HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY

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APPLICATION FORM FOR OBTAINING THE CERTIFICATE OF MIGRATION
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IMPORTANT INSTRUCTIONS
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2.

3.
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The fee of 50/- (Fifty Only) should be sent to the Registrar North Gujarat University
PATAN. by Indian Postal Order / Demand Draft or paid in cash.
The application for the Migration Certificate be accompanied by the Transference Certificate
from the college / Institution last attended and the original marksheet or passing certificate
(of the last examination) a true copy of each duly certified by the Principal / Head of the
College / Institution concetned.
The application for the Migration Certificate will not be entertained if the required
documents are not supplied.
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TO BE FILLED BY THE APPLICANT
1

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Name in full in Capital letters

beginning with surname & full
address

___________________________________________________
___________________________________________________
___________________________________________________

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___________________________________________________
___________________________________________________
___________________________________________________

Name of College / University

Department last attended in
this University

___________________________________________________
___________________________________________________
___________________________________________________

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____________________________________________
________________________________________________________________________________
Hemchandracharya North Gujarat University, Patan

Migration Form

Page No. 1

Name of all the examination of this University appeared.

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No.

Name of
Examination

Main optional
Subject

Centre

Seat No.

Month & Year of

Exam

Result with
Class if any

i
ii
iii
iv
v
vi

4 The Examination if any, of this

University, at which the applicant
appeared but which he / she
failed to pass, or the admission to
the Examination was cancelled
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Name of
Examination

Month & Year of

Examination

Result

_________________________________________________________________________________
5

Particulars regarding activity after

the last Examination of this University
in which he/she passed/failed or his/her
admission to the Examination was cancelled,
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________________________________________________________________________________
6

(A) Date on which the Transfer

Certificate was applied for
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(B) Date on which the T.C. was
issued by the Principal/Head of the
College / Institution, last attended by
the applicant and and T.C. No.
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T.C. No. ______________________

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Date of Issue __________________
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_________________________________________________________________________________
Hemchandracharya North Gujarat University, Patan

Migration Form

Page No. 2

Name of College and University

Joined by the applicant/OR want
to join External Examination

SM,[HG]\ GFD _______________________

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______________________________________________________________________________
8 Name and address for sending the
Migration Certificate

To,
Shri/Smt/Kum

____________________________
____________________________
____________________________
____________________________
_________________________________________________________________________________
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I have read all the instructions printed in this form and submit this form duly completed together
with the prescribed fee and required documents with a certified copy of each of them through the
Principal of the College / Head of the Institution last attended.
I Confirm that the information contained in this form is complete and correct to the best of my
knowledge & belief.
__________________________
Date :

Signature of the applicant

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Hemchandracharya North Gujarat University, Patan

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Migration Form

Page No. 3

TO BE FILED IN BY THE AUTHORITIES OF THE COLLEGE OR HEAD OF

INSTITUTION LAST ATTENDED BY THE APPLICANT IN THIS UNIVERSITY
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To,
The Registrar,
HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY,
PATAN-384 265
Sir,
I forward herewith the application of Shri _____________________________________________
________________________________ for a Migration Certificate.
The applicant has not been rusticated or debarred by the University and I have no object to a
Migration Certificate being granted to him / her by the University.
His/Her date of birth as entered in this College/Institution Register is ________ He/She has been a
student of this College/Institution since _________________ 200______ and left it in
____________ 200________
The Transference Certificate No. ______________ was issued to the applicant on _____________
and is sent herewith.
No. application for Migration Certificate on behalf of this candidate was made previous to this
date.
Yours faithfully

Signature of the Principal / Head

of the College/Institution and the

Date :

-200

Seal of the College / Institution

-------------------------------------------------------------------------------------------------------------------------

Hemchandracharya North Gujarat University, Patan

Migration Form

Page No. 4

(TO BE FILLED IN BY THE UNIVERSITY OFFICE)

The Prescribed fees of Rs. 50/- received on ________________ in cash/by I.P.O. Demand Draft No.
____________ Fee receipt No. ______________ Dated _____________ Shri/Smt/Kum
_________________________ has passed _______________________ examination in
___________ 200 from this University Order may please be passed for Migration Certificate.

Clerk in-charge

Senior Clerk

Head Clerk

Office Superintendent

ORDER : The Migration Certificate Should be issued

MIGRATION CERTIFICATE NO. ______________

DATED : _____________
PERSON ____________

FOR REGISTRAR

OR
DISPATCHED VIDE No. ________ RECEIVED IN
DATED _____________

(SIGNATURE OF APPLICANT)

Hemchandracharya North Gujarat University, Patan

(SIGNATURE OF CLERK)

Migration Form

Page No. 5