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(केन्द्रीय विश्ववि+|kलय )
वि+|kविहार, रायबरे ली रोड, लखनऊ- 226025
BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
(A Central University)
Vidya Vihar, Rae Bareli Road, Lucknow-226025
PH: 0522-2440822, Fax-2441818, E-mail- registrar@bbau.ac.in
Application for issues/ drawl of Marks sheet/ Migration/ Provisional Certificate/ Caution Money
The Registrar/ COE
Babasaheb Bhimrao Ambedkar University
Raibareli Road Lucknow-226025
1. Name ………………………………………………………………………………………………………………………………………..
2. Father’s name …………………………………………………………………………………………………………………………..
3. Address………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
4. School / Department ………………………………………………………………………………………………………………...
5. Class …………………………………………………………… Session ……………………………………………………………….
6. Whether passed or failed …………………………………………………………………………………………………………
7. First fee receipt no. ………………………………………………… 8. Examination roll no. ……………………………
9. Enrollment no. …………………………………………………………………………………………………………………………….
It is certified that above particulars given by me are true to the best of my knowledge.
Signature …………………………………..
Name ………………………………………….
Date …………………………………………….
Place …………………………………………..
No dues certificate
1. Library ………………………………………… Signature & seal …………………………………….
Checked and found correct migration/ provisional certificate/ marks sheet no. …………………. Issued