Price Rs.

50/-

BABA FARID UNIVERSITY OF HEALTH SCIENCES

APPLICATION FORM OF DUPLICATE DETAILED MARKS CARD / DEGREE

1) Fee: Duplicate DMC: Rs 2000/- alongwith Self-attested

undertaking.
2) Fee: Duplicate Degree Rs 4000/-alongwith DDR/FIR

1. Name of the applicant:___________________ Registration No:______________

2. Father’s Name: _______________________________________________

3. College: ________________________________________________

4. Document required DMC/Degree : ____________________________________

5. Reason for duplicate document : ______________________________________

6. Examination: _______________ Roll No___________ Session _____________

7. Bank Draft/University Receipt No ________________ Date: ________

Amount__________ (Bank Draft should be drawn in favour of Registrar, Baba
Farid University of Health Sciences payable at Faridkot )
8. Address: _____________________________________________________
____________________________________________________

9. Phone/Mobile No ___________________________________________________
10. e-mail address ______________________________________________________

Signature of the Candidate

Date:_____________
------------------------------------------------------------------------------------------------------------
UNDERTAKING

I ______________________________S/D of Sh _______________________________
hereby undertake that I have lost my Detailed Marks Card(s)/Degree of
_______________ as mentioned above. Kindly issue me duplicate DMC/Degree for the
same. If original DMC/Degree is found, I will not misuse and deposit the same in the
University office immediately.
Signature of the Candidate

Note:
1. Candidates on the roll of the college shall route their application for duplicate
DMCs through Principal of their respective college.
2. In case of issuance of duplicate degree, the DDR/FIR should be by the
candidate himself/herself.