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Price Rs.

5/-

SHIVAJI UIVERSITY, KOLHAPUR


Application for Duplicate Statement of Marks
To,
The Controller of Examination,
Shivaji University,
Vidyanagar, Kolhapur 416004.
Sub:- Duplicate Statement of Marks.
Sir,
I request you to issue me the following Statement of Marks in Duplicate . My particulars are as under.
Name of the Student ( in full )..
Full Address

Contact No. Mobile ..


.
Details of Duplicate Statement of Marks requiredNo. of Duplicate
Statement of Marks

Faculty
Name of Exam /
Combination
Part / Semester
Credit System
( Yes or No )
Subject ( Main )
Seat No
Month
Year

PRN ( If available)

Fees to be paid ( Applicable from 01 October 2010 )


From the date of demand upto last ten years - Rs. 100/- each and before ten years Rs. 150/- each.

Details of fees paid


Sr. No.

Amount
Rs.

Particulars
1
2
3
4

Double Fee :- Where combination of examinations (e.g. FE&SE etc.) two Duplicate Statement of Marks printed at the
seat no.
Regular Fee :- Where only one Duplicate Statement of Marks printed at
the seat no.
Postage ( Registered Post ) :( If Duplicate Statement of Marks required by registered post.)
Website Application Form Price

05 = 00

Total of Sr. No. 1,2,3 and 4 - Rs.


University Cash/D.D. Receipt NoDate
D.D.No Date.Name of Bank...
Date :Signature of Student
..
IMPORTANT INSTRUCTIONS : Website application form price Rs. 5/

Submit the application along with the receipt of fees (carbon copy) and self addressed envelop to the Statements of Marks Section in Examination
Building No. 1 immediately. Pay the fees in cash to the Cash Section of the University ( Administrative Building ). You can send the application
along with a demand draft drawn on any nationalised bank in favour of Finance and Accounts Officer, Shivaji University, Kolhapur (payable at
Kolhapur ) to the University by post also.
Application filed with all details and fees in the morning before 1 p.m. will be processed and Statements of marks will be issued by 5.30 p.m.
If the record is old and for any administrative reason the Statements of marks is not ready it will send by the post in due course.
Postage :- Rs. 30/- ( Minimum ) for Registered Post.
Fees revised on the application date are applicable.
Fees once paid will not be refunded.
If the Duplicate Statement of Marks printed at the mentioned seat no. in the application form found wrong, you will have to pay fees for the next
Duplicate Statement of Marks.
Submit the receipt with you while collecting the Duplicate Statement of Marks by hand.
Incomplete application will not be entertained and no correspondence will be made in that behalf.

vtkZph fdaer :] 5@&

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SHIVAJI UIVERSITY, KOLHAPUR-416004, MAHARASHTRA


PHONE: EPABX-2609000

 GRAM: UNISHIVAJI  Telex : 0195 226 SUK IN

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Accredited by NAAC

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Fax % & C.O.E. 0091-0231-2690655

www.unishivaji.ac.in

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vf/kdkj eaMGkus ekU;rk fnysyh vkgs nqckj xq.krDrs Duplicate Statement of Marks ekx.kh rkj[ksiklwu fu;fer 'kqYd ekxhy ngk
o"kkZi;Zar izR;sdh : 100 @& o ngk o"kkZiwohZlkBh izR;sdh : 150@&
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ikflax] jd o esfjV lfVZfQdsV Passing, Rank & Merit Certificate ;klkBh izR;sdh : 100/100/ xq.krDrs] ikflax] esfjV
jV o jd lfVZfQdsV bR;knh dkxni=s iMrkG.khlkBh Verfication of
Document ekx.kh rkj[ksiklwu ngk o"kkZi;Zar fu;fer 'kqYd izR;sdh : 250/- o ekxhy ngk
o"kkZiwohZlkBh izR;sdh : 500 / Lis'ky lfVZfQdsVlkBh
lkBh Special Certificate 'kqYd izR;sdh : 100 /lnjP;k lq/kkjhr 'kqYdkaph va
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SHIVAJI UIVERSITY, KOLHAPUR-416004, MAHARASHTRA


PHONE: EPABX-2609000

 GRAM: UNISHIVAJI  Telex : 0195 226 SUK IN

f'kokth fo|kihB] dksYgkiwj&416004 egkjk"V


nwj/ouh %bZih,ch,Dl 2609000
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Accredited by NAAC

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Fax % & C.O.E. 0091-0231-2690655

www.unishivaji.ac.in

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SU/Statement of Marks Section/

Date : 18 September 2010

To,

All Registrar of the Universities / Colleges


All Directors of the Companies/firms providing Education Verification Services

Subject : Revised fees for verification of documents.


Sir/Madum,
I am to inform you that the University has revised the fees for verification of
doucument as under.
Documents - Statement of Marks, Passing Certificate, Merit Certificate,
Rank Certificate, Special Certificate, Migration & T.C Certificate,
Fees

From the date of demand upto last ten years - Rs. 250/- each
and before ten years Rs. 500/- each.

The above revised fee for verification of document will be applicable from 1st
October 2010. For more details visit our website www.unishivaji.ac.in
Thanking you,
Yours faithfully,

Sd/Controller of Examination

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