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in

MANGALORE UNIVERSITY ªÀÄAUÀ¼ÀÆgÀÄ «±Àé«zÁ央AiÀÄ

202........... gÀ WÀnPÉÆÃvÀìªÀPÉÌ ¥ÀæªÉñÀ PÉÆÃgÀĪÀ Cfð
Application for admission to the Convocation 202......
Note :
· The Application is to be sent to The Registrar (Evaluation), Mangalore University, Mangalagangothri, D.K., Karnataka, India - 574 199.
¨sÀwð ªÀiÁrzÀ CfðUÀ¼À£ÀÄß PÀÄ®¸ÀaªÀgÀÄ (¥ÀjÃPÁëAUÀ), ªÀÄAUÀ¼ÀÆgÀÄ «±Àé«zÁ央AiÀÄ ªÀÄAUÀ¼ÀUÀAUÉÆÃwæ - 574 199, EªÀjUÉ PÀ¼ÀÄ»¸ÀvÀPÀÌzÀÄÝ.
· Incomplete applications will be rejected, and the fee paid is non refundable under any circumstance.
C¥ÀÇtð CfðUÀ¼À£ÀÄß wgÀ¸ÀÌj¸À¯ÁUÀĪÀÅzÀÄ, ºÁUÀÆ ¥ÁªÀw ªÀiÁrzÀ ºÀtªÀ£ÀÄß AiÀiÁªÀÅzÉà PÁgÀtPÀÆÌ »A¢gÀÄV¸À¯ÁUÀĪÀÅ¢®è.
· Details of the fees and other information are given overleaf. CfðAiÀÄ »A¨sÁUÀzÀ°è ±ÀÄ®ÌzÀ «ªÀgÀUÀ¼ÀÄ ªÀÄvÀÄÛ EvÀgÀ ªÀiÁ»wUÀ¼À£ÀÄß ¤ÃqÀ¯ÁVzÉ.
· Candidate must write his/her name in Kannada. Mentioning phone number and email ID is mandatory.
C¨sÀåyðAiÀÄÄ ºÉ¸ÀgÀ£ÀÄß PÀ£ÀßqÀzÀ°è PÀqÁØAiÀĪÁV £ÀªÀÄÆ¢¸ÀĪÀÅzÀÄ. zÀÆgÀªÁt ¸ÀASÉå ºÁUÀÆ emial ID AiÀÄ£ÀÄß PÀqÁØAiÀĪÁV £ÀªÀÄÆ¢¸ÀĪÀÅzÀÄ.
Tatkal Normal In Person In Absentia

1. Name of the Candiate : In English: (As registered for the University Examination)

(in Block Letters)

C¨sÀåyðAiÀÄ ºÉ¸ÀgÀÄ In Kannada:
(As in the SSLC marks card)

2. Date of Birth :
d£À£À ¢£ÁAPÀ Male Female Others
3. Nationality :
gÁ¶ÖçÃAiÀÄvÉ
4. Registration Number :
£ÉÆÃAzÀt ¸ÀASÉå
5. Course/Programme :
PÉÆøïð/PÁAiÀÄðPÀæªÀÄ
6 College/Department :
PÁ¯ÉÃdÄ/«¨sÁUÀ
7. Class Obtained or :
CGPA with Alpha Sign Grade
¥ÀqÉzÀ ªÀUÀð/¹.f.¦.J.
8. Passing Month and Year :
vÉÃUÀðqÉAiÀiÁzÀ ªÀµÀð ªÀÄvÀÄÛ wAUÀ¼ÀÄ (Mention as in the nal year/sem marks card)

9. Address for Communication :

C¨sÀåyðAiÀÄ CAZÉ «¼Á¸À

PIN Code:
10. Phone Number :
zÀÆgÀªÁt ¸ÀASÉå email ID:

11. Have you undergone the compulsory inhouse Training/Internship/Training prescribed for the programme? If so, attach (Tick Here)
the true copy of the certicate attested by the principal. Otherwise candidates are not eligible to apply for Convocation.
PÁAiÀÄðPÀæªÀÄPÉÌ ¤UÀ¢¥Àr¹zÀ PÀqÁØAiÀÄ E£ïºË¸ï vÀgÀ¨ÉÃw/EAl£ïð²¥ï/vÀgÀ¨ÉÃwUÉ ¤ÃªÀÅ M¼ÀUÁV¢ÝÃgÁ? ºÁVzÀ°è ¥ÁæA±ÀÄ¥Á®gÀÄ zÀÈrüÃPÀj¹zÀ
¥ÀæªÀiÁt¥ÀvÀæzÀ ¤d ¥ÀæwAiÀÄ£ÀÄß ®UÀwÛ¹ E®è¢zÀÝgÉ C¨sÀåyðUÀ¼ÀÄ WÀnPÉÆÃvÀìªÀPÉÌ Cfð ¸À®è¸À®Ä CºÀðgÁUÀgÀĪÀÅ¢®è.
12. Payment Details: Details of the fees and different modes of payment are given overleaf. Online payment Challan Demand Draft
±ÀÄ®ÌUÀ¼ÀÄ ªÀÄvÀÄÛ ¥ÁªÀwAiÀÄ ««zsÀ «zsÁ£ÀUÀ¼À «ªÀgÀUÀ¼À£ÀÄß »A¨sÁUÀzÀ ¥ÀÅlzÀ°è ¤ÃqÀ¯ÁVzÉ.
Online Payment Ref. No. Name and Place of the Bank
Amount (in Rs.) Date
Challan No. / D.D. No. (Only for D.D.)

Place / ¸ÀܼÀ: Date / ¢£ÁAPÀ : Signature of the Candidate/C¨sÀåyðAiÀÄ ¸À» :

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Reg. No. By Registered Post On India Government Service
£ÉÆÃA. ¸ÀA. jf¸ÀÖgï CAZÉ ¨sÀÁgÀvÀ ¸ÀPÁðgÀzÀ ¸ÉêÉAiÀÄ°è
From EAzÀ HANDLE GENTLY
The Registrar (Evaluation) PÀÄ®¸ÀaªÀgÀÄ (ªÀiË®åªÀiÁ¥À£À) To jUÉ,
Sri/Smt ²æÃ/²æêÀÄw ........................................................................................................................
Mangalore University ªÀÄAUÀ¼ÀÆgÀÄ «±Àé«zÁ央AiÀÄ
Mangalagangothri 574199 ªÀÄAUÀ¼ÀUÀAUÉÆÃwæ 574199 ....................................................................................................................................................
Dakshina Kannada District zÀQët PÀ£ÀßqÀ f¯Éè ....................................................................................................................................................
Karnataka, India PÀ£ÁðlPÀ, ¨sÁgÀvÀ PIN code:.................................... Ph. No.:.................................................................................

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ACKNOWLEDGEMENT
(Only for those who submit the application in person to the University)
Initial of the Receiving Clerk with Date
Received the application for the Degree Certicate from
Tatkal Normal
Name of the Candidate :
(in Block Letters)

Registration Number :

Course/Programme :

College / Department :
 Declaration to be a signed by the Candidate C¨sÀåyðAiÀÄÄ ¹éÃPÀj¸À¨ÉÃPÁzÀ WÉÆõÀuÁ ªÀZÀ£À
I hereby solemnly declare and promise that, if admitted to the degree of ........................... for which have been recommended I shall, in my daily life
and conversation, conduct myself, as bets a member of this University, that I shall to the utmost of my capacity and opportunity support the case of
morality and sound learning and that, as far as lies in me, I shall uphold and advance the social order and the well-being of my fellowmen.
²¥sÁgÀ¸ÀÄì ªÀiÁqÀ¯ÁVgÀĪÀAvÉ £À£ÀߣÀÄß ................................................¥ÀzÀ«UÉ CAVÃPÀj¹zÀÝ°è £À£Àß zÉÊ£ÀA¢£À §zÀÄQ£À°è ºÁUÀÆ ªÀiÁvÀÄPÀvÉAiÀÄ°è F
«±Àé«zÁ央AiÀÄzÀ ¸ÀzÀ¸Àå¤UÀ£ÀÄUÀÄtªÁzÀ jÃwAiÀÄ°è ¥ÁæªÀiÁtÂPÀªÁV £ÀqÉzÀÄPÉƼÀÄîvÉÛãÉ. £À£ÀUÉ ¸ÁªÀiÁxÀåðªÀPÁ±À«zÀݵÀÄÖ £ÉÊwPÀ ºÁUÀÆ eÁÕ£À ¸ÁzsÀ£ÉAiÀÄ zsÉåÃAiÀĪÀ£ÀÄß
JwÛ »rAiÀÄÄvÉÛãÉ. ºÁUÀÆ CzÀPÁÌV ±Àæ«Ä¸ÀÄvÉÛãÉ. £À¤ßAzÀ ¸ÁzsÀåªÁzÀµÀÄÖ ªÀÄnÖUÉ ¸ÁªÀiÁfPÀ ¥ÀæUÀwUÀÆ, ªÀiÁ£ÀªÀPÀÄ®zÀ PÀ¯ÁåtPÀÆÌ ±Àæ«Ä¸ÀĪÀÅzÁV F ªÀÄÆ®PÀ
¥ÁæªÀiÁtÂPÀªÁV ¨sÀgÀªÀ¸É ¤ÃqÀÄvÉÛãÉ.
*I shall faithfully and carefully fulll the duties of the profession to which I may the admitted by virtue of my degree, that I shall, on all occasions,
maintain its purity and reputation and I shall never deviate from the straight path of its honourable exercise by making by knowledge subservient to
unworthy ends.
*£À£ÀUÉ ¤ÃqÀ¯ÁUÀĪÀ ¥ÀzÀ«AiÀÄ zɸɬÄAzÀ £Á£ÀÄ ¸ÉÃgÀĪÀ ªÀÈwÛUÉ ¸ÀA§A¢ü¹zÀ PÀvÀðªÀåUÀ¼À£ÀÄß ¤µÉ׬ÄAzÀ ºÁUÀÆ ¥ÁæªÀiÁtÂPÀvɬÄAzÀ ¤ªÀð»¸ÀÄvÉÛãÉAzÀÄ, J¯Áè
¸ÀAzÀ¨sÀðUÀ¼À®Æè ªÀÈwÛ UËgÀªÀ ªÀÄvÀÄÛ ¥Á«vÀæöåªÀ£ÀÄß PÁ¥ÁrPÉÆAqÀÄ §gÀÄvÉÛãÉAzÀÆ eÁÕ£ÀªÀ£ÀÄß C£ÀºÀðªÁzÀ GzÉÝñÀUÀ½UÉ §¼À¸ÀĪÀÅ¢®èªÉAzÀÄ, gÀÄdÄ¥ÀxÀ¢AzÀ
«ZÀ°vÀ£ÁUÀĪÀÅ¢®èªÉAzÀÆ F ªÀÄÆ®PÀ ¥ÁæªÀiÁtÂPÀªÁV ¨sÀgÀªÀ¸É ¤ÃqÀÄvÉÛãÉ.
*In the case of non-professional degrees, strikeout this statement, ªÀÈwÛ¥ÀgÀ ¥ÀzÀ«UÀ¼À£ÀÄß ¥ÀqÉAiÀÄzÀ C¨sÀåyðUÀ¼ÀÄ ºÉÆqÉzÀÄ ºÁPÀvÀPÀÌzÀÄÝ.

Place / ¸ÀܼÀ :
Date / ¢£ÁAPÀ : Signature of the Candidate / C¨sÀåyðAiÀÄ ¸À»
FEE DETAILS AND INSTRUCTIONS TO THE CANDIDATES
1. Fee Details (including Application Fee) in Rs. :
Programme Under Graduate P. G. Degree Ph.D./M.Phil D.Sc./D.Litt
Degree Diploma
Convocation Fee 880 1110 2160 3310
Verication of Marks Cards Fee
(for Autonomous Colleges only) 600 600 - -

Note :
1. Penal fee Rs. 250/- for every additional year to be paid for obtaining degree certicate after a lapse of three years from the date of passing the respective examination
2. Convocation fee (excluding the penal fee) for SC/ST candidate is 50% of the prescribed fee subject to the production of a copy of the caste certicate.
3. Tatkal Scheme : Candidates willing to apply for Degree Certicates under Tatkal scheme shall pay Rs. 3000 in addition to the prescribed fee.
4. The students who are foreign nationals shall pay three times the prescribed fee.
5. The fee details are subject to change from time to time, and may be obtained from the University Ofce / College Department Ofce / University Website :
https://mangaloreuniversity.ac.in
2. Mode of Payment : Payment of the fee may be made through any one of the following modes.
a. Online Payment : One may follow the following steps for paying the prescribed fee https://mangaloreuniversity.ac.in®Online Fee collection (accept the terms and
conditions)®Fees Examination Related Activities 008 ® Fill the relevant elds ® Mention the amount against the ‘Convocation Fee’ Sl. No. 26. Pay the fees using any one of the
different modes available. Enclose a copy of the receipt with this application.
b. Ofine Payment :
i) Challan : The prescribed fee may be remitted to the SBI / Bank of Baroda / Canara Bank through challan to ‘Mangalore University' funds and Original Quadruplicate (to be
submitted to the University) copy of the challan is to be enclosed with this application.
ii) Demand Draft : The prescribed fee can be paid through a DD drawn in favour of “The nance Ofcer, Mangalore University”. Enclose Original D.D. with the application
3. Instructions to the Candidates :
1. Incomplete applications will be rejected and the fee paid is non refundable under any circumstance.
C¥ÀÆtð CfðUÀ¼À£ÀÄß wgÀ¸ÀÌj¸À¯ÁUÀĪÀÅzÀÄ ªÀÄvÀÄÛ ¥ÁªÀw¹zÀ ±ÀĮ̪À£ÀÄß AiÀiÁªÀÅzÉà PÁgÀtPÀÆÌ ªÀÄgÀÄ¥ÁªÀw¸À¯ÁUÀĪÀÅ¢®è.
2. Only Ph.D. degree holders and Gold Medalists / Cash prize / First Rank holders can receive their degree / prizes during the Convocation Ceremony.
¦.JZï.r. ¥ÀzÀ« ¥ÀqÉzÀªÀgÀÄ ªÀÄvÀÄÛ a£ÀßzÀ ¥ÀzÀPÀ «eÉÃvÀgÀÄ / £ÀUÀzÀÄ §ºÀĪÀiÁ£À ¥ÀæxÀªÀÄ ±ÉæÃt ¥ÀqÉzÀªÀgÀÄ ªÀiÁvÀæ vÀªÀÄä ¥ÀzÀ« ¥ÀæªÀiÁt¥ÀvÀæUÀ¼À£ÀÄß WÀnPÉÆÃvÀìªÀ ¸ÀªÀiÁgÀA¨sÀzÀ°è ¥ÀqÉzÀÄPÉƼÀÀÄzÀÄ.
3. Attested photocopies of all marks cards of the examination shall invariably be enclosed.
¥ÀzÀ« ¥ÀjÃPÉëAiÀÄ J¯Áè CAPÀ¥ÀnÖUÀ¼À zÀÈrüÃPÀj¹zÀ ¥sÉÆÃmÉÆPÁ¦UÀ¼À£ÀÄß vÀ¥ÀàzÉà ®UÀwÛ¸À¨ÉÃPÀÄ.
4. If NCL is not removed and CGPA is not mentioned or class is not declared in the nal year / semester marks card, such candidates are not eligible to apply for the degree certicate.
CAwªÀÄ ªÀµÀð/ ¸É«Ä¸ÀÖgï CAPÀ¥ÀnÖAiÀÄ°è NCL £ÀÄß vÉUÉzÀĺÁPÀ¢zÀÝgÉ ªÀÄvÀÄÛ CGPA £ÀªÀÄÆ¢¹gÀ¢zÀÝgÉ CxÀªÁ zÀeÉðAiÀÄÄ WÉÆõÀuÉAiÀiÁUÀ¢zÀÝgÉ, CAvÀºÀ C¨sÀåyðUÀ¼ÀÄ ¥ÀzÀ« ¥ÀæªÀiÁt ¥ÀvÀæPÉÌ Cfð ¸À°è¸À®Ä CºÀðgÁVgÀĪÀÅ¢®è.
5. From 40th convocation onwards, all the UG/PG degree certicates and Diploma Certicates (except Tatkal) are being sent to the concerned colleges / departments. Candidates
are advised to collect the certicates from the concerned colleges / departments.
40£Éà WÀnPÉÆÃvÀìªÀzÀ £ÀAvÀgÀ J¯Áè ¸ÁßvÀPÀ ºÁUÀÆ ¸ÁßvÀPÉÆÃvÀÛgÀ ¥ÀzÀ« ¥ÀæªÀiÁt ¥ÀvÀæUÀ¼ÀÄ ªÀÄvÀÄÛ r¥ÉÆèêÀiÁ ¥ÀæªÀiÁt ¥ÀvÀæUÀ¼À£ÀÄß (vÀvÁÌ¯ï ºÉÆgÀvÀÄ¥Àr¹) ¸ÀA§AzsÀ¥ÀlÖ PÁ¯ÉÃdÄ-«¨sÁUÀUÀ½UÉ PÀ¼ÀÄ»¸À¯ÁUÀÄvÀÛzÉ. C¨sÀåyðUÀ¼ÀÄ ¸ÀA§AzsÀ¥ÀlÖ
PÁ¯ÉÃdÄUÀ¼ÀÄ / «¨sÁUÀUÀ½AzÀ ¥ÀæªÀiÁt¥ÀvÀæUÀ¼À£ÀÄß ¥ÀqÉzÀÄPÉƼÀÄîªÀAvÉ w½¸À¯ÁVzÉ.
6. For candidates eligible for the 39th of earlier convocation. Degree certicates will be sent to the address mentioned in the application form. If the Degree certicate is to be sent
outside India an additional amount towards postal expenses shall be paid along with the prescribed fee.
39£Éà CxÀªÁ »A¢£À WÀnPÉÆÃvÀìªÀPÉÌ CºÀðgÁVgÀĪÀ C¨sÀåyðUÀ½UÉ ¥ÀzÀ« ¥ÀæªÀiÁt ¥ÀvÀæªÀ£ÀÄß CfðAiÀÄ°è £ÀªÀÄÆ¢¹zÀ «¼Á¸ÀPÉÌ PÀ¼ÀÄ»¸À¯ÁUÀÄvÀÛzÉ. ¨sÁgÀvÀzÀ ºÉÆgÀUÉ ¥ÀzÀ« ¥ÀæªÀiÁt¥ÀvÀæªÀ£ÀÄß PÀ¼ÀÄ»¸À¨ÉÃPÁzÀgÉ ¤UÀ¢vÀ ±ÀÄ®ÌzÉÆA¢UÉ
ºÉZÀÄѪÀj CAZÉ ªÉZÀѪÀ£ÀÄß ¥ÁªÀw¸À¨ÉÃPÀÄ.
7. Ph.D. degree holders have to compulsorily enclose their one passport size photo along with the application. Their degree certicate's will be sent to the address mentioned in the
application form. If the Degree certicate is to be sent outside India, an additional amount towards postal expenses shall be paid along with the prescribed fee.
¦JZïr ¥ÀzÀ«ÃzsÀgÀgÀÄ CfðAiÉÆA¢UÉ vÀªÀÄä ¥Á¸ï¥ÉÆÃmïð C¼ÀvÉAiÀÄ MAzÀÄ ¨sÁªÀavÀæªÀ£ÀÄß PÀqÁØAiÀĪÁV ®UÀwÛ¸ÀvÀPÀÌzÀÄÝ. ¸ÀzÀjAiÀĪÀjUÉ ¥ÀzÀ« ¥ÀæªÀiÁt ¥ÀvÀæªÀ£ÀÄß CfðAiÀÄ°è £ÀªÀÄÆ¢¹zÀ «¼Á¸ÀPÉÌ PÀ¼ÀÄ»¸À¯ÁUÀÄvÀÛzÉ. ¨sÁgÀvÀzÀ ºÉÆgÀUÉ
¥ÀzÀ« ¥ÀæªÀiÁt¥ÀvÀæªÀ£ÀÄß PÀ¼ÀÄ»¸À¨ÉÃPÁzÀgÉ ¤UÀ¢vÀ ±ÀÄ®ÌzÉÆA¢UÉ ºÉZÀÄѪÀj CAZÉ ªÉZÀѪÀ£ÀÄß ¥ÁªÀw¸À¨ÉÃPÀÄ.
(Do not write or paste anything below this line K£À£ÀÆß §gÉAiÀĨÉÃr CxÀªÁ CAn¸À¨ÉÃr.
Space behind Address
Space behind Acknowledegment

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