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EXAMINATION BRANCH OSMANIA UNIVERSITY APPLICATION FORM FOR OBTAINING DEGREE IN ABSENTIA (To Be Filled in and Signed by The

Concerned Candidate Only) Check List For Counter Use _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________

Name Ht.No. Fathers Name Name of the College Applied For Exam Passed/Appeared Year of Pass/Appeared D.D.No _________________

: : : : : : :

D.D.Date:__________ Amount : ___________ Bank:_______________

Email ID: _____________________ Phone No: ________________ Collection : Person/Post Signature of the Candidate ________________________________(For Office Use At Counters)_________________________ Receipt No : Receipt Date: ____________________ ____________________ Due Date: _______________

Name of the Candidate: (BLOCK LETTER) Fathers Name: (BLOCK LETTER) Permanent Address:

_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ ______________________________________________ Signature of the Candidate AFFIX ONE PASSPORT SIZE PHOTO WITH SELF ATTESTATION

Name of the Course

Name of the College

Year of Study

Medium of Instructions

Any Other Particulars

(For UG Courses Only)

(Subjects) Part I English Second Language ( ) Part II Optionals 1.___________________ 2.___________________ 3.___________________

Ht. No.

Month & Year of Passing

Division

(For PG/ P.G. Diploma And Other Professional Courses Only) Name of the Exam Subject Ht.No. Month & Year Passed

Division

D.D. Details

D. D. No.

Date

Bank OFFICE USE

Amount

Receipt No. Received On

_________________Signature of The Candidate ________________ Name ___________________ HT.No.___________________ Course ____________________ Year & Month _____________

Due Date Given _______________ Checked On __________________ Certificate No.________________

Sent to Press ___________________________ Checked and Prepared by _____________________ Issued to the Candidate on ________________________ Or Sent By Post Section In Charge INSTRUCTIONS TO THE CANDIDATE 1. The Degree in Absentia may be issued to the candidate on submitting this form to the Controller of Examinations, O.U., duly filled in and identity certificate given overleaf duly certified together with prescribed fee as mentioned below. Rs. 300/Rs. 200/Rs. 300/Rs. 400/Rs. 500/Rs. 750/Rs. 1,000/Rs. 1,500/Rs. 100/-extra Rs. 2,000/-extra

a) Before Convocation b) After Convocation Up to 1 year c) 1 to 3 years d) 3 to 5 years e) 5 to 7 years f) 7 to 10 years g) 10 to 15 years h) Above 15 years i) If candidate desires to receive his /her Degree By Registered Post within India j) Out Side India

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All the above amounts have to be paid through D.D. drawn in favour of The Registrar, Osmania University, Exam Fee Fund A/c No. 52198262033 payable at the S.B.H., O.U., Branch, Hyderabad 7. The Candidate is instructed to be very careful about the entries to be made in columns. All entries should be in the Candidates own hand writing and the Candidate will be personally responsible. The name of the candidate and that of his/her father given herein should correspond to those mentioned in the Inter/PUC certificate. Attested Copies of memorandum of marks and provisional certificate must be attached for reference. The Degree Certificate will be issued in person to the concerned candidate only. Incomplete form will be rejected without any notice. Fee once paid will not be refundable under any circumstances. The requisite fee paid through D.D. will have to be submitted within one month from the date of its issue along with the application form. The candidate is expected to give correct and permanent address indicating PIN code, etc to ensure proper delivery of the degree certificate.

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Self attestation for identification certificate Alternative attestation may be done by the candidate. If the information furnished to be found wrong, the candidate will be fined Rs.100/- and necessary criminal action will be initiated according to the rules. (a) The Candidate must produce any identity card at the time of Receiving Degree Certificate; otherwise Degree Certificate will not be issued. (b) Students who have completed their course from P.G.R.R.C.D.E., should surrender their original Identity card. 2 Passport Size Photos. Xerox Copy of Qualifying Examination. (Previous Course Certificate). Students of Autonomous Colleges should get Verification on the backside of Application form before submitting it to the Controllers Office.

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