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Sl. No.. NAGALAND UNIVERSITY A Central University Estd. By the Act of Parliament No. 35 of 1989 HEADQUARTERS LUMAMI-798627 APPLICATION FORM FOR AWARD OF DEGREE PASS CERTIFICATE IN ABSENTIA/ IN PERSON To The Controller of Examination Nagaland University H. Q* Lumami. Sir I shall be thankful if you could kindly award me Degree Pass Certificate of Indicate the course Degree in Absentia/ in Person as I am unable to/ I wish to attend the University Convocation for the purpose. I am enclosing herewith attested photo copies of my Mark Sheet of the University Examination passed Admit Card and University Registration Card for your reference. Official Name in Full in BLOCK LETTERS Sex Date of Birth Father s Name Nationality Registration No* With year Roll No* Year of Examination Division/ Class in which Passed 10. Name of College/Department from where examination Passed 11. Address 12. Fee paid NU Challan No* Date Signature of the Applicant Certified that the above statement is verified with Records and found correct Office Seal with Date Seal and Signature of the Principal /HOD Stamp- Signature will not be accepted Note This application must be accompanied with a fee of Rs. 200/- in ABSENTIA or Rs. 100/- in PERSON Rs. 300/- for Under Graduate Semester system drawn in favour of Nagaland University by NU Challan*. Q* Lumami. Sir I shall be thankful if you could kindly award me Degree Pass Certificate of Indicate the course Degree in Absentia/ in Person as I am unable to/ I wish to attend the University Convocation for the purpose. I am enclosing herewith attested photo copies of my Mark Sheet of the University Examination passed Admit Card and University Registration Card for your reference. I am enclosing herewith attested photo copies of my Mark Sheet of the University Examination passed Admit Card and University Registration Card for your reference. Official Name in Full in BLOCK LETTERS Sex Date of Birth Father s Name Nationality Registration No* With year Roll No* Year of Examination Division/ Class in which Passed 10. Official Name in Full in BLOCK LETTERS Sex Date of Birth Father s Name Nationality Registration No* With year Roll No* Year of Examination Division/ Class in which Passed 10. Name of College/Department from where examination Passed 11. Address 12. Fee paid NU Challan No* Date Signature of the Applicant Certified that the above statement is verified with Records and found correct Office Seal with Date Seal and Signature of the Principal /HOD Stamp- Signature will not be accepted Note This application must be accompanied with a fee of Rs. Name of College/Department from where examination Passed 11. Address 12. Fee paid NU Challan No* Date Signature of the Applicant Certified that the above statement is verified with Records and found correct Office Seal with Date Seal and Signature of the Principal /HOD Stamp- Signature will not be accepted Note This application must be accompanied with a fee of Rs. 200/- in ABSENTIA or Rs. 100/- in PERSON Rs. 300/- for Under Graduate Semester system drawn in favour of Nagaland University by NU Challan*.

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