School of Mechanical and Building Sciences

Request form for bonafide certificate

Addressed to: The Administrative Officer

VIT University

Chennai Campus
Name of the student (IN BOLD LETTERS) :

Registration number of student :

Branch and Year of study :

Fathers Name (IN BOLD LETTERS) :

Hosteller / Day Scholar :

Purpose of application :

Communication Address (If necessary):

Confirmity: I . Reg.no .
. hereby declare that the BONAFIDE certificate is issued for
the aforesaid purpose only.

Signature of the student: Signature of the Proctor:

Date: Date:

Program Chair, B. Tech /M. Tech.,

SMBS