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Berhampur University Diploma Application Form

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71 views2 pages

Berhampur University Diploma Application Form

Uploaded by

nfss23929
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

Cash Receipt No./B.C. No.______________ Sl. No.

____________ Dated _______________

Form No. BU/EXG/53

BERHAMPUR UNIVERSITY
BHANJA BIHAR. BERHAMPUR-760 007. GANJAM (ORISSA)
FORM OF APPLICATION FOR ISSUE OF ORIGINAL CERTIFICATE/DIPLOMA
(This form should be duly filled in and submitted for issue of Certificate/Diploma)

1. Name of the candidate (in block capital) : _________________________________________________

2. i) Name of the Examination passed for which the


diploma/certificate is sought. :

ii) Year of Examinations (Annual/Supp.) :

3. College from which appeared, as a Collegiate or Non-


collegiate candidate. :

4. Roll No. in the Examination. :

5. Registration No. as student of the University :

6. Subject (s) offered (if the candidate bas passed the


Examination Compartmentally or part by part the
subjects offered in each Examination should be
mentioned separately with the corresponding Roll No.)

7. Division or Class (passed with Honours and/or


distinction, if any or with back compartmental papers
should be mentioned) :

8. Particulars of payment Amount Rs. _______________(Rupees ____________________

Present Address in Full __________________________________________)

BD/Challan No. _______________Date _____________

Signature of the candidate


(in full)

Memo No. ____________/ Date : ____________

This candidate has passed the __________________________________________________________ Examination


in __________________ 200___ from this college as a collegiate/non-collegiate candidate. He/She has signed this application
in my presence. The Certificate/Diploma may be issued to him/her.

Checked and found Correct

Principal Chairman Gazetted


Signature of the D.A. OR S.A.
College P.G. Council, B.U. Officer

1
INSTRUCTIONS
1. Regular candidates of colleges should fill in and submit this form through the Principal of the College from which
they passed when they wish to apply for Original degree/Diploma Certificate.

2. Non-collegiate candidates while applying for their Original pass certificate and Diploma should fill in this form and
get it attested by a Gazetted Officer to the effect that the entries are correct and the applicant is the right person to
claim the certificate or the diploma.

3. This form should also be used for issue of duplicate certificate and diploma. Duplicate Certificate are issued only
upon production of an affidavit signed in the court of Magistrate to the effect that the certificate has actually been
lost/destroyed. Duplicates of diploma are not issued under any other circumstances. Rs.130/- towards fees for issues
of Duplicate certificate should be paid in favour of Comptroller of Finance, Berhampur University in shape of Bank
Draft or Bank Challan.

4. Collegiate/Non-collegiate candidates while applying for their certificate/diploma whether original or duplicate should
attach the attested Xerox copies of their Provisional Certificate and Mark List (all Mark sheet) of the concerned
examination.

5. Those who having applied for admission to the Convocation failed to appear and subsequently apply for issue of this
diploma should attach the admission card issued to them for admission to the Convocation.

6. ORIGINAL CERTIFICATES TO BE ISSUED TO THE CANDIDATES ONLY ON SUBMISSION OF


TESTIMONIALS (attested copies of certificates) OF QUALIFYING EXAMINATION Ii.e. FROM H.S.C.E. ON
WARDS ALONGWITH THE APPLICATION FORM. IF THERE IS ANY AMBIGUITY THE CERTIFICATE TO
BE REFERRED TO THE CONCERNED BOARD COUNCIL/UNIVERSITY FOR VERIFICATION.

7. Candidates are required to apply and take their Diplomas in absentia with in six months from the date of the
Convocation failing which they have to pay preservation fees in addition to the usual fees as following shape of Bank
Draft/Bank challan drawn in favour of the Comptroller of Finance, Berhampur University.

8. Collegiate candidates may apply for original degree/diploma through their respective college with the following fees
for the year when there is no Convocation by way of Bank Draft/Bank Challan drawn in favour the Comptroller of
Finance, Berhampur University. Non-collegiate candidates may submit their forms directly to the Controller of
Examinations duly attested by a Gazetted Officer.

Fees for original certificates :


Collegiate Rs.230/-

Non-Collegiate Rs.230/-

N.B. :
1. The certificates will be issued by Registered Post only.

2. For any discrepancies or want of required documents, the office will not be held responsible. No further
correspondences will be made in this regard.

Common questions

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When applying for a duplicate certificate, a candidate needs to provide an affidavit signed in the court of a Magistrate, stating that the original certificate has been lost or destroyed, besides the application form itself .

Candidates who do not collect their diplomas within six months after the Convocation are required to pay a preservation fee, in addition to the usual fees, to Berhampur University. This payment should be made via Bank Draft or Bank Challan in favor of the Comptroller of Finance .

Berhampur University issues certificates only by Registered Post, as a standard procedure, to ensure security and trackability of the documents during delivery .

A non-collegiate candidate must fill in the application form for the original pass certificate or diploma and get it attested by a Gazetted Officer, confirming the correctness of the entries and the eligibility of the applicant. The form should be accompanied by attested Xerox copies of the Provisional Certificate and Mark List of the concerned examination. This includes all mark sheets and the admission card for the convocation, if applicable .

Collegiate candidates must submit their application forms through their respective college's Principal. They should follow the fee schedule for the year when there is no Convocation, using a Bank Draft/Bank Challan made out to the Comptroller of Finance, Berhampur University .

Candidates who failed to attend the Convocation, after applying for admission, must attach their admission card issued for the Convocation along with their application form to receive their diploma .

Berhampur University requires candidates to submit attested copies of certificates of qualifying examinations starting from H.S.C.E. Onwards along with their application form. If there is any ambiguity, the certificate is referred to the concerned board council or university for verification .

If there are discrepancies or missing documents required for certificate issuance, Berhampur University will not take responsibility, and no further correspondence will be made in this regard .

The fees charged by Berhampur University for original degree/diploma certificates are Rs.230 for both collegiate and non-collegiate candidates. Payments should be made via Bank Draft or Bank Challan drawn in favor of the Comptroller of Finance, Berhampur University .

Candidates must produce an affidavit signed in the court of Magistrate declaring the original certificate has been lost or destroyed. Duplicates are only issued under such circumstances. The fee for a duplicate certificate is Rs.130, payable to the Comptroller of Finance, Berhampur University, via Bank Draft or Bank Challan .

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