F/SOP/EX 01/39/01 NED UNIVERSITY OF ENGINEERING AND TECHNOLOGY EXAMINATIONS DEPARTMENT APPLICATION FOR THE VERIFICATION OF ACADEMIC DOCUMENTS

The Controller of Examinations, Date ______________

I submit the following document(s) for verification with the request to send the same to the address mentioned below:

Degree
Original Photocopy

Provisional Certificate
Original Photocopy

Transcript of Academic Records

Original Photocopy

Marks Certificate(s)
Original Photocopy

(Please check as appropriate)

Name: ____________________________________________________________________________
(As per Enrolment)

Fathers name: ______________________________________________________________________

(As per Enrolment)

Seat No. ____________ Enrolment no: __________________ Discipline _______________________ Phone/Cell # _______________________________ E-mail __________________________________
Name and address of the institution(s) where the verified document(s) to be sent:

1.

2.

No. of copies to be sent: ________________

INSTRUCTIONS: Please deposit prescribed fee as per the following rates in bank authorized by the university before submission of this form. Degree Provisional Certificate Transcript Marks Certificate @ Rs.250/- each @ Rs.300/- each @ Rs.200/- each @ Rs.100/- each

Signature of Applicant