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ALAGAPPA UNIVERSITY KARAIKUDI APPLICATION FOR THE GENUINESS CERTIFICATE 1.

Name of the student Description of the certificates to be verified 2. (Please specify) Name of the Degree 3. (Please specify Branch 4. 5. 6. 7. Name of the college/D.D.E Centre code Register Number Month & Year of Passing Sex Consolidated statement of marks/ Degree certificate UG PG M.Phil Others

8.

Name and Address of the Employer

9.

Address to which the certificate is to be sent

10.

Fee Remittance Particulars Name of the Bank Place Chalan Date Draft No & Date Amount paid in Rs.

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