To.

The Principal,
Anjuman College of Engineering & Technology,
Sadar, Nagpur.

SUB SSUE OF DEGREE CERTEICATE

Respected Sir,
the
the academic
& Technoiog, for
undersigned was student of Anjuman College of Engineering n

session Drdnch.

the

in thee academic year

the Four Year B.E 7 Two Year M.Tech Engineeing Course
Examinatioon.
have passed
I RTMNU Summer/ Winter

Ceruficate and oblige

to please isSSue the Onginal Degree
Mence, Iam requesting you

Thanking you,

Yours faithfully,

ADDRESS& MoBILE No. OF STUDENT

SIGNATURE
NAME OF STUDENT &

Enciosure Copy of Leaving Ceruficet

Aertr
.Passpon sue photo.
 DETAILS TOWARDS ISSUING TMANSFEI CEUTIFICATL Color
01) FULL NAME :
Photo
06) AADHAR CARD NO

07) ACET LIBRARY ID-CARD NO

04) UNIVERSITY ENROLMENT NO .

YEAR OF ADMISSION IN ACET 15T YEARI D-2

05) (Session)
06) BRANCH BRANCH IN 15 YEARID-2
DATE OF BIRTH CASTE
ADDRESS

MOBILE NO
0 PLACE OF BIRTH - PREVIOUS JR COLLEGE NAME-
YEAR OF APPEARING FOR LAST EXAM SEM OLL NO.

12) RESULT OF THE LAST

EXAM
PASSI FAIL (% OIVISION
13 DEPANTMENTAL QELRANCE
DEPARTMENT DATE SIGNATURE
NODUES
01HOO
02LuBRARY

3DMINIS TRATIVE OFFICE

ACCOUNTS CLEANO; : (1or Accoamis secloa useanly )
AMOUNT ToTAL OFFCER SOuTuR
sEssIoN RECEPT NO& OATE
YEAR

FIRST

SECONDYR
THIRD YR

FINAL

NO DUES

15. STUDTS SIENUTURE &DATE

THE LEAVING CERTIFICAT
HE/SHE HAS CLEARED ALL
HISHER DUES
SO 1SsUE

ADMINISTRATIYE OFFICZR
PRINCTPAL

Pol8.E/M.Tech Al Sem.
(Aerox Copy)
Encl 3) Mark Bheet ete Leaving Certificate (erex CoPY )
1) CLerex Copy)
3) Cart Validity
Certillcate gor
Reserve Cetegory)