UNIVERSITY OF GUJRATDegree Issuance Form

Please read the instructions overleaf carefully. Fill in all the relevant information, provided in this form and attach all the required documents. Incomplete forms will be rejected.

Please mark (√) your requirement:

Degree Original Duplicate Revised

1. Examination: __________Annual/Supply ______ Roll No.

(For Semester System) Session: _______ Batch: _______ Department: _______________________

2. Gujrat University Registration No:

3. Reason: ________________________________________________________________________

From: _______________________________ To: ___________________________________

4. Name of Candidate: _____________________________________________________________(IN BLOCK LETTER)

_________________________________________________________________________

5. C.N.I.C No:

6. Father’s Name: _____________________________________________________(IN BLOCK LETTER)

____________________________________________

7. Father’s C.N.I.C. No:

8. Marks Obtained: Division /CGPA:

9. Date of Birth:

10. Name of Institute:

11. Postal Address:

12. Contact No: __________________________Fee Information:Amount: ____________ Bank Challan No: ___________ Dated: ____/____/____

Branch: _____________________________________________________________________I hereby declare that the entire particulars are correct and that in case of any difficulty arising out of inaccuracy therein, I shall be responsible for the consequences. I have attached attested photocopies of the following documents 1. Pass Result Cards/Transcript (All Parts)

(Annual System) (Semester System)

2. Computerized National Identity Card3. Affidavit (for duplicate degree / D.M.C)

Signature of the Candidate: …………...………..…..Attestation:

a. Private Candidates (Any Gazetted Officer)b. Regular (Only by the College Principal)c. Semester System candidates (only by the head of department)

Note: Semester System candidates are required to attach the CLEARANCE CERTIFICATE from the Head of Department also.

P.T.O

For office use only

No: ………………………………..……

Date: ………………………..……………

Affix Photograph(Passport Size)

Attested from Front

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Signature and Office Stamp

Name: ……………………………………………………………………

CNIC#