General Application Form - Nit Kurukshetra

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NATIONAL INSTITUTE OF TECHNOLOGY, KURUKSHETRA-136119
GENERAL APPLICATION FORM
INWARD NO. [ACADEMIC] __________
(Through Head of the Department/Respective Warden of Hostel/T&P Cell etc)
Date:-____/___/20____
The Deputy Registrar (Academic)
National Institute of Technology, Kurukshetra-136119
Subject: To issue required Certificate/To solve the issue as mentioned below.
Sir,
Kindly arrange to issue the following certificate for the _______________________________ purpose
or resolve the issue as briefed below.
Please tick which is required
Prescribed Fee
1. Bonafide certificate
}
Rs.20/-
2. Character Certificate
}
Rs.20/-
3. Migration Certificate
}
Rs.200/-( Rs. 300/- through Post)
4. Hostel Leave Certificate (Enclose Affidavit)
}
-
5. Duplicate I-Card (Enclose Affidavit + FIR for loss)
}
Rs.20/- (Duplicate I-Card)
6. No Objection Certificate
}
-
st
7. Transcript
}
Rs.450/- 1
Set &
Subsequent set @Rs.90/- .
8. Degree Certificate
}
Rs.500/-(Rs.600/- through Post)
9. Any other __________________________________ }
10. Describe in brief if Any other is applicable______________________________________________
_______________________________________________________________________________
[Brief the issue along with the supporting documents]
Particulars of the student
Name _______________________________________ Roll No. ___________________
Father’s Name _____________________________ Semester & Section_____________
B. Tech/M. Tech./MBA/MCA/Ph. D. (Branch/Specialization_____________________________)
Year of passing (If applicable) ______________Mobile& E-mail _________________________
Thanking you
Yours faithfully,
(Signature of the Student)
_________________________________________________________________________________________
(For office use)
-
Prescribed fee is received, details of the student is verified from the record.
-
The certificate may be issued as per letter placed below for signatures.
Dealing Assistant
Superintendent
Deputy Registrar (Academic)
Date of Signature:___/___/20___
_________________________________________________________________________________________
I have received the required certificate(s) on /issue is solved on ………………………….
(Signature of the Student)

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