UNIVERSITY OF DELHI D.U.P.

-106-06—20f 7-1,00,000

—99Wl9fl WS—W
(l'rovisioiiiiI, Migration, Medium of Instruction Certilicate)

(To be filled in by the Applicant-Before filling in the fo n,

see instructions on reverse)
( eT N-vi# fi W .. )
1. Name of Applicant

Mother's Name
Father's Name
3. University Enrolment No.

Name of Class and College fronx which the

Candidate took the last examination..........q...........

Nature of Certificate '

PARTICULARS OF LAST EXAMINATION :

Examination............................Year................................Annual/Supplementary...................................Rotl No. .............. ... .....

Result : Passed/Failed/Absent............................................Marks Obtained.............................. .t'ivision.....................,..............

7. Postal Address

Permanent Address

8. Phone No. Mobile No.

9. In case a candidate applies for a M igi'ation Certificate :

(ii) Course/Courses pursuing separately or simultaneously............................................ ...............

Signature of App ‹icant ...........................................

(To be filled in by the Colleqge/Deptt./Institvition/Office last attended)

Certified that the above entries made by the app1icant are correct ond that lie/she has pa id Co Ilege dues
upto.............................................................................................(Mention month & year)
M m I A ñ m M I m W I W .... . .... ...... ... w m

Noie :- Where a student has joined more than one course,

Principal/Head of the De .t./Institution
the application should be signed by the respective
Heads of the Deptts./lnstitutions concerned.

(Stamp of the College/Deptt./Instittttion)

For Oftice use only

Receiyed the above Certificate No. ......................................... Dated......................................... .. an ....................................................

Sign• . ice of the Applicalit

Dated..............................
Dated................... .....................
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 I N S "F R U C T 1 O N S
1 . "the particulars of the student given in th . ,-'.pplicalion Porm should correspond with those given in his/her matriculation/secondary school cei‘ti1ic:ite
or et}uivalent e›:aniinution. AppIication i ')n must bee signed by the student and in no vase by someone e1sv• on his/her beliiilf.

2.

at Delhi/New Dc•11ii only} drawn in tavour of the Registrar, University of Delhi, Delhi- 110007.

/4| F+, Em4/44 , -**OU07 - W|4 i| A |r#T PART

3. At the tinic• ol‘stibiuission of“the application for isstte of’Nligration Ceiti1icate'the applicant shoiilcl submit the photoco]ay dtily se1f'atlesteil of Dcgi
ec Certificate or Statement of’MarLs of Fina! i'ear or l*ro v isional Certificate (li›r the particular year) issued by the College last i1lten‹led by hint/lic*r
anal original ccrtillcates fiir verification. Appiii:ants a]ipIying by post/pc•rsonally may submit a Photo Copy, duly attc•sted, of’ tin said Certificiite
anal the Migratioii form should be vc•rified by the ' ’ allege/Ocptt./Institutu last attended alongwith the Itubbcr Stamp tin it. l*ailing which the u|
ap1iciititin w ill noi be entertainecl. T'he a]ip1icants for issu * .if‘Migration Certiticate hu ving enrolment nuint›er of North Campus Co11egc• mttit apJaly
in the f\cadei4iic tir‹inc1i-11 of‘ the North Cimipus whereas 'ose having enrolment number of South Campus Colle5e must utaply in tliv• Acadern ie
Bi arich ol’ Soutli Delhi C’arn}itis.’l'lic a}ip1ications having ei\folino•nt nuinbers ofNon-Colle iate Woniens Education Doard and thor Non-Foi maI
E‹lucation C'ell sli‹›ti ld
:qaply in the ollices of the Doard an‹l the Exaliiination Drench (North C'anipus) respectively.

4. Du|a1icaie Migration Certificate can be issticti only in case thv• same has been lost. destroyed or mutilated ‹›n subiiiission of a Declaration in lscrscfii
in the prescribc‹1 form available in the Academic iiranch-11. Thc• applicant will pro‹luce Originiil idcnlil y picol’(any one ot'lliu' Volci ID Carol. /\•i‹ili'i'ir

G.
l‘rovisional CeltitJeate can tio• isstied only before the date of’ Univet”sily Convocation for the particular yeiu-. Such students, who a|apl)' fior isstie
uI I'iov isional C’u•riilicaie butt their enrolment rccor‹l is maintained by they Academic Branch (South Delhi Cain|aus) and their result is ilecliircd f›j
Nrn th C iinpus. are ret}tiii‘ed to get the [ ;ulicu1ars of Coltnn no. 1.2 and 3 veri1ie‹l i'roin the Ac;ulcinic Branch (South Delhi C'arnptis) bcflfire
departsitii it_ the lies in the North Campus and Vice-Ver-sa.

'ills # wJ snJ*iñ fiu r4 W 4i w I'm i wññ M fi v as for i Jr

7. A student. who aHer completion ot'coursc, has migrated from this University to pursue some cotlrsc• in ot1iv•r Uni\ ersiiy rind hus rejoine‹1 t
Jnivcivsit› ofi Delhi lor Ptirsuing .iriy cotn sc here, will taiu the saiiic curolinent nttiiiber issitcd by Delhi tJniversity soon atier the iiinc ol’liis/hcr
a‹!rrhssir›ri iu the C"oIlege/Departrrlrnl.

tlrldeI‘tdl‹if›8 his/her Ju|y by‘ I'i incigal/I

o1’ instruct ion during the course dtily sihneil by the Principal/1-I.O.D.

lU. "1 lie ‹delivery ofilhe Certilicate will ordinarily be lnade in person to the Candidate or his nominee, on surrendering of’Print ottt ot’recei|it ofe-}ia) ment.
at the Llnis'ersitj' O l‘tice during xvorl‹ing mums. In ciise ct’noti-availablecfc print oitt the certificate w'ill be posted to his/her nostril ‹i‹l‹lress at his.!
hcr o\v'n ri.sl.. In res|aect of“ candidates who I.uil to collect the Ccrtilicatc wiihin one month li-orn the tlale of’ p:iyiuenl ot’ tees, the certiliciile u ill be
sent to their postal a•ldi ess by post at the risk iif‘'Ap|alicant. II’ a candi‹late wishes thrit the certificate be sent to him/her by registered post at
his/leer ‹›w n risk, he/she should ulong with the ap|s1ic:'lion form sutiin it a sc11-ucldrcsscd cnvcIo|ac.

1.1 .

l°rc>ci if›cd ruu for fvtigruliuri, jJi uvisi‹›naI ‹and F1cdi He ut" lnsti tiuliun C’c‹ lilicalu clc. i5 us It›Ilu\vs .-