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Application Form Convocation

This document is an application form for the 4th Annual Convocation of Bengaluru City University in 2025. It requires candidates to provide personal details, academic information, and a declaration of conduct and professional ethics. Additionally, it includes sections for fees and signatures from both the candidate and the principal.

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aindrila das
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12 views1 page

Application Form Convocation

This document is an application form for the 4th Annual Convocation of Bengaluru City University in 2025. It requires candidates to provide personal details, academic information, and a declaration of conduct and professional ethics. Additionally, it includes sections for fees and signatures from both the candidate and the principal.

Uploaded by

aindrila das
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

¨ÉAUÀ¼ÀÆgÀÄ BENGALURU

£ÀUÀgÀ «±Àé«zÁ央AiÀÄ CITY UNIVERSITY


APPLICATION FORM FOR APPLYING TO THE 4th ANNUAL CONVOCATION OF
BENGALURU CITY UNIVERSITY -2025
Name of the Candidate:
(IN BLOCK LETTERS as mentioned in the marks card)
Male / Female / SC / ST / Gen (Please tick the box) Male Female SC ST General
Name of the Mother:
Name of the Father:
Course / Degree:
Optional Subjects (B.A., [Link]., FAD etc )
Title of Thesis (For Ph.D. Scholars)
Elective group/paper- [Link]/BBM/MBA/ [Link]/
[Link]./[Link]. etc.
Subject studied- (PG-UG)
Name of the College
Register Number
Details of Examination passed
Overall Percentage: C.G.P.A: Class:

Grade: Passing Month / Year:

1. I hereby solemnly declare and promise that, if admitted to the degree of __________ for which I
have been recommended, I shall, in my daily life and Conversation conduct myself as befits as
member of this University; that I shall to the utmost of my capacity and opportunity support the
cause of morality and sound learning: and that as for as in me lies, I shall uphold and advance the
social order and the well being of my fellowmen.
2. That I shall faithfully and carefully fulfil the duties of the profession to which I may be admitted
by virtue of my degree; that I shall on all occasions maintain its purity and reputation and that I
shall never deviate from the straight path by making my knowledge subservient to unworthy ends.
(In case of non-professional Degrees, the 2nd Paragraph should be scored off)

Complete postal
address for
Communication
Pin:
Mobile No: Email ID:
Photo Photo Total amount paid:
1. Application Fee:
2. Convocation Fee:
3. Fines:
4. Others:
Total amount:
DD. No. Date:
Bank:
Verified from the office records and
found correct and recommended for
award of the above degree.

Date: Signature of the Candidate Principal’s Signature with seal

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