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MAULANA ABUL KALAM AZAD UNIVERSITY OF TECHNOLOGY, WEST BENGAL

(FORMERLY KNOWN AS WEST BENGAL UNIVERSITY OF TECHNOLOGY)


BF-142, SALTLAKE, SECTOR-I, KOLKATA-700 064, INDIA

Application Form for Provisional Certificate

To
The Controller of Examinations
Maulana Abul Kalam Azad University of Technology, West Bengal

sir,
I beg to apply for___________number copy/copies of Provisional Certificates from Maulana Abul Kalam
Azad University of Technology, West Bengal in my favour. The particulars are given below:

1. Name (in Capital Letters):

2. Course Name:

3. Year of Admission:

4. University registration No:

5. University Examination Roll No:

6. College/Institute Name:

7. Year of Passing:

8. Present Status of the candidate:

9. Details of Demand Draft: D.D.No:____________________________Dated_____________________

10. Result of semester Examinations:

Semester SGPA YGPA


st
1 Semester
2nd Semester
3rd Semester
4th Semester
5th Semester
6th Semester
7th Semester
8th Semester
DGPA

Thanking You, Yours faithfully,

Date: (Full Signature of the Candidate)


Encl. Attested copies of all semesters mark sheet.

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