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Application Form For Degree

The document is an application form for students of Jaipur National University to obtain their degree certificate. It requests information such as the student's name, enrollment number, program of study, address, and payment details. Students need to attach self-attested photocopies of their academic documents and identification and the degree certificate will be sent to the student's permanent address within 90 days after submitting the completed form along with a 1500 rupee payment.

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47 views

Application Form For Degree

The document is an application form for students of Jaipur National University to obtain their degree certificate. It requests information such as the student's name, enrollment number, program of study, address, and payment details. Students need to attach self-attested photocopies of their academic documents and identification and the degree certificate will be sent to the student's permanent address within 90 days after submitting the completed form along with a 1500 rupee payment.

Uploaded by

nc333747
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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JAIPUR NATIONAL UNIVERSITY

School of Distance Education & Learning (SODEL) Affix Your


Jagatpura, Jaipur Ph.: 0141-7198000 Recent Photo
E-Mail : [email protected]

APPLICATION FOR OBTAINING DEGREE CERTIFICATE


1. Name of the Candidate (IN CAPITAL LETTERS) : ……………………………………………………….

2. Aadhaar No. : ……………………………………………………….

3. Gender (Please Tick (√ ) Mark) : Male Female

4. Father’s Name (IN CAPITAL LETTERS) : ……………………………………………………….

5. Mother’s Name (IN CAPITAL LETTERS) : ……………………………………………………….

6. Enrollment Number : JNU-jpr/de/………….……………………………….

7. Name of the Programme : ……………………………………………………….

8. Academic Session : ……………………………………………………….

9. Complete Postal Address at which : House/Flat No. : ..……………………………………


Degree/Diploma/Certificate is
Street : ……………………………………………….
to be sent
Area : …………………Tehsil : ……………………..
City : …………………. Dist. : ……………………...
State : ………………………………………………..
Pin Code :

10. Mobile No. :

11. Email Address : ……………………………………………………….

12. Payment Details : DD No. : …………….…….. Date : ………….….….


Bank : ……………………………………………..…
1500/-
Note : Students are required to attach all his/her photocopies of mark-sheets from 10th onwards (Self Attested),
photocopy of Aadhaar Card (Self Attested) and address proof with this Application Form. Degree Certificate
will be dispatched at the Permanent Address of the student within 90 Days after submitting this Application Form.
DD should be in favor of ‘Jaipur National University’ payable at Jaipur.
 Lateral Entry Student’s are required to attach photocopies of all Mark-sheets of Graduation/Post Graduation (Self Attested).
 Credit Transfer Student’s are required to attach other University Qualified Examination photocopies of Mark-sheets
(Self attested).

UNDERTAKING :
The Degree/Diploma/Any Document/Certificate may be sent by Registered/Speed Post/Courier at my risk. The
University will not be responsible in any way for loss in transit.

(SIGNATURE OF THE STUDENT)

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