[Bere ie ack sierra as qa arm | eter anise nob rere i or se fees ee ag em ear mee Ss oa ea mie Pe A) reba ver ap too! ri esi re "FINANCE OFFICER, ¥.CMO., NASHIK wn et ra [x setter ir the we ‘YASHWANTRAO CHAVAN MAHARASHTRA OPEN UNIVERSITY DNYANGANGOTR, GOVAROHAN, NASHIK 422 222, (sas by Gow. a Mates * Application for Migration Certifies (Tobe led nb te Auton ot Study Cont it ated the pliin his Univesity) To, The Controller of Examinations ‘Yashwantcao Chavan Maharashtra Open University Dnyangangoti, Govardhan, Nashik 422 222, Sir, Thave the honor to forward herewith an application of Shri/Smt. fora Migration Cerificate ‘The applicant has not been rustica or debarred by the University, and J have no objection toa Migration Certificate being issued to bith by the University, He/She has been student ofa Study Centre since and left in 20 [No application for a Migration Certificate, on behalf ofthis eandidate, yas made previous to this dat, Yours faithfully, Signature of Centre Head/Co-ordinator Applicant Signature College/Study Centre Seal 1. Name in full: hr/Smt. (wm sroc erreRs) “Sumamne Name Father Harband’s Name 2. Adéress ees Pincode Mobile/Landline No, ‘email address 3. Detalls of Migration fee of Rs. 300/-D.0.No. Date Bank : 4, Study Centre Last attended 5, The University to which the applicant proposes to migrate : ‘Eqjeatonal Performance Pan Centre Code | Eramn/Degree [Month & Year] Seat No, | Renut/Grade] [Details ofthe examinations at which [the applient appeared but had lunsatistactory performance Details of the examinations at which [he applicant appeared and had [satisfactory performance 8, The name of the qualifying examination passed by the applicant before admission to this University (a) Name of the examination : (b] University or examination body * other particulars if necessary * if there is any period intervening between the date of application and the date ofthe Transference Certificate ssued from the institution last attended it should be accounted for inthis column, (for Office Use Only) Migration fee Rs, 300/- paid by cash/0.0./Challan Receipt No. Date Migration Certificate No, Date Name & Signature of Assistant