SRM All Certs Verification Form

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

SR

RM INST
TITUTE OF
O SCIEN
NCE AND
D TECHN
NOLOGY
Y
OFFICE
O O THE CONTROL
OF C LLER OF EXAMINA
ATIONS

SRM Instittute of Sciience and Technolo


S ogy underttakes veriffication off the
certifica
ates issued by this institute only. Thee graduatees /requisition agen ncies
requirinng verifica
ation of the certifficates issued by this insttitute, sho ould
accomp pany the fo
ollowing pa
articulars together along
a with
h the fee pa
aid challann.

Name of
o the Cand
didate (IN CAPITALS
S)

Program
mme / Bra
anch of Stu
udy

Registra
ation Num
mber

Month & Year of passing

Duratio
on / Cours
se of study
y

Nature of certifica
ate to be verified
v

Number of Certifiicates to be
b verified

Bank details

Address
s to which
h communication to be
sent

Copy off the certifficate attac


ched ( Yes / No)
N

E-Mail ID and Co
ontact No.

SIGNATU
URE

You might also like