Thanjavur 613 401

Application for Obtaining TRANSCRIPT(s)

(Only original signed copy will be accepted)
Name of the student (In capital letters)

Date:...............

Reg. Number & Programme of Study

:.................................

..............................................

Period of study at SASTRA : from Month/Year .. to Month/Year.... CGPA :

Fee to be paid (in Rupees)

No. of copies

(300 +.... x 100) = Rs.

1 + . = copies
Postal charges
Up to 5 transcripts Rs. 100 /- (within India) & Rs. 200 / (outside India) and for additional copies over and above 5 add
Rs. 20 / per copy in both the cases

Total No. of copies :..

Rs

Total amount (Fee + postal) = Rs...

Demand Draft : Name of the Bank : .......................................................................

DD No. & Date :

Transcript to be mailed to (Postal address) : ..

........
..
.............................................................................................................................................................
Mention your position in the Deans list (top 2%, top 10%) & academic year if any, for inclusion
in the transcript.
1st year : 2nd year ..... 3rd year.... 4th year ........
Name of the authorized person ** : ...
Mobile no. and Email ID of the applicant / authorized person :
(+91) ...

@
...
Signature of the applicant

** Only in the event of you nominating a person to collect the Transcripts.

For Office use :
Application received on : No. of Transcript(s): .........................
Demand Draft details:
Amount (`). Bank .......................... No.: .... Date : .

Transcript dispatched details:

Dispatched Date : ..
Signature of the Official