To,TheSir,

in applicant's own Hand writing. Application with incorrect and

Registrar, Dr. Babasaheb Ambedkar M hwada Un iversity, Aurangabad. (M. S.)

I request admission in Person/Absenti totheDegree.... .asmyFirst/Second/

Third Degree of this University at the con ion to be held in the monthFull particulars about the examination passed, etc. are given below :-

I Narne in full in CAPITAL lettersMale / Female(As per Examination Form)

Applicant's Name / Father's / Husband's Name Surname

2 Name in full Devnagri Script (Marathi)

3 Whether Regular or External? REGULAR / EXTERNAL4 Narne of the College if regular OR Na

External CentrePlease the Caste if you ong to Sub-Castebackward classes.

6 Name of the Degree Examination Divisionin words (

Month and Year o7 Seat No Examination passedOct.-Nov I AprilMay 20

8 Special or optional subjects offered at tDegree Examination.or Methods of B.Ed. or B.P.Ed.(Only of M.B.B.S./B.A.M.S./B.H.M.S I have cornpleted the Internship/Industrial TrainingB. Pharm. Degree holders) infi Coursefrom. ...to

Press 290/ I 2-201 41 50,000 CopiesFee Receipt No. if paid in CashDate . . amounlFee if paid by D.D. (Date)Demand Draft Nos.lbtal amount Rs. .Postage Receipt No. . .Date. Rs. ..

DR. BABASAHEB AMANNUAL CONVOC

N.B. :- All entries must be correctly madeincomplete entries will be re.iected.

regarding completion of Internship /Training. From Dr. BabasahebMarathwada Un i versitv.

l0 Only for Second Degree holders, (Information regarding First Degree othe candidate from Dr. Babasaheb AMarathwada University or any other U(Attested Copy of latest marks and

Price Rs. 10/-

FOR OFFICE USB ONLYDegree written byDegree issued by . . .DateFee Checked bySignature of the Clerk

if paid in cash

EDKAR MARATHWADA UNIVERSITYTION FOR CONFERRING DEGREE

at

Certified

Signature of Dean/Principal Signature of thewith stamp applicanl

I have obtained First Desree i.e. bearingined bybedkar SeatNo. .... Passingyear

from. ..... Universityconferred.versity

se First

PleasePassed

Degree Certificate be subrnitted inDegree is obtained.)

10(a) Only for B.E. & B.E. (Arch.) Studensubmit the marks memo of T.E. & B

l0(b) Please submit the Marks Memoto final Year of the all Course.

I yeaAnnualConvocation

TPTO ]

(2)I I (a) Correspondance Address: (with Pin ode)

(b) (Devnagari Script) (Marathi)

12 Mobile No. (for quick reply)Importanl Note :- Tlte Candidate sltould

Your b flirhfully,

Signature

Date :

Permanent Address : (with Pin Code) .

PHOTO

has signed

(Latest Passport size photographwith Signature and StampofAttesting Officer)

Sign ature o/' the appl icant

CONTROLNAME OF THE CANDIDATE

EXAMINATION PASSED March-ApriFORM PROCESSED BY

RESULT / DIVISION / REMARKS

REMARKS BY I/C

DEGREE WRITTEN BY

DEGREE CHE,CKED BY

Date of Convocation

tlteiir ldentity proof while Collecting tlte Degree CertiJicote.

IDENTITY CERTIFICATEbe filled in and completed while submitting the form)

hereby certify that the marginal photograph of

Shri/Kum i/Smt.. ....whoisapplying....of Degree/Diploma/Certificate

in my presence,

Signature of the atlestingOfficer/Teacher/Member with designat ion Stomp

(Stamp is essential)HEET FOR (Office use only)

SEAT NO. :SignatureDate

SignatureDate

SignatureDate

SignatureDate

SignatureDate

the Concerned

ReceivedFrom the

Date :

RECEIPTDegree / Diploma / Certificate

r Marathwada Universiry Aurangabad. (M.S.)Registrar, Dr. Babasaheb Ambed

with Mobile No.Receiver s Signature

(3)

0.5 Every person who passes an examin ion for degree, diploma or certificate of University Exarrinatiorrshall be elisible for conferment of same, in person or in absentia at his option, on payment of fees, asmentioned below and in testirnony thto him.

degree, diploma or a certificate, as tlre case may shall be awarded

First Degree Holders

Degree certificate fees Registration fees TotalRs. l00A Rs. 2001Rs. 100/- Rs.200A

For taking degree certificate in person.For taking degree certificate in absentia.

In personln absentia

ln Person ForM.PhilDegree Certifi cate Ph.D.ln absentia For M.PhilDegree Certifi cate Ph.D.

The candidate who desires to obtainshould remit Rs. 50/- for Maharas

For Second Degree olders in the same Faculty or thereafter

Rs. 100fRs. 100/-

Rs. l50fRs. l50f

Rs.250/-Rs. 300/-Rs. 250/-Rs. 300/-

Rs. 150/-Rs. 150/-

Rs. 250/-Rs. 300/-Rs. 250/-Rs. 300/-

Rs. 300/-Rs. 300/-

Rs. 500/-Rs. 600/-Rs. 500/-Rs. 600/-

*Note : Those who apply for Certificate or examination or Certificate Examination shall have to paya fee of Rs. 3001 for takins the sa in person and Rs. 300/- in absentia.

The candidate who apply for ferment of degree/diploma/certificate in person, should collect thesame on the day of Convocation nd also should be present in the procession failing which theirapplication will be treated as in a tia andifee will be charged to them accordingly.

Provided that, if a degree/dipl ma/certificate is not demanded at a siven address on oavment ofRs.50A for one year and t fter Rs. 50/- per year for Maharashtra State, Rs. 100/- for out ofMaharashtra and Rs. 1000/- out of ountry. towards postalcharges or not collected by the candidate in

from the date of respective convocation, an additional amount ofperson whithin a period of oneRs. I 00f per annum and thereafte Rs. 50/- per annum will be charged.

Annual vocation For Conferring Degrees

Fee may be paid in cash in the Regist r's Office between I l-00 a.m. to 2-30 p.m. on all working days orRegistrar. The Registrar will not be responsible for loss or moneysent by Demand Dgraft payable to t

sent in an unregistred cover.A ll candidates taking their Degree/Di loma/Certificate whether inAbsentia or in Person are requested towrite in their application the pe t as well as conespondance address in full.On production of fee receipts the C ificate will be distributed to candidate receiving their degree Inperson in the University Office, on t Convocation day. They must bring with them the original receipts.

ving their degree in person and are including in the Procession areprocession before one hour of the Convocation ceremony on the

Candidates who have applied forrequested to be present at the place oConvocation Day with Degree certifi te and must appear in the prescribed Academic Costume.Those who desire to receive their in person, and join the procession are requested to receive theirdegree and Gowns from the Office ofThe Gowns will be made available on

he University from 09-00 a.m. to 2-00 p.m. on a Convocation Day.payment of Rs.25l- as hire charges, ln addition to this Rs. 50/- will

have to paid as deposit for Cowns w h will be refunded after the Gowns is returned to the office. Onlvthose who wear the Academic Cos e, as prescribed will be allowed in procession at the Convocation.Complaints regard ing the Non-recei of fee receipt Degree Certificate or error in the Degree Cerlificateshould be made within one month fi the date of tlre Convocation or receipt of the Degree Certificate.

Degree / Diploma in Absentia and resides outsides Aurangabadra State Rs. 100/- for out of Maharashtra and Rs. 1000/- out ofpulsory for dispatchin g the Certi fi cate al on gw ith appl i cati on.Country; towards Postal Charges

r0

Candidates wlro are submittins formsand date of fee (Receipt) paid for theThe prescribed application forrns andobtai n ing tlrei r Degree/Diploma/CertiIn case fee receipt issued by this officeand Rs. 1000/- out of Country should

il

12

Cefiificate of the candidate who arecharges will be dispatched at theIn their correspondence/letters for iof the Examination, the Seat No.,quick action by the office, Lettersparticulars will not be attended.Latest marks memo and True Copysubmitted.Duplicate degree Cerlificate will be ialongwith prescribed fee & Rs.application form.

Ref,No. Ex/Conv./

From:

The Registrar,Dr. Babasaheb AmbedkarMarathwada University,University Campus,Aurangabad-431 004(M.s.)

l3

l4

(4)

br a obtaining their Degree are requested to write tlre receipt No.onvocatior.r purpose at the top at left side of the Application forms.'ees should be sent irr time. Only fees or only application form for

will not be accepted.lost Rs. 50/- for Maharashtra State Rs. | 00/- for out of Maharashtra

remittt:d for despatching Degree Certificate by Post.ing the oertificate in absentia and those who have paid the postal

address.of certificates, the candidate should invariably write their name

year and contact Number of the examination at the top for aould be brief and to the point. Letters received without above

Degree/Diploma/Certifi cate and Passing Certifi cate shou ld be

after Submission of an affidavit from Maeistrate / Tahsildar- towards fee for duplicate Degree certificate alongwith the

Book-Post

To,

Shri/Shrimati/Kumari.