APPLICATION FORM FOR

MIGRATION CERTIFICATE

Enrollment No: Details of payment made Cash DD

Degree & Branch: Demand Draft No.:

College/Institute Name Last Attended: D. D. Date:

Bank Name:

Amount Paid Rs.:

Name of the Student

(As per the last semester/year
Marksheet or Grade Card) Phone (R):

(M):
Address for
Communication: E-mail:

Date of Birth: D D M M Y Y

PIN CODE Gender: Female Male

College/Institution University to
Now Joined: which Migrated:

Information Regarding Examination Passed/Failed of this University

Sr. Month & Year SGPA/CGPA

Name of Examination Seat No. Result with Class if any
No. Of Exam /Percentage

Date and no. of Transfer Certificate issued

by College/Institution Last attended:

Place: ___________________________________

Date: ___________________________________
Signature of the Candidate
 FOR INSTITUTE USE ONLY
To be Filled in by The Principal/Head of Institution/Concerned University

I have the honour to forward the above application for issuing a Migration Certificate.
The above application has not been rusticated or debarred at any exam by the University.
I have no objection to issue Migration Certificate to the applicant by the University.

As per college record his/her date of birth is _____________________. Applicant has been a bonafide student of

this College/Institution since __________________ and left in ________________.

The Transfer Certificate (T.C.) issued to the applicant on ____________________ and is enclosed herewith.

T.C. No. __________________ Date ______________________.

Place: ___________________________________

Date: ___________________________________
Signature
Principal/Head of the College / Director

SEAL

FOR UNIVERSITY USE ONLY

A) Application Checked by:

B) He/She may be issued the Migration Certificate.

C) Migration Certificate issued by:

Received Migration Certificate No. : _____________________________ Dated: _________________________

Signature of the Candidate: _____________________

INSTRUCTIONS

1) The following document should be enclosed along with the application form.

A) Photocopy of the All Semester Marksheet (Self Attested)

B) Original Transfer Certificate from the College/Institution last attended

2) The fee of Rs. 1000/- for the issue of Migration Certificate. The fee should be paid in the form of Cash or Demand Draft
in favour of the “Karnavati University payable at Ahmedabad” (The Cheque of any type shall not be accepted)
3) Fees not refundable and not adjustable in any case.

4) In case of any wrong information provided in the form, candidate will be fully responsible for the
same and University may take appropriate action against him/her.

KARNAVATI UNIVERSITY Off: 079-23970000

A/907,Uvarsad,Gandhinagar 382422, E-mail: info@karnavatiuniversity.ac.in
Gujarat, India Website: www.karnavatiuniversity.ac.in