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34.request For Transcripts-V3

This document is a form from the National Institute of Technology in Tiruchirappalli, India for requesting academic certificates and transcripts. It collects information such as the applicant's name, program of study, department, and specialization. It lists the types of certificates available, fees, and addresses to send transcripts. The form collects payment information and a signature from the applicant.

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Venkat Krishna
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
54 views

34.request For Transcripts-V3

This document is a form from the National Institute of Technology in Tiruchirappalli, India for requesting academic certificates and transcripts. It collects information such as the applicant's name, program of study, department, and specialization. It lists the types of certificates available, fees, and addresses to send transcripts. The form collects payment information and a signature from the applicant.

Uploaded by

Venkat Krishna
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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OFFICE OF THE DEAN (ACADEMIC)

NATIONAL INSTITUTE OF TECHNOLOGY


TIRUCHIRAPPALLI - 620 015, TAMIL NADU, INDIA
Phone : +91-431-2503017, Fax : +91-431-2500133 (O/o the Director), E-Mail : [email protected],

Roll number of the applicant :

Name of the applicant :

Programme : B. Tech. / B.Arch. / M.Tech. / M.Sc. / MCA / MBA / MS / Ph.D.

Department :

Specialization (for PG) :

Academic certificates reqd. : No. of copies Fee * in Rs.

TRANSCRIPT :

TRANSCRIPTION :

GRADE CARD Semester No. of copies


:
1
2
3
4
5
6
7
8
9
10
RANK CERTIFICATE :
(Mention the name here)
MISCELLANEOUS CERTIFICATE : No. of
copies

TOTAL FEE paid : Rs.

SB Collect Reference no. : Date :

Postal Address :
* If the transcripts are to be
sent to the universities,
enter the addresses in the
Pincode :
next page.
District :
State :
Signature :

Mobile no. E-mail id

*The fee for issue of transcript / academic documents is to be paid through SBI i-collect ONLY.
1. Addressee

Name of the University

State and Zip code


2. Addressee

Name of the University

State and Zip code


3. Addressee

Name of the University

State and Zip code


4. Addressee

Name of the University

State and Zip code


5. Addressee

Name of the University

State and Zip code


6. Addressee

Name of the University

State
Zip code

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