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KRISHNA KA Headquarters: Patg City Office: Housefe Phone -+91 - 0361-2 This is for general 2019, offline m www.kkhsou.in .T Main Campu KKHSOU Patgaon,Ra Guwahati-781 Assam Date 09/11/2018 ANTA HANDIQUI STATE OPEN UN gaon, Rani. Guwahati- 781017. Assam ed Complex. Last Gate, Dispur, Guwahati 781006 2235971/2234964, Email: [email protected] Webs Notification l information that for 3 rd Convocation of the mode of application is available in the The same may also be collected from the follo us of U City Campus of KKHSOU ani. 1017. Housefed Complex. Last Gate, Dispur,Guwahati-781006, Assam, India NIVERSITY 6, Assam, India site: www.kkhsou.in university in February e university website owing addresses. Jorhat Regional Centre Jorhat Regional Centre, Near Sai Medical, Tarajan, Jorhat- 785001, Assam, India Registrar

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KRISHNA KANTA HANDIQUI STATE OPEN UNIVERSITY Headquarters: Patgaon, Rani. Guwahati City Office: Housefed Complex. Last Gate, Dispur, Guwahati 781006, Assam, India Phone -+91 - 0361-2235971/2234964

This is for general information that for 32019, offline mode of application is available in the university websitewww.kkhsou.in .The same may also be collected from the following a

Main CampusKKHSOU

Patgaon,Rani. Guwahati-781017.

Assam

Date 09/11/2018

KRISHNA KANTA HANDIQUI STATE OPEN UNIVERSITYHeadquarters: Patgaon, Rani. Guwahati- 781017. Assam City Office: Housefed Complex. Last Gate, Dispur, Guwahati 781006, Assam, India2235971/2234964, Email: [email protected] Website:

Notification

is for general information that for 3rd Convocation of the university in February 2019, offline mode of application is available in the university website

The same may also be collected from the following a

Main Campus of KKHSOU

City Campus of KKHSOU Patgaon,Rani.

781017.

Housefed Complex. Last Gate, Dispur,Guwahati-781006, Assam,

India

KRISHNA KANTA HANDIQUI STATE OPEN UNIVERSITY City Office: Housefed Complex. Last Gate, Dispur, Guwahati 781006, Assam, India Website: www.kkhsou.in

Convocation of the university in February 2019, offline mode of application is available in the university website

The same may also be collected from the following addresses.

Jorhat Regional Centre Jorhat Regional Centre, Near Sai Medical, Tarajan, Jorhat-

785001, Assam, India

Registrar

Krishna Kanta Handiqui State Open University Headquarter: Patgaon, Rani. Guwahati- 781017. Assam. India City Office: Housefed Complex, Last Gate, Dispur, Guwanati 781006, Assam, India Website: www.kkhsou.in Email: [email protected]

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OFFLINE APPLICATION FORM FOR ATTENDING THE 3rd CONVOCATION - 2019 (Form must be filled with Block letters) I want to receive my degree in person at the convocation as per details given below: 1. Name of the applicant in English: (Leave one box between two words) 2. Name of the applicant in Assamese: (Leave one box between two words)

3. Degree to be obtained: Please tick (√ ) the appropriate option a. Bachelor Degree i) BA (Specify the Major subject, if any) _______________________________

ii) BCOM iii) BCA

iv) BBA v) BMC

b. Master Degree i) MA (Specify the subject) _______________________________

ii) MBA iii) MCA iv) MMC v) MSc (IT) vi) MSW

c. PG Diploma (Specify the name of programme) ____________________________

d. PhD (Title of the thesis)

_________________________________________

_______________________________________________________________________

4. Centre Code and Name of the Study Centre: a. Code ___________________________________

b. Name

___________________________________

Krishna Kanta Handiqui State Open University Headquarter: Patgaon, Rani. Guwahati- 781017. Assam. India City Office: Housefed Complex, Last Gate, Dispur, Guwanati 781006, Assam, India Website: www.kkhsou.in Email: [email protected]

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5. Examination Passed _________________________________6. Year of Passing _________________________________7. Enrollment Number _________________________________8. Date of Birth _________________________________9. Date of ssssss Father’s Name _________________________________10. Mother’s Name _________________________________11. Mobile No _________________________________12. Email ID _________________________________

13. Address _____________________________________

_____________________________________ _____________________________________ Post Office ___________________________________ District _____________________________________ Pin Code _____________________________________

12. Bank Challan/ D.D for RS 1500.00 Name of Bank_____________________________

Journal No /D.D. No ___________________

Date____________

Date: Signature

Krishna Kanta Handiqui State Open University Headquarter: Patgaon, Rani. Guwahati- 781017. Assam. India City Office: Housefed Complex, Last Gate, Dispur, Guwanati 781006, Assam, India Website: www.kkhsou.in Email: [email protected]

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Instructions

1. Documents to be enclosed a. Self attested copy of consolidated marksheet. b. Self attested copy of Registration Certificate. c. Bank Challan/Demand draft for Rs 1500- (to be drawn in favour of Krishna Kanta Handiqui State Open University, payable at Guwahati ) 2. The application must be sent to the following address on or before 30th November 2018. The Registrar Krishna Kanta Handiqui State Open University Housefed Complex Lastgate, Dispur, Guwahati, Kamrup (M) Pin-781006

3. Please write “Application for 3rd Convocation-2019” on top of the envelope and send it on or before 30th November 2018.