Price < 201-

Degree

1. Name of Candidate in full (in capital letiers ) as entered [n theUniversity records (if the name has been subsequentlychanged and the change recognized by the University, both thenames should be

3. Permanent Home Address(tn capital letters, specify Pin Code)

5. Fee Particulars

6. Details of the Examination for which the certificate is applieda) B.A/B.A (OI)/ B. Sc/ B. ComlB.B.S/B.B.Mts.B.A Degree Examinatior

Name of Part Subjects chosenunder each pari

Pari ll -Addl/ iModern !-anguagesPart lll Main(ForBAlBSc)Part -lll-Sub

cr B.A./ B Sc.Part lll SubGcr B Com only )Deiails of passing thetwelve papers shouldbe furnished

No:

4, Address to which the certificate should be sent(ln capital letiers, specify Pin Code)

Centre of Exam.

KANNUn *BuxrvERsrryApplication for obtaining Degree in Absentia (other than Degree Courses under CCSS programme)

Reo.No& I ^.Yeir of I u-lass/

1.

2.

4.

5.

b.

7"

a

9.

10.

11.

12.

13

14.

4R

Eleciives ( For B. Com

b) B. Ed. Examination

Optional Subjects

Part ll Practical

c) M.B"B.S ExarninationI _ MBBS

il- M.B.B.S. Part I

Prrt li, l:

Centre pf [xam[1-qtl9-1 - : -

FinalYear M.B.B.S Part I-

Part ll

Date of completion"of H0usd Surgenc;r-,:(House Surgency Certificate to be enclqsedj

d)-tI.B, Examination First-Year.,- -- ,.,

Second Year

Final Year

e) B Sc. Engg./ B. Tech Examination( Sernester Course )Branchi". .-,.".... ..................."...)

lV Semester

V Semester

VI Semesler

VllSemester

VlllSemester

)

f) B.A.M"S / B.H.M.S/ B.D.Sl B. Pharm/ B Sc (Nursing/Journalisml B.T.AI B Sc Engg. ( 4 Year course ) B.L.l Sc other Diptornacertificate) (Year i Semester wise details of Examination should be given)

Name of Exam. Details of the qualifyingExamination'( Name of Exam.,Reg No, Month & Year ofpassing , Name of University etc,should be

Date of completion of House Surgency ( H.S Certificate to be submitted)

SlM,AlMSclMComlMSclVetSc/III.A.(O.SlM.D/M.S/Ph"DIDiplomaExamslM.Phil./M.C.T/MEd.lM.B.AlMSc.tEnggJ/-M&e!-l!& M

Name of the P.G. Degree Details cf completing the Bachelors Degree / QualifyingExaminationsExamination wiih Branch , Main

& Optional sui:jects ( Details ofeach senester I Both previous& final examination includingappearances for improvement, ifany, should be furnished

Name of the University

wherever

Name of the Centre of Exam frompassed the P.G. Exam.

where the candidate

Details of documents submitted :

Year andRegisterNumbei

1

2.

3.

DECLARATION

or revaluation and further that the facts stated above are true and correct to the best of my knowledge , information and belief.

Station :

Date : Sign-ature of applicant

INSTRUCTIONS TO CANDTDATES

1. Application for obtaining the degree certificate together with the Treasury Chalan receipt in originaland other documents necessary must be sent by Registered Post to the Controller of Examinations,Kannur University, Mangathrparamb4 Kannur University Campus P.O., Kannur - 670 567.

2. (a) Fee for Original Certificates

a) BA/B Sc/B Com. Degree ------------- -----100.00b) B Ed/lB AM S/M B B S/B Tech./L LB----- 200.00

d) Master DegreelP G Diploma --------150.00e) Diploma/TitlesiCertificates------------ 75.00

D M PhiliPh D Degree -

g) MBA,MCA-

Additional fee for iate application (search fee):

(i) If applied after one year fiom the date of publication of Results upto 2 years Rs. 100i-(ii) After 2 years upto 3 years - Rs. 150/-(iii) After 3 years upto 4 years - Rs. 200/-

* (iv) After 4 yearss upto 5 years Rs. 250/-(v) Beyond 5 years Rs. 5004(vi) Mode of remittance

*8658-00- I 02 -9 6QT|KANN{IR. UIIMRSITY SUSPENSE" in Treas u ries,c{2GZ-03, in approved Branches of SBT

Candidaies residing outside the State can send the amount by way of Demand Draft drawn in favour ofthe Finance Officer. Kannur Universitv, payable at SBT Kannur University Campus Branch, Mangatfuparamba.

Purpose of remittance:

Fee for obtaining Degree Certificate

3. Enciosures ro be submitted with the application

aj For B Ed and PG Degree - Copy of Original Degree Cefiificates of the qualifying examinationattested by aGazetted Offrcer.

b) Candidates qualified to receive the BA Degree by passing \ attested copy of Original VidwanPart I BA after completing the Oriental Title examination

J Diploma or the equivalent certificate

c) For MBBS,BHMS and BAMS Degree _- Original certificates showing satisfactory completion ofintemship &-

d) Candidates applying for BA/B Sc/B Com/BBS Degree should forward thgt attested copy of the

original Pre-degreelequivalent mark lisVmark book along with their application.e) Attested copy of SSLC first page.

4. Issue of Certificates:

The certificate will be sent to the candidate in the address given in the application.