R.K.D.F.

UNIVERSITY, BHOPAL
Verification Form

Degree/Marksheet/Provisional Degree/Migration
1. Name of Applicant ………………………………………………………………………………………..

2. Father’s /Husband’s Name….……………………………………………………………………………..

3. Mother’s Name:……………………………………………………………………………………………

4. Name of Course studied with Branch name if applicable:………………………………..........................

5. Examination Passed Year ……………………………………………………............................................

6. Enrollment No:……………………………………………………………….............................................

7. Roll No:……………………………………………………………………………………………………

8. Address……………………………………………………………………………….................................

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9. Mobile No………………………………………………………………………………………………

10. Email-Id……………………………………………………………………….…………………………..

Note:

1. Application must accompanied with the photocopies of

Degree/Marksheet/ProvisionalDegree/Migration, address proof and Authorized Photo ID (Aadhar

Card), payment proof in original.

2. The necessary fees of Rs.200/- each document (Degree/Marksheet/ProvisionalDegree/Migration)

through a DD/Chalan/online payment.

a. Demand draft should be drawn in favor of RKDF University, Examination Bhopal.

b. Online Payment:-A/c Name RKDF University, Examination, A/C No. 7548002100000247 IFSC

Code PUNB0754800, PNB Gondermhow Branch Bhopal

Applicant Signature& Date Email examuniversity@rkdf.ac.in

Phone No. – 07552745166