Visvesvaraya Technological University

Application for Migration Certificate Name of the Candidate : Father's Name :

University Seat Number : College Course & Branch Month & Year of admission : : :

Month & Year of qualifying Examination : Passed / Discontinued DD. details : Amount Signature of the Candidate Number : Date Drawn on Bank

Address of the University where the Candidate has taken Admission: Enclosed: 1. DD of Rs. 250/- (payable to the Finance Officer, VTU, at Belgaum) 2. Attested copy of Provisional Degree Certificate or copies of all semester marks cards issued by University. Forwarded to the Registrar, VTU, Belgaum for necessary action I. This is to certify that Mr./Ms. ____________________________has Successfully completed the Course work for the award of degree of B.E./B.Tech/M.Tech in __________________________________ during the academic year from ___________ to ___________. All the original marks cards of the candidate are verified. OR II. Discontinued the course. This college has no objection to issue Migration Certificate to the Candidate.

Date:

Signature of Principal with Seal