VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi- 590018

Application for the Provisional Degree Certificate for UG Courses (PDC/UG) issued by VTU

POINTS TO BE NOTED
•
•
Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid
DDs are not accepted
PDC/UG
• Fees paid once cannot be refunded. Please check your eligibality before submitting your application for PDC.
• PDC is valid only until the next convocation. Do not apply for PDC if you have received your Degree Certificate By Post By Hand Token No.
• PDC is issued only once. If you lose it, you can only obtain a duplicate copy.
• Do not attach copies of marks cards or any other document other than online payment receipt.

Name of Student
(As on Marks Cards)
University Seat Number

Details of Fees Fee paid: 400-00

Choose Category “F – Fees to be
paid by student” – Examination
Payment ID: ____________________________ Date: _________________

FIRST ATTEMPT TOTAL MARKS OF LAST FOUR SEMESTERS (Excluding CIP and CIV)
Course 5th Sem 6th Sem 7th Sem 8th Sem 9th Sem 10th Sem Total Class

B.E. / B.Tech.

CHECKLIST
I declare that I have not a studied in an Autonomous college
Online receipt of fees paid
UNDERTAKING
I Mr/Ms ___________________________________________________do hereby undertake, that I have not
applied/will not apply for Revaluation and/or Photocopy of my answer scripts of any subjects of the current
exam.

Name: _____________________________ Mobile: ________________________

Date: _________________ Candidate Signature: ______________________

Applying by Post Applying by Hand (In person at VTU Belagavi)
Send the filled and signed application form and online receipt Apply before 12:30 pm. Documents will be issued on the same day after
of fees paid to the following addres: 4:30 pm on all working days. Second Saturday of the month is a holiday,
Registrar (Evaluation) other Saturdays are full working days.
Visvesvaraya Technological University
Jnana Sangama
Belagavi- 590018
For Office Use Only

Case Worker: _________________ Special Officer: __________________

POSTAL ADDRESS TO WHICH PDC IS TO BE SENT
Name USN: ___________________________

Address

PIN Mobile: