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Convocation

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Prasad Thambad
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65 views2 pages

Convocation

Uploaded by

Prasad Thambad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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£Áð l PÀ Pass Por t
4 £Éà n ¨ ÁèP ï, d A iÀ Ä£ÀUÀgÀ, ¨ É AUÀ ¼ÀÆgÀ Ä - 560 041 S i ze
Rajiv Gandhi Univers i ty of Health Sciences , Karnataka photo
Affix h e r e
4 th 'T' Block , Jayanagar, Bangalore - 5 6 0 0 4 1.

A pplicat ion for adm i ss ion to the Convocat ion – 20 __


Note: I n returnin g the application, please super scri be on the cover the year of
CONVOCAT ION-2 0 _ _ ”

INSRTUCT ION TO CAND ID A TE – S EE OVERLEA F

IN-PERSON IN- ABSENTIA For office u se only:

(Please t ick any on e of t h e above . This is only for Elsi g ibi lity S l.No. Page No.
coll ection at t h e tim e of “Convocation- 200 _ fu nction”
Convocation:
To be fill e d in & se n t to t h e Reg ist rar
( Eval u ation ) , Rajiv Gan dhi Un ive rsity of Healt h Year of passin g: Reg. No.
S ci e nces, Ban galor e , Karnataka, t h rou gh th e college
conce rn ed so as to r each t h is office S u bj ect:

Deg r ee for wh ich t h e application mad e

………………………………………………………… Case work e r S i gnat u re of office r


1 Nam e of t h e candidat e in fu ll ( in block l e tt e rs) as
r eg ist e r ed for t h e Unive rsity e xami nation

2 C ¨ Àås yð A iÀÄ ¥ ÀÆ t ð º É ¸ À gÀÄ (« ±À é « z Áå®A iÀ Ä zÀ ° è


£ÉÆA z À t  DVgÀÄ ª À ¥ÀPæÁgÀ )
3 Ge n d e r Mal e F e mal e
4 Nationali ty I ndian NR I
5 Corr ect postal addr ess to wh ich ce rtificat e may
be se n t (in block le t t e rs) wit h pin code .
(Wit h P hone n u mbe r )

6 Examination passed wit h de tails Final Exam. Reg. No. Mon t h Year
Note: At t est ed Xe rox copi es of ma rks card of all
t h e Unive rsity exami nations should b e enclose d.
7 Wh e t h e r passed lowe r e xamination aft e r passin g Yes / No
final e xamination ? S ubmit d e tails if yes. Final year passe d year & mon t h :

Lowe r exam passed year & mon t h:


8 Col l ege from which appear e d

9 Have you u nde rgon e t he compulsory


Hou se mansh ip / I n t e rnship / Trainin g (If From dat e: To dat e:
applicabl e)?

10 Wh e t h e r t h e pr escrib ed fee has b ee n r e mitt e d? If Onlin e Paym e n t No: A mou n t :


so fu rnish d e tails. I f paid while payin g the
final examination fee details of the same Dat e :
alon g wi th a cer tificate from the college to
that effect should be enclosed. Ban k:
11. Fu r n ish th e followi n g docu m e n ts:
1. All Mar ks cards of……………………… cou rse : Enclose d
2. I n t e rnsh ip / House manship / Traini n g Ce rtificat e : Enclose d
3. Fee d e tails : Enclosed
4. 2 Passport si ze p hotos : Enclosed ot e nclosed
Ce rtifi ed t hat I have fu r nish e d t he r equir e d de tails to t h e b est of my knowl e d ge

P lace:
Date: S i g nature of t he candidate
Th e information fu rnish e d by t h e can didat e as above and S l.No.11 is cor r ect as p e r t h e r e cords
mai n tain e d in t h e coll ege

P lace: P rincipal
Date: W i t h Seal
Declaration to be s i g ned by the candidate
“I h e r e by sol e mn ly d eclar e and p romise t hat, if ad mi t t ed to t h e d eg r ee
of…………………………………………. for which I have b ee n r ecom me nd ed. I shal l, in my dai ly life and
conve rsat ion cond uct myse lf as b efits a m e mbe r of t h is Unive rsity, t hat I shal l to t h e u t most of my
capacity and opport u nity, su pport t h e cau se of morality and sou nd l earn in g; and t hat, as far as in me
li es, I shal l up hold an d advance t h e social orde r an d t h e well-be in g of my fe llowm e n .”

“I shall fai t hfu lly and car e fu l ly fu lfi ll t h e du ti es of t h e profession to which I may b e ad mi t t ed by
virt u e of my deg r ee t hat I shal l on all occasions main tain its pu rity and r e pu tation and I shall n eve r
d eviat e from t h e st raig h t pat h of t h e ir honorabl e e xe rcise by mak in g my knowl ed ge su bse rvi e n t to
u n worthy e n ds.”
P lace:
Date: S ig nature of the candida te

In s truc tion s to candidate


1. Candidate should wri t e th eir nam e ( in block le t t e rs) l eg ibly as r eg ist e r ed for t h e Un ive rsity
e xamination and t h e nam e shou ld b e t ranslat e d in KANNADA also at S l.No.2.
2. Xe rox copi es of mar ks ca rds of all t h e examinations shoul d b e e nclose d (wit h at t estation ).
3. Candidate shou ld writ e t he ir optional / e l ectives / special i zations cl early in t h e applications.
4. P h.D can didat es shou ld e nclose a copy of d eclaration of r esu lts and m e n tion t h eir titl es of t h e
t h esis l eg ibly.
5. Candidate shou ld writ e t he i r nam e and postal addr ess l eg ibly in th e col u mns provi de d for in t he
application .
6. Th e pr escribe d f ee for t h e d eg r ee ce rtificat e ar e as follows:
a. Un de r Grad uat e Abse n tia India Rs. 2,000.00
b. Un de r Grad uat e Abse n tia For ei gn Rs. 4,000.00
c. Post Graduat e Degr ee In-p e rson / Abse n tia India Rs. 5,000.00
d. Post Graduat e Degr ee In-p e rson / Abse n tia For ei gn Rs. 6,000.00
e. Post Graduat e Diploma In-p e rson / Abse n tia India Rs. 3,000.00
f. Post Graduat e Diploma In-p e rson / Abse n tia For ei gn Rs. 5,000.00
g. S u pe r S p eciali ty / P h.D In-p e rson / Abse n tia ----- Rs. 6,000.00
F ellowsh ip
h. Ce rtificat es Cou rse In-p e rson / Abse n tia ----- Rs. 3,000.00
7. Two copi es of t h e Pass Port si ze Colou r photog raphs of t h e can didat e to b e se n t:
i ) On e copy du ly at t est e d and e nclose d to t h e application
ii ) One e xt ra copy for t h e D eg r ee ce rtificat e . (To be p u t in a se parat e cove r & stapl e it wi t h
application )
8. I n th e Colou r photog raphs, t h e nam e & t h e Reg. No. of t h e can didat e, Facu lty and t h e Coll ege
shou ld be clearly me n tion ed an d e nclosed alon g wit h t h e Convocation appl ication.
9. P r escribe d fee if not al r eady paid shall be mad e t h rou g h onlin e paym e n t gat eway of RGUHS ,
we bsit e www.r g u hs.ac.in
10. P r escribe d fees once paid will not be refunded or adju sted for fu t u r e convocations.
11. No applicat ion will be acce pt e d aft e r t h e du e dat e .
12. No applicat ion will be acce pt e d dir ectly in t h e Unive rsity.
1 3. I ncomplete and incorrect applicat ion s will be summarily rejected and no correspondence
will be en tertained in the mat ter.
14. Th e d egr ee ce rtificat es of t hose candidat es admit t e d to th e convocat ion IN ABSENTIA wi ll be
se n t by Reg ist e r ed post to th e addr ess g ive n by t h e candidat es.

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