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38th Convocation Application for In - Person

The document is an application form for the 38th convocation at the University of Agricultural Sciences, Dharwad. It requires candidates to provide personal details, educational qualifications, and payment information, along with necessary documents. Incomplete applications may be rejected, and specific instructions for submission are included.

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itsmesudheer100
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54 views2 pages

38th Convocation Application for In - Person

The document is an application form for the 38th convocation at the University of Agricultural Sciences, Dharwad. It requires candidates to provide personal details, educational qualifications, and payment information, along with necessary documents. Incomplete applications may be rejected, and specific instructions for submission are included.

Uploaded by

itsmesudheer100
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UNIVERSITY OF AGRICULTURAL SCIENCES, DHARWAD

Office of the Registrar, Krishinagar, Dharwad-580005.


IN- PERSON (ºÁdgÁw) I.D.No.

APPLICATION FOR 38th CONVOCATION


The filled in application should be sent to the REGISTRAR, UNIVERSITY OF
AGRICULTURAL SCIENCES, DHARWAD – 580 005 so as to reach the office not later than the last
date prescribed.
1 Name of candidate & father in full (IN BLOCK
LETTERS) as in –
NAME OF THE CANDIDATE:
NAME OF THE FATHER :

a) II PUC Marks Card – for UG degree


b) UG degree certificate – for Master’s degree
c) Master’s degree certificate – for Ph.D. degree
(if the name has been subsequently changed & the
change has been approved by the University, both
names should be given along with the University
order number and date)
2 C¨sÀåyðAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ vÀAzÉAiÀÄ ¥ÀÆtð ºÉ¸ÀgÀÄ
(PÀ£ÀßqÀzÀ°è §gÉAiÀĨÉÃPÀÄ)
C¨sÀåyðAiÀÄ ºÉ¸ÀgÀÄ :
vÀAzÉAiÀÄ ºÉ¸ÀgÀÄ :
WÀnPÉÆÃvÀìªÀ ¥ÀæªÀiÁt ¥ÀvÀæªÀ£ÀÄß PÀ£ÀßqÀ ªÀÄvÀÄÛ
EAVèõÀ£À°è ªÀÄÄ¢æ¸À¯ÁUÀÄvÀÛzÉ. C¨sÀåyðUÀ¼ÀÄ ಸ ಂತ ೆಸರು
ºÁUÀÆ vÀAzÉAiÀÄ ºÉ¸ÀgÀ£ÀÄß PÀ£ÀßqÀzÀ°è ¸ÀàµÀÖªÁV
§gÉAiÀĨÉÃPÀÄ.
(Note: Once written it cannot be changed at any
circumstances)
3 Date of Birth

4 Male/Female

5 a) Degree Programme for which the application made


(enclosed OGPA & PDC)

b) Specialization in (For PG Degree Programme)


(Title of the thesis only for Ph. D)

c) Year & Month of completion of Degree


Programme

d) OGPA Obtained

6 Aadhaar Card No. (DzsÁgÀ ¸ÀASÉå)


(Enclosed Aadhaar card zerox copy)

Postal Address with PIN code to which


7 communication has to be sent (in block letters)
-2-

8 Phone: Residential:
Office :
Mobile No.:
Email :
9 District & State/Country to which you belong

10 Religion:
Hinduism/Islam/Christianity/Sikhism/Buddhism/
Jainism/Zoroastrianism/Others

11 Category:
GM/SC/ST/OBC-Creamy Layer / Non-Creamy Layer
12 Physically Handicapped (Mention Yes/ No)
13 Name of the College where in the above degree
programme was completed with PIN code
14 Details of prescribed fees paid by DD in favour of DD/BC Number :
“THE COMPTROLLER, UAS, DHARWAD”
Date:
a) UG Degree : Rs.1,200/- Amount Rs.:
b) Master’s Degree : Rs.3,000/- Drawn from:
c) Doctoral Degree : Rs.4,500/-
(Name of the Bank)
(Original DD is Enclosed)
Note: Incomplete applications are liable to be rejected.

Date: ________________ Signature of the Applicant

INSTRUCTION:

1. Please fill up all the columns clearly.


2. Please enclose XEROX COPIES OF SSLC (10th), 2nd PUC MARKS CARD, PDC & OGPA
CARD of the degree and Aadhaar Card.
3. Please enclose a self addressed envelope duly stamped to facilitate communication of the exact
date, time and place of the convocation.
4. The date of convocation will be notified later.
5. DD should be drawn in favour of “The Comptroller, UAS, Dharwad”.
6. Money orders and cheques will not be accepted.

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