AMRITA VISHWA VIDYAPEETHAM

COIMBATORE

APPLICATION FOR MIGRATION CERTIFICATE

1. Name of the Student ::

2. Roll Number ::
3. Name of School / Campus ::
4. Course / Programme ::
5. Year of admission ::
6. Date of completion of the course ::
7. Month & Year of passing ::
8. Result ::
9. Amount of fee remitted :: Rs.200/- by DD drawn in favour of Amrita
Vishwa Vidyapeetham, payable at Coimbatore
10. DD No. Date: Bank:
11. Address for Communication ::

Date :
Place: Signature of the applicant

The information supplied was verified and found correct. Forwarded to the Registrar,Amrita
Vishwa Vidyapeetham, Ettimadai Post, Coimbatore – 641 112.

Dean / Principal
NOTE: Students are required to fill up the above details and send it to the respective Dean /
Principal along with DD, copy of TC and Provisional Certificate / Degree Certificate.
Concerned Dean / Principal will forward the above application to the Registrar of the
University, who will arrange to despatch Certificate by post to the above address (Sl. No.11).