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  • Convocation Application Form

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    MohanrajRajangam
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    This document is an address and no dues verification form from the Directorate of Distance Education at SRM Institute of Science and Technology. It requests information from a student such as their name, register number, date of birth, gender, degree/diploma details, branch, and contact information. It also has sections for the student and head of institution signatures and notes that the form will not be accepted without a color photo affixed. The form is verifying the student's address and checking that there are no outstanding dues before presumably allowing participation in further education activities.

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    Original Title

    Convocation-Application-Form

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    This document is an address and no dues verification form from the Directorate of Distance Education at SRM Institute of Science and Technology. It requests information from a student such as their name, register number, date of birth, gender, degree/diploma details, branch, and contact information. It also has sections for the student and head of institution signatures and notes that the form will not be accepted without a color photo affixed. The form is verifying the student's address and checking that there are no outstanding dues before presumably allowing participation in further education activities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    13 views1 page

    Convocation Application Form

    Uploaded by

    MohanrajRajangam
    This document is an address and no dues verification form from the Directorate of Distance Education at SRM Institute of Science and Technology. It requests information from a student such as their name, register number, date of birth, gender, degree/diploma details, branch, and contact information. It also has sections for the student and head of institution signatures and notes that the form will not be accepted without a color photo affixed. The form is verifying the student's address and checking that there are no outstanding dues before presumably allowing participation in further education activities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    SRM INSTITUTE OF SCIENCE AND TECHNOLOGY

    (Deemed to be University u/s 3 of the UGC Act,1956)

    DIRECTORATE OF DISTANCE EDUCATION

    ADDRESS & NO DUES VERIFICATION

    Register No : Date:
    Name of the Candidate as entered in
    the University records:(in Capital
    Letters)
    Register Number Date of
    (Last Appearance) Birth
    Year of Admission Month Year
    Duration of the Course

    Gender Male/Female/ Transgender

    Name of the Degree/Diploma

    Branch
    Subject /Specialization
    Name of the College and Year of study
    Month &Year of Appearing the Final
    Examinations
    Mention Year or Semester pattern

    Communication Address

    Mobile Number
    E-mail (pls. Write in Clear)
    Note: Application forms will not be accepted under any circumstances if color photo is not affixed .

    Office Purpose

    NO Dues :

    Accounts Section :

    SIGNATURE OF THE STUDENT SIGNATURE OF


    THE HEAD OF THE INSTITUTION

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