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MSU Baroda 74th Convocation Form Guide

The document is an application form for the 74th Convocation of The Maharaja Sayajirao University of Baroda, requiring submission by July 31, 2025. It includes sections for personal details, examination information, degree options, and payment methods. Applicants must ensure all entries are complete and accurate to avoid rejection of their application.

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gadhvidevarsh2
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42 views1 page

MSU Baroda 74th Convocation Form Guide

The document is an application form for the 74th Convocation of The Maharaja Sayajirao University of Baroda, requiring submission by July 31, 2025. It includes sections for personal details, examination information, degree options, and payment methods. Applicants must ensure all entries are complete and accurate to avoid rejection of their application.

Uploaded by

gadhvidevarsh2
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

::Last date for submission of this form : 31/07/2025::

THE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA


74th CONVOCATION
FOR CONFERRING DEGREES/POST-GRADUATE DIPLOMAS
Estd.1949
Accredited Grade A+ by NAAC

N.B.:All entries must be correctly made. Applications with


To,
incorrect and incomplete entries will be rejected and no
The Controller of the Examination,
The Maharaja Sayajirao University of Baroda, complaint in respect thereof will be entertained.
VADODARA – 390 002.
PASTE Recent
Sir, Passport Size
I undersigned request admission to the Degree / Post-graduate Diploma* of The Maharaja SayajiraoUniversity Color Photo
of Baroda.

The necessary details for my candidatureare as follows:


1. Name of the Applicant: SURNAME
InCAPITAL LETTERS
(As per your Mark-sheet) NAME
(Strike out whichever is not
FATHER’S/
applicable)
HUSBAND’S NAME
2. PRN:

3. Name of the Faculty/College:

4. Name of the Department(If any):

5. Name of the Examination:

6. Seat Number: Month & Year


(Last Examination Appeared) of Passing:
7. Seat Number: Class/Grade awarded:
(Final Semester/Year-end Appeared)

8. Subject:
(Major, Principal, Optional, Special Method, Specialization Subject/Branch)
9. As required under O.M.37, I have undergone post-examination training as an internee for a period of
_______months, after passing my final M.B.B.S. Examination in ______________________ 2023 / 2024.
10. The Ph.D. thesis acceptance notification number:_______________ dated

11. I opt for obtaining theDegree/P. G. Diploma: “In Person”

I hereby declare my agreement to receive my Degree / Post-graduate Diploma “IN


PERSON”.
12. I opt for obtaining theDegree/P. G. Diploma: “In Absentia”

13. Permanent Address (For the students residing in INDIA):

14. Mode of Payment: CASH UPI/NEFT/RTGS

Fees @ ₹560/-Applying “In Person”

Fees @ ₹610/->>> Dispatch WITHIN Gujarat State (Inclusive of form fee)

Fees @ ₹660/->>> Dispatch OUTSIDE Gujarat State – WITHIN INDIA (Inclusive of form fee)
UPI/NEFT/RTGS Number: Date:
Name of the Bank: Branch:

15. Phone Number (R): Mobile:


e-mail ID:
I the undersigned do hereby undertake that I have filled in my present Employment details and/or Further Higher
Education details ONLINE on [Link] and submitting the same herewith.
Place: ____________________________ Yours sincerely,

D D M M Y Y Y Y
Date:
Signature of the Candidate/Applicant
* Strike out any one option which is not relevant/not applicable.
Put ‘Tick -‘for ANY ONE option which is relevant/applicable field.

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