UNIVERSITY CONVOCATION

APPLICATION FORM FOR OBTAINING DEGREE IN ABSENTIA

UNDERTAKING
(Read carefully - Your Registration and submission shall be taken as agreement for the undertaking)

As I am unable to attend the convocation, I request you to send my degree certificate by post to the
address provided by me. I understand that the Degree certificate will be sent to me after the
Convocation.

Enrollment No. 14A01478

Roll No. 14BC044

REGISTRATION

Fill the below form in Block letters

Programme Details - Enter the following details:
Name in full: AKASH SINGH S/D/O: BIR BALI SINGH

COURSE : B.COM (HONS.) BATCH: 2014-2017

SCHOOL OF: MANAGEMENT

For updating Personnel Information - Enter the following details

Address for communication with PIN code: POST OFFICE RUDRAPUR

TRANSIT CAMP, VILLAGE- SHIMLA BAHADUR GALI
NO.4,
RUDRAPUR CITY,
DISTRICT- UDHAM SINGH NAGAR,
STATE- UTTARAKHAND.
PIN CODE- 263153.

(Compulsory to be filled in Block letters)

Town/City/Station RUDRAPUR CITY VILLAGE SHIMLA BAHADUR

Phone No. with STD / ISD code : 9997288855
Mobile No. :
Alternate No.

Email ID (in regular use) Akashsingh09@hotmail.com

 Career Details
Present career status : EMPLOYED
If employed
Name of the Organization / Institution: HDFC BANK
Designation: PERSONAL BANKER

Signature of the Candidate with Date

• This Application should be sent to Examination Department, IMS Unison University, Makkawala
Greens, Mussoorrie Diversion Road, Dehradun 248 009.
• Degree certificates of candidates will be sent by Registered /Speed Post to the address given
above.