Requisition Form for Bonafide Certificate

Date:

1. Name of the Student :

2. Register Number :

3. Department :

4. Gender - Male / Female :

5. Year / Semester :

6. Father / Guardian Name :

7. Mobile Number :

8. Student E-mail ID :

9. Reason for Bonafide :

10. Mode of HSC exam (First year only): STATE BOARD / CBSE / ICSE / IGCSE :

11. Mode of Scholarship (First year only): KEEE / INTER /JEE / NEET / TS & AP EAMCET :

12. Diploma CGPA / Percentage (Lateral entry) :

13. U.G/P.G CGPA/Percentage (First year PG & M.Phil only) :

14. If any Bonafide received earlier: Yes / No:- Reason:

15. CGPA (Existing KARE students):

16. Fees Paid details:

Details Ist Year IInd Year IIIrd year IVth Year Vth Year
One time admission fee
Miscellaneous fee
Tuition fee
Hostel fee
Bus fee

Signature of the Faculty advisor / Class coordinator Signature of the Student

Director – Admission Head of the Department

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Office Use only
Bonafide Number:
Reason for Bonafide:

Date: Signature

Online submission of form: bonafide@klu.ac.in / registrar@klu.ac.in