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    Kuvempu U CC Form

    Uploaded by

    Kapil
    This document is an application for admission to convocation at Kuvempu University. It requests information such as the applicant's name, degree program, contact details, examination details, declaration of conduct, and instructions. The applicant must provide attested copies of mark cards, details of any convocation fee paid, and a signature agreeing to uphold the dignity of their degree. Incomplete applications will be rejected without refund of fees.

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    © All Rights Reserved
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    Kuvempu U CC Form

    Uploaded by

    Kapil
    72 views2 pages
    This document is an application for admission to convocation at Kuvempu University. It requests information such as the applicant's name, degree program, contact details, examination details, declaration of conduct, and instructions. The applicant must provide attested copies of mark cards, details of any convocation fee paid, and a signature agreeing to uphold the dignity of their degree. Incomplete applications will be rejected without refund of fees.

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    This document is an application for admission to convocation at Kuvempu University. It requests information such as the applicant's name, degree program, contact details, examination details, declaration of conduct, and instructions. The applicant must provide attested copies of mark cards, details of any convocation fee paid, and a signature agreeing to uphold the dignity of their degree. Incomplete applications will be rejected without refund of fees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    72 views2 pages

    Kuvempu U CC Form

    Uploaded by

    Kapil
    This document is an application for admission to convocation at Kuvempu University. It requests information such as the applicant's name, degree program, contact details, examination details, declaration of conduct, and instructions. The applicant must provide attested copies of mark cards, details of any convocation fee paid, and a signature agreeing to uphold the dignity of their degree. Incomplete applications will be rejected without refund of fees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Affix

    KUVEMPU UNIVERSITY Stamp


    Size photo
    APPLICATION FOR ADMISSION TO THE CONVOCATION
    NOTE: While submitting the application superscribe on the cover “APPLICATION FOR
    CONVOCATION CERTIFICATE”

    Degree for which the application is made : : Scheme:

    01. Name of the candidate Kannada :


    (In block letters both in Kannada and English)
    English :

    02. Sex : Male/Female

    03. Address for Communication :(in Block letters with PIN code)
    Permanent Address Postal Address

    Phone No: PIN Phone No: PIN


    04. Particulars of Examination passed
    (Enclose attested photocopies of Marks Cards of all the examinations Passed)
    Register No. Examination Month/Year Class Obtained

    05. (a) Whether passed lower examination after passing final examination : Yes/No
    (b) If yes, mention Date of NCL Removed and Class Declared : Date :
    Class Declared :

    06. Subjects offered

    07. College/Institution from which


    appeared for exam

    Rs.: (In words


    )
    08. Details of Fee Paid

    D.D. No Date :

    [Note: If you have paid the convocation fee at the time of Admission, please enclose the
    receipt / certificate issued by the Principal of concerned College/HOD/Head of the
    Institution.]

    Place :
    Date :

    Signature of the Candidate


    -2-

    DECLARATION

    I hereby Solemnly declare and promise that if I am admitted to the degree of


    __________________ for which I have been recommended by the University I shall
    conduct myself as befits a member of this University in words and deeds. I do assure that I
    shall extend my knowledge towards the enlightenment of the Society and mankind to the
    best of my knowledge.

    I shall discharge my duties honestly and carefully in the profession I join by virtue of
    my degree and I promise that I shall maintain the dignity and sanctity of the profession in
    every walk of my life. I assure that I shall not abuse the acquired knowledge.

    Place:
    Date :
    Signature of the Candidate

    INSTRUCTIONS TO CANDIDATES

    1. The name shall be as registered for the University examination.


    2. Attested Photostat copies of Marks Card of all the qualifying examinations should be
    enclosed.
    3. Date, Time, Place of Convocation and the amount of fee to be paid will be notified
    through a
    separate Notification.
    4. The prescribed fee is to be paid through Demand Draft only. Payment through any other
    mode will not accepted.

    5. Demand Draft shall be obtained in favour of “Finance Officer, Kuvempu University”


    Payable at State Bank of Mysore, B.R. Project. If you have paid the fee at the time
    of Admission, enclose the receipt/certificate issued by the Principal of the concerned
    College/ Head of the Institution.

    6. Incomplete applications will be rejected without assigning any reason whatsoever. Fee
    once remitted will not be refunded.
    7. Candidates whose results are announced after the removal of NCL or Declaration of Class etc.,
    after the Convocation are eligible to get Provisional Passing Certificate. Such candidates need
    not apply for the Degree Certificate till the next Convocation.
    8. Three recent stamp size photos should be enclosed. (Write the Reg. No and name of the
    College/Institution on the back of the photos)
    9. Candidates belonging to SC/ST should enclose attested caste certificate.

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