UNIVERSITY OF CALICUT Urgent / Ordinary

Application for obtaining _________________ Degree in Absentia

1.Name of the course/programme passed : …………………………………

2.Optional Subject : .....................................................

3.Name of the candidate (in capital letters) : …………………………………

4.Gender : male / female

5.Mobile number : …………………………………

6.E-mail id : ....................................................

7.Address to which degree certificate is to be sent : …………………………………

(in capital letters, with PIN) : ....................................................

…………………………………

8. Details of course/programme passed

Part/Year/semester

RegisterNumber

Month & Yearof passing

Marks/Grade obtained

Centre of exam Remarks

1

2

3

4

5

6

7

8

9

10

9. Details of fee remitted

Chalan Number Amount Date Name of treasury/bank

Details of documents attached with the application:1 42 53 6

Declaration I hereby declare that no revaluation or improvement results are pending with the university. I further declare that effecting of grace marks also is not pending.

Place:Date : Signature of the Applicant.

Fee rate for degree certificate (including postal charges and cost of application form)

If applying for degree certificate

OrdineryDegrees

Professional degrees

PG, PG diploma and M Phil

Certificates,Diplomas and

Titles

PhD

Ordinary fee

Urgentfee

Ordinaryfee

Urgentfee

Ordinaryfee

Urgentfee

Ordinaryfee

Urgentfee

Ordinery/Urgent fee

within 1 year of publication of

result

140 390 175 425 190 440 125 375 515

Within 3 years 165 415 200 450 215 465 150 400 515

Within 5 years 265 515 300 550 315 565 250 500 515

within10years 290 540 325 575 340 590 275 525 515

After 10years 540 790 575 825 590 840 525 775 515

Enclosures with the application

DEGREE BA P.O.T. PROFESSIONALDEGREE

PG,PG Diploma and M Phil.

PhD.

Self attested copy of plus two marklist

Self attested copy of plus two marklist and qualifying certificate of oriental title

Self attested copy of plus two marklist

Self attested copy of degree certificate

Self attested copy of PG certificate

Chalan receipt (original)

Chalan receipt (original)

Chalan receipt (original)

Chalan receipt (original)

Chalan receipt (original)

Photocopy of CSS certificate

Photocopy of CSS certificate

Photocopy of CSS certificate (if applicable)

Self attested copy of all marklists of PG course

Self attested copy of notification

Self attested copy of all marklists/grade cards of degree

Self attested copy of all marklists/grade cards of degree

Self attested copy of all marklists of professional degree

Address to which the application is to be sent:

Controller of Examinations, University of Calicut, Calicut University P O, Malappuram (Dist) PIN 673635