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    Application For Provisional Certificate

    Uploaded by

    Neha Karthikeyan
    This document contains an application form for a provisional certificate from Cochin University of Science and Technology. The form requests information such as the candidate's name, address, examination details including name, branch, date, and register number. It also asks for fee payment details like amount, date, office, and receipt number. Instructions are provided that the certificate will only be issued if the exam is passed and the form is correctly filled. The certificate will be sent by post unless a messenger is authorized in writing. Incomplete or anticipatory applications will be rejected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application For Provisional Certificate

    Uploaded by

    Neha Karthikeyan
    174 views2 pages
    This document contains an application form for a provisional certificate from Cochin University of Science and Technology. The form requests information such as the candidate's name, address, examination details including name, branch, date, and register number. It also asks for fee payment details like amount, date, office, and receipt number. Instructions are provided that the certificate will only be issued if the exam is passed and the form is correctly filled. The certificate will be sent by post unless a messenger is authorized in writing. Incomplete or anticipatory applications will be rejected.

    Original Description:

    Application for Provisional Certificate Cusat

    Original Title

    Application for Provisional Certificate

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    © © All Rights Reserved

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    This document contains an application form for a provisional certificate from Cochin University of Science and Technology. The form requests information such as the candidate's name, address, examination details including name, branch, date, and register number. It also asks for fee payment details like amount, date, office, and receipt number. Instructions are provided that the certificate will only be issued if the exam is passed and the form is correctly filled. The certificate will be sent by post unless a messenger is authorized in writing. Incomplete or anticipatory applications will be rejected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    174 views2 pages

    Application For Provisional Certificate

    Uploaded by

    Neha Karthikeyan
    This document contains an application form for a provisional certificate from Cochin University of Science and Technology. The form requests information such as the candidate's name, address, examination details including name, branch, date, and register number. It also asks for fee payment details like amount, date, office, and receipt number. Instructions are provided that the certificate will only be issued if the exam is passed and the form is correctly filled. The certificate will be sent by post unless a messenger is authorized in writing. Incomplete or anticipatory applications will be rejected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    COCHIN UNIVERSITY OF SCIENCE AND TECHNOLOGY

    APPLICATION FOR PROVISIONAL CERTIFICATE

    1. Name of the Candidate (As entered in the :


    Qualifying Certificate)

    2. Address of the Candidate :


    (In Block Capitals)

    3. Details of Examination passed by the candidate :


    (Final Semester)
    (i) Name of Examination :
    (ii) Branch :
    (iii) Month & Year of Examination :
    (iv) Register Number :
    (v) Class :

    4. Particulars of the last Examination passed along


    with the centre of Examination (in the case of those
    who have completed the previous semester(s) after
    the final semester examination)

    5. Details of fee paid :


    (i) Amount of fee :
    (ii) Date of payment :
    (iii) Office where the fee was paid :
    (iv) Receipt No. with Book No. :
    (v) Whether the receipt is attached :

    Place:
    Date: Full signature of the Candidate

    FOR OFFICE USE ONLY

    1. Verified the entries given above :


    2. Fee entered FFR Sl. No Date.
    3. Provisional Certificate prepared : Sl. No
    4. Initials of the Assistant :
    with date and Sec. No.

    S.O. A.R. D.R. J.R. C.E.


    (P.T.O)
    INSTRUCTIONS TO THE CANDIDATE

    1. Provisional Certificate will be issued to an applicant only if he/she has passed


    the concerned examination and has applied for it in the prescribed form.
    2. No Provisional Certificate will be delivered to a messenger unless such
    messenger has been duly authorized by the applicant in writing (see form
    below). If the Certificate is not received in person it will be sent to the applicant
    by Registered Post.
    3. For further details regarding fee please visit the following link
    (http://cusat.ac.in/view_exam_notif.php?id=52 ). Fee may be remitted in any of
    the Offices of the University including the Departments or sent to the Registrar
    by M.O. specifying the purpose. The receipt of remittance should be attached to
    the application.
    4. No Provisional Certificate will be issued to an applicant if he/she has already
    been issued the Degree Certificate.
    5. Incomplete applications will be rejected.
    6. Applications in anticipation of results will not be entertained.

    ***

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