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Application form for Degree Certificate
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Name ofApplicant
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F/H Name
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Mother'sName
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NameoftheExam
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Name ofExam Center
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Year of the End Sem. Exam

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Name
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Address for Communication

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Regards

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Signature of the Applicant

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Mark & Enclose
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Raman University, Bilaspur (C.G.) Sr. No. ................ Date
Enclosed a Bank Draft of Rs. 500/- in favour of Dr. C.

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Copy of the marksheets Semesters Received from this university is enclosed.
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Copy ofAdhar/Voter
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ID as identity proof is enclosed
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