Full Name of the Student :

Name of Examination : --Select Examination Name-- UG(BA/BSc/BCom/BBT/BFT/BSW/B.Lib/BPEd/BBA/BCA/BVoc etc) PG(MA/MSc/MSc.Agri/MCom/MCA/MBA/MLIS/MFA/MFES/MPESS etc) B.Ed/M.Ed/Hindi Shikshan Paranget MBBS MD/MS M.Ch B.E./B.Tech M.Tech Ph.D. D.Litt

Year of Passing: --Select Year of Passing-- 2013 2014 2015 2016 2017 2018 2019 2020

MU Registration No :

Subject/Department :

MarkSheet No.(last Yr/Sem) :

Gold Medalist : -- Select Gold Medalist -- Yes No

Cash Awardee : --Select Cash Awardee-- Yes No

Gender : --Select Gender-- Male Female Other

WhatsApp/Mobile No. (10 digit) :

Email :

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POSTAL ADDRESS :

City :

Pin Code :

State : --Select State-- Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli and Daman & Diu Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal Other

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DOCUMENTS/PHOTOs TO BE UPLOADED:
Image in [.JPG or .JPEG] Format only (MU Registration Card, MarkSheet/Certificate/PassPort Size Photo), Images size should be less than 300KB.

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Upload MU Registration Card:

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Upload MarkSheet (last Year/Semester)/Certificate/Award letter PhD: For

1. UG(BA/BSc/BCom/BBT/BFT/BSW/B.Lib/BPEd/BBA/BCA/BVoc/BE/BTech etc): Copy of MarkSheet (last Year/Semester)
2. PG(MA/MSc/MSc.Agri/MCom/MCA/MBA/MLIS/MFA/MFES/MPESS/MEd/MTech etc): Copy of MarkSheet (last Year/Semester)
3. MBBS : Copy of Internship Completion Certificate
4. MD/MS/M.Ch. : Copy of Provisional Certificate issued by the Institute
5. Ph.D. : Copy of Award of Ph.D.

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Passport Photograph (Upload duly crop Passport size photo for convocation ID Card & security pass):

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Particular of Payment : --Select Particular for Payment-- * Convocation Registration Fee is Rs.1600/- (Rs.600/- as Certifcate and gown hiring charges - non-refundable + Rs.1000/- as gown security deposite - refundable)
* The convocation gown has to be taken away by themself.

The above particulars are true to the best of my knowledge and belief. Failure to submit the above requirements and furnishing incorrect or incomplete information will lead to rejection of the application. However, fee once deposited shall not be refunded.