RANI DURGAVATI VISHWAVIDYALAYA, JABALPUR
    		   (Formerly, University of Jabalpur)
			    APPLICATION FORM                                       
    		Application for Migration Certificate
To,
	The Registrar,
	Rani Durgavati Vishwavidyalaya,Pachpedi, Jabalpur,M.P. INDIA.
Sir,
I request you, for issuing the Migration Certificate for the
Course .................. of  .................................
University.  The prescribed fee has been remitted through the 
Bank Draft/Receipt No.:.............. Dated....................
The details of examination passed/Failed alongwith the subject opted
are as per Mark-sheet attached herewith:

1.   Full Name (In English): ........................................

     (in Hindi): ....................................................

2.   Enrolment No. in this University: ..............................

3.   Previous Examination:..................Roll No.:................

     Year ..............Month:.............. Fail/Pass

4.(i) In the above Examination appeared as Regular/Private...........
 (ii) If appeared as a Regular Candidate, please mention name of the

      College:.......................................................

5.   Address: :......................................................

               ......................................................

     (The regular students must submit their application Form
                through the Principal of their College.)

This is to certify that the above student is/was in my College from
............ to ...........and the information given by him/her is
correct.
I have no objection if the Migration Certificate is issued to him/her. 



Date:                Seal              Signature of the Principal       



			(For Office use only)

This is to certify that Shri/Smt./Ku. .........................

has apperared in the examination .............in the  Year ........,

His Roll No. was ......... and Enrolment No. was..................... 
in the examination.

(i)  His/Her result declared as Pass/Fail.
(ii) Due to Un-Fair-Means, the result is declared as cancelled.
     and the student is not permitted to appear in the next Exam.



Date:                                           Dealing Clerk
                                             Examination Section



Note:

1.  Incomplete application forms shall not be entertained by the 
    university.
2.  Please specify the postal address correctly.
3.  Candidate, enrolled in any College are requested to send their 
    application through the Principal of concerned College.
4.  Candidates Other than Regular category can directly apply to
    the Registrar, R.D.University, Jabalpur.