
19 Master of Pharmacy 136 Tabla 08 Second Class with Honours
20 Master of Pharmacy (By Research) 137 Sitar 09 Second Class
21 Bachelor of Dental Surgery 138 Anaesthesiology
22 Bachelor of Medicine & Bachelor of Surgery 10 Second Division
139 Preventive & Social Medicine 11 Pass Class
23 Bachelor of Pharmacy 140 Radio-Diagnosis
24 Post Certificate Bachelor of Science in Nursing 141 Obstetrics & Gynaecology 12 Pass Division
25 Master of Engineering 142 Paediatrics 13 Passes
26 Bachelor of Engineering 143 Pathology
27 Bachelor of Architecture 14 Pass
144 General Medicine 20 O
28 Bachelor of Laws 145 Tuberculosis & Chest Diseases
29 Bachelor of General Laws 146 Orthopaedics 21 A+
30 Master of Management Studies 147 General Surgery 22 A
31 Diploma in Taxation 148 Ophthalmology
32 Diploma in Public Health 23 B+
149 Foundation Engineering 24 B
33 Diploma in Child Health 150 Industrial Engineering
34 Diploma in Radio-Diagnosis 151 Civil 25 C
35 Diploma in Psychological Medicine v v v
152 Mechanical
36 Diploma in Anaesthesiology 153 Electrical
37 Diploma in Obstetrics & Gynaecology Code College / University
154 Electronics & Telecommunication
38 Diploma in Venereology & Dermatology 155 Computer
39 Diploma in Labour Laws & Labour Welfare 01 Smt. Parvatibai Chowgule College of Arts & Sc.
156 Banking & Finance 02 Dhempe College of Arts & Science
40 Post Graduate Dip.in Computer Applications 157 Financial Accounting, Auditing & Taxation
41 PG Dip in Occupational & Industrial Health 158 Accounting 03 St. Xaviers College of Arts, Sc. & Commerce
42 PG Dip in Administrative Management 159 Business Studies 04 Nirmala Institute of Education
43 Post Graduate Dip.in Business Management 160 Skin, Venereology & Dermatology 05 Goa Medical College
44 Post Graduate Dip.in Enviro.Pollu.Cntrl.Techn. 163 Computer Applications 06 Goa College of Pharmacy
45 Bachelor of Education (Vacation) 166 Cost Accounting & Mngt Accounting 07 Carmel College of Arts, Sc. & Com. for Women
46 Bachelor of Computer Applications 167 Applied Economics
47 Master of Laws (LLM) 08 S.S. Dempo College of Commerce & Economics
168 Company Secretarial Practice 09 Goa College of Engineering
48 PG Dip in Journalism & Mass Communication 169 Actuarial Science & Principles of Insurance
49 Post Graduate Dip.in Applied Plant Sciences 10 MES College of Arts & Commerce
170 Quantitative Techniques & Operation
50 PG Dip. in Clinical Genetics & Med.Lab.TechnIq. 171 Tourism & Hotelry 11 Goa College of Art
51 Post Graduate Diploma in Management 173 Industrial Organisation & Management 12 Damodar College of Commerce & Economics
52 Master of Hydrographic Survey 174 Psychological Medicine 13 V. Mahadeorao Salgaocar College of Law
53 Bachelor of Ayurvedic Medicine & Surgery 175 Psychiatry 14 D.M’s V.N.S. Bandekar College of Commerce
54 Master of Business Administration 182 Education 15 Govind Ramnath Kare College of Law
55 Master of Dental Surgery 183 Management Studies
56 Bachelor of Pharmaceutical Sciences 16 Goa Dental College & Hospital
184 Applied Art 17 Goa College of Architecture
57 Bachelor of Homoeopathic Medicine & Surgery 185 Painting
58 Bachelor of Science in Nursing 18 P.E.S. College of Arts & Science
186 Home Science
59 Master of Financial Services 187 Biotechnology 19 Goa College of Home Science
60 Post Graudate Diploma in Taxation Laws 189 Politics 20 G.V.M. College of Commerce & Economics
61 Master of Library & Information Science 190 Anatomy 21 C.E.S. College of Arts & Commerce
62 Bachelor of General Law 191 Accounting and Finance 22 Naval Academy, INS Mandovi
63 Bachelor of Business Administration 192 Hotel Management 23 Kala Academy’s Goa College of Music
64 Bachelor of Laws(Hons) 193 Naval Science
67 Master in Information Technology 24 Institute of Nursing Education
194 Environmental Science 25 Govt. College of Arts, Sc. & Com., Sanquelim
68 Master in Logistic Management 195 Enviromental Planning
69 P.G.Diploma in Tax Planning & Management 26 Govt. College of Arts, Sc. & Com., Khandola
196 Industrial Chemistry
70 Bachelor of Physical Education 197 Prosthodontics 27 Govt. College of Arts, Sc. & Com., Quepem
71 Master of Performing Art 198 Orthodontics 28 Rosary College of Commerce
72 Bachelor of Performing Art 199 Physiology 29 Saraswat Vidyalaya’s College of Com. & Mngt.
73 PG Dip.in Marine Microbiology & Technology 200 International Studies 30 Fr. Agnel college of Arts & Commerce
75 PG Dip. in Event Management. 201 Small Busi. Mgt. & Enterpreneurship 31 G.V.M’s Dr.Dada Vaidya College of Education
76 Bachelor of Education (Special Education) 202 Electrical & Electronics
77 Bachelor of Bus. Studies (Financial Services) 32 Govt. College of Arts & Commerce, Pernem
203 Forensic Medicine & Toxicology 33 Shri Mallikarjun College of Arts & Commerce
78 Bachelor in Travel & Tourism Management 204 Periodontics
79 PG Dip. in Guidance & Counselling 34 Gomantak Ayurveda Mahavidyalaya & Re-
205 Oral Medicine and Radiology
80 Master of Science in Hydrography 206 Earth Science search Centre
81 PG Dip. in Geoinformatics 207 Information Technology 35 N.P. Zantye College of Commerce
82 Bachelor in Social Work 208 Biotechnology(3 units) 36 Shri Shantadurga Kunkolikarine Saunsthan Clg
83 Master of Engineering.(Electro. & Telecom.) 209 Quality Assurance 37 Padre Conceicao College of Engineering,Verna
84 Magister Chirurgiae 210 Conservative Dentistry 38 D.V.E.S’s Goa Institute of Management Studies
85 PG Dip.in Clinical Research & Clinical Data Mngt 211 Harmonium
86 PG Dip.in Business Administration 39 V.V.M.’s I.M.T.R., Margao
212 Fire Technology 40 Institute of Safety of H. & Environment
87 PG Dip.in Business Journalism 213 Mass Communication & Videography
88 MBA(Financial Services) 41 S.E.S. Homeopathic College & Hospital
214 Oto-Rhnio Laryngology (ENT)
89 PG Dip.in Business Administration-Event Mngt. 215 Tourism & Travel 42 National Hydrographic School, Vasco
90 PG Dip.in Labour Law & Labour Welfare 216 Journalism 43 Institute of Local Self Government
v v v 217 Mathematics(Computer Science) 44 Don Bosco Goa Salesian Society
Code Special Subject 218 Special Education 45 Shree Rayeshwar Inst. of Engg. & Information
101 English 219 Electronics Communication & Instrumentation Technology, Shiroda.
102 Hindi 220 Mass Media 46 I.N.S. Hamla, Malad, Mumbai.
103 Marathi 221 Pharmaceutical Chemistry 47 P.E.S. College of Education.
104 Konkani 222 Anthropology 48 P.E.S. College of Pharmacy, Farmagudi.
105 French 223 Microelectronics
224 L a w 49 VMRF College of Nursing, Margao.
106 Portuguese
107 Economics 225 Neurosurgery 50 Vrundavan Inst. of Nursing Edu.,Porvorim
51 Govt. College of Commerce, Borda, Margao.
GU-CC/2013

108 Psychology 226 Pulmonary Medicine


109 Commerce 227 Power and Energy System 52 Agnel Institute of Design & Technology,Assagao
110 Sociology 228 Pharmacognosy 70 Goa University, Taleigao Plateau, Goa.
111 History 229 Analytical Chemistry v v v
112 Philosophy 230 Medical Anatamology
113 Political Science 231 Shipping Management
232 Marine Microbiology
233 Computer science and Engineering

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