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Degree Diploma Application Form 16062023

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MAKHANLAL CHATURVEDI NATIONAL UNIVERSITY OF JOURNALISM & COMMUNICATION, BHOPAL

IN FRONT OF MP STATE SHOOTING ACADEMY, BISHANKHADI, BHOPAL -462044 (M.P.)


Phone - 0755-2550765, Fax – 07554290226, email –degree@mcu.ac.in

Application for issue of (1) Final Degree/Diploma (2) Duplicate Degree/Diploma


(Applicable only for passed out students till Dec. 2007. Other students must apply through M.P. online)
To,
The Registrar,
M.C.N.U.J.C.,
Bhopal (M.P.) 462 011
Sir,
I request you to kindly issue……………………………… in my favour. The necessary fee of Rs. ..........has been
remitted Online/by Demand Draft No.:…………Dated :…/…/……Name of Bank :…………………………………………

1. Full Name (in English Capital Letters) :…………………………………………………………………………………….

2. Full Name (in Hindi) : .…………………………………………………………………………………..

3. Father’s Name (in English) :….……………………..………………………………………………………….

4. Mother’s Name (in English) :……………………..……………………………………………………………..

5. (a) Last Examination in which appeared :………………………………….… (b) Year :…………………………….


(c) Roll Number :………………………………………… (d) Division :……………………………………………………….

6. Enrolment Number :…………………………………………………………………………………….

7. Name of the U.T.D./Study Institute :…………………………………………………………………………………….

Place : ………………… Date : …………………

Complete Address with Pin code : Your’s Faithfully


…………………………………………………………………………………..
………………………………………………………………………………….. ………………………..

…………………………………………(M. No.)……………………………… Signature of Student

INSTRUCTIONS:
This format is applicable for passed out students till Dec. 2007 exam and students of such
Associate Study Institutes which are closed. All other students should submit Online Applications through
M.P. Online (www.mponline.gov.in) only.
1. The applicant should enclose Xerox copes of marksheet of all semesters and also consolidated marksheet
of course/examination passed, duly attested by the incharge of the Study Institute. The student where
institutes are closed must send Xerox copies of marksheets with self attestation.
2. The applicant should necessarily enclose the photocopy of marksheet of the qualifying exam. (10+2
marksheet for DCA, BCA and 3 year Bachelor Degree Programmes/Graduation marksheet for 1 year
Bachelor Degree, P.G. Diploma and Master Degree Programmes) as has been prescribed by the university
for admission to the course.
3. Fees for Final Degree/Diploma is Rs. 250/- Fees shall be accepted only by account payee demand
draft in favour of “Registrar, M.C.N.U.J.C., Bhopal” payable at Bhopal.
4. Fees for Duplicate Degree/Diploma is Rs. 450/- payable by D.D. . The applicant should submit copy of
F.I.R. lodged with the Police and Original Notarized Affidavit Stating the reason for asking Duplicate
Degree/Diploma and that if the earlier issued original Degree/Diploma is found recovered the some shall
be deposited with the university.
5. Fees for Urgent Degree/Diploma is Rs. 450/- Payable by D.D. The applicant should enclose
photocopies of marksheets of all semesters and also consolidated marksheet of the course/examination
passed, duly attested by the Incharge of the Study Institute and also proof/document showing reason for
Urgency.
Forwarded
…………………………………………..
Seal and signature of HOD UTD/Study Institute Signature of Dealing Asstt.

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