Serial No,
PERIY.
Reaccredited with “A” Grade by the NAAC
SALEM - 636 011.
‘Application Cost Rs. 10/-
UNIVERSITY
RM OF APPLI IN FOR MIGRATIONC!
Details of Payment
Name of the Bank ‘DD Number Date ‘Amount
‘TOBE FILLED IN BY THE CANDIDATE
Name of the Candidate as registered in
the University records
2. | Date of Birth
Last Examination
Candidate at this University (B.A., B.Sc.,|
B.Com., B.Ed., M.A. M.Sc., M.Com.,
MBA., etc)
attended by the|
4, | State whether Passed or Discontinued
Last appearance Register Number
6. | Last appearance Month and Year
7. |Last appearance Examination Centre
College in which studied
8. | Candidate who has discontinued his/her| :
Studied after joining in any College
affiliated to this University, should furnish
the particulars regarding date of
discontinued name of the college and)
name of the course studied.9. | Candidate who has qualified for Ph.D| :
Degree should enclose a Xerox copy of|
the Communication of this University
awarding the Ph.D
10. | The University in which the Candidate
proposed to join
11.] Whether Migration Certificate ‘already
Obtained or not? If yes fumish details
12. | Permanent Address and Mobile Number
13.| In person/by post (if post address to| :
which the Migration Certificate should be|
sent)
Station:
Date:
Signature of the Candidate
The application must be filled and sign only by the candidate.
The fee prescribed for the issue of migration certificate is Rs.1,000/- (including cost of application
Rs. 10/-)
. The Fee should be paid in the form of Demand Draft infavour of the REGISTRAR, PERIYAR
UNIVERSITY, SALEM Payable at Salem, on the any of the Nationalized Bank for the
candidate applied by post (or) Submission of challan for Rs.1,000/- paid in A/c.No.1 at
Canara Bank, Periyar University Branch for applied directly.
Postal order/Money order will not be accepted.
If post a self- addressed envelope, sufficiently, stamped, should be enclosed for sending the
certificate by Registered Post.
MIGRATION CERTIFICATE IS ISSUED ONLY ONCE, NO DUPLICATE WILL BEISSUED.
If the candidate had already obtained a Migration certificate from this University and submitted the
same to any other University for joining course of study therein, the candidate should obtain a
Migration Certificate from the University. If thé Migration Certificate already issued has not been
utilized the same may be surrendered to this office.
. The candidate should ‘enclose the necessary certificates (Xerox copies of Transfer
certificate/ Mark sheets/ Provisional Certificate or Degree certificate) along with application
form.
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