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MANAV BHARTI UNIVERSITY MANAV BHARTI UNIVERSITY MANAV BHARTI MANAV BHARTI UNIVERSITY UNIVERSITY Village – Laddo, PO

MANAV BHARTI UNIVERSITY

MANAV BHARTI UNIVERSITY

MANAV BHARTI

MANAV

BHARTI UNIVERSITY

UNIVERSITY

Village – Laddo, PO – Sultanpur, Tehsil & Distt. – Solan (HP) - 173229

www.manavbhartiuniversity.edu.in

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Contact: 01792 - 268279, 268280 ||

info@manavbhartiuniversity.edu.in +91 82650-10051-52-53-54-55-61

APPLICATION FORM
APPLICATION FORM

Note:

(i)

Fill in the application form in his/her own handwriting.

(ii)

Tick ( ) the appropriate box for the desired certificate(s).

(iii) Candidate has to pay fee Rs. 1500/- for Degree Certificate and Rs. 1000/- for other certificates separately.

(iv) The fee can be submitted either in cash or Demand Draft favouring “Manav Bharti University” payable at “Solan”.

(v)

THE CANDIDATE HAS TO COME IN PERSON TO APPLY ANY CERTIFICATE FROM THE UNIVERSITY AND TO SHOW HIS/HER AADHAR CARD IN ORIGINAL DURING THE SUBMISSION OF THIS APPLICATION FORM.

(vi) APPLICATION FORM THROUGH POST/COURIER OR THROUGH ANY OTHER PERSON WILL NOT BE ENTERTAINED.

  • 1. Certificate(s) required, Please specify

:

1. Degree Certificate

  • 2. Provisional Certificate

  • 3. Migration Certificate

  • 4. Duplicate Mark Sheet

  • 5. Character Certificate

  • 6. Verification of Certificates

  • 7. Other, if any ______________

Latest Coloured Passport size Photograph attested by Notary / Gazetted Officer
Latest Coloured
Passport size
Photograph attested
by Notary / Gazetted
Officer
  • 2. Candidate’s Name(in Capital Letters) : ________________________________________________________________

  • 3. Father’s Name

: ________________________________________________________________

  • 4. Mother’s Name

: ________________________________________________________________

  • 5. Correspondence Address

: ________________________________________________________________ ________________________________________________________________

  • 6. Contact Phone/Mobile Numbers

  • 7. Name of the Examination Passed

__________________________________________

Pin

Code: ______________

: _______________________________

Email:

___________________________

: ________________________________________________________________

  • 8. Month & Year of Passing

  • 9. Enrolment/Admission Number

    • 10. Result

: ________________________

Session: _______________________________

: ________________________

: Marks Obtained __________

Registration Number: ____________________ Total Marks ____________________________

  • 11. Reason for issue of the Certificate

: ________________________________________________________________

  • 12. Payment Details (Cash or DD)

: Amount

________

DD

No. ________

Date ________

Bank Name ___________

Declaration by the Candidate: I declare that entries made by me in this application form and the documents submitted by me are true in all respect and in any case, any information is found to be false shall entail automatic cancellation of my application besides rendering me liable to such action, as the University deem proper. If I found guilty on any wrong information/documents I am liable to be punished appropriately and the disputes if any will be subject to jurisdiction of Civil Court, Solan, H.P. only.

Date: _________________

(Signature of the Candidate)

Documents Required

Two Latest Coloured Passport Size Photographs.

Original Migration Certificate from the Board/University of last qualifying examination should be attached.

Photocopy of all the certificates i.e. Matriculation, 10+2, Graduation (whichever is applicable) duly attested by Notary / Gazetted Officer.

Two A4 size self addressed Envelops (complete address with Pin code) and Postal stamps of Rs. 100/- should be pasted on envelop. The applied documents will be dispatched within 15 working days after submission the Application Form.