Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
133 views1 page

Visvesvaraya Technological University: Pdc/Ug

1) The document is an application form for a provisional degree certificate (PDC) from Visvesvaraya Technological University for students who passed their undergraduate courses in January/August 2020. 2) It provides instructions for applying including paying the application fee online, not attaching unnecessary documents, and scanning and emailing the completed form and payment receipt. 3) The applicant, Hashim, provides details like his university seat number, fee payment, courses completed with scores, and undertakes that he has not applied for revaluation of answer scripts.

Uploaded by

None noo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
133 views1 page

Visvesvaraya Technological University: Pdc/Ug

1) The document is an application form for a provisional degree certificate (PDC) from Visvesvaraya Technological University for students who passed their undergraduate courses in January/August 2020. 2) It provides instructions for applying including paying the application fee online, not attaching unnecessary documents, and scanning and emailing the completed form and payment receipt. 3) The applicant, Hashim, provides details like his university seat number, fee payment, courses completed with scores, and undertakes that he has not applied for revaluation of answer scripts.

Uploaded by

None noo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi- 590018


Application for issue of Provisional Degree Certificate for UG Courses (PDC/UG)
ONLY FOR STUDENTS PASSED OUT DURING JAN/AUG 2020 EXAMINATION
For Students of Non-Autonomous colleges only
POINTS TO NOTE
 Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of feespaid PDC/UG
 DDs are notaccepted
 Feespaidoncecannotberefunded.PleasecheckyouareeligibletoapplyforPDCbeforesubmitting application.
 PDC is valid only until the next convocation. Do not apply for PDC if you have received your DegreeCertificate
 PDC is issued only once. If you lose it, you can only obtain a duplicatecopy. By Post Only
 Do not attach copies of marks cards or any otherdocument.
 As per notification dated 5thMay 2020, Scan the application and online payment receipt andother
documents(if any) to [email protected]
Name of Student
(As on Grade/Marks Cards) Hashim
University Seat Number 4PA16ME020 Old USN (if applicable):
Details of Fees Fee paid: ₹ 400-00
Choose Category “F – Fees to be PaymentID: _DUD9954542 Date:22/12/2020
_
paid by student” – Examination
 Non CBCS First attempt total marks of last four semesters (excluding CIPandCIV) CBCS CGPA:_7.90 __
Non CBCS CBCS Non CBCS and CBCS
Course 5thSem 6thSem 7thSem 8thSem 9thSem 10thSem Total CGPA Class
B.E./ B.Tech./B.Arch. 7.90 FCD
CHECKLIST
 I declare that I have not studied in an Autonomouscollege
 Online receipt of feespaid
UNDERTAKING
IMr/Ms Hashim do hereby undertake, that I have not applied/will notapply
for Revaluation and/or Photocopy of my answer scripts of any subjects of the current exam.
Signature:_
N
ame&Address:_Hashim_p _ arladka _g
_olikatte _h_ousearyappost _p_uttur _
_D
_akshinakannada574201
DateofBirth:_1
_ 4/07/1998 Mobile:_9
_ 743
_ 080934_Emailid:[email protected]
Application by Post Application by Hand (In person at VTU Belagavi)
Send the filled and signed application form and online receipt  Applications are not recieved by hand due to Covid-19Pandemic.
of fees paid to the following addres:
Registrar (Evaluation)
Visvesvaraya Technological University
Jnana Sangama
Belagavi- 590018
For Office Use Only
CaseWorker: SpecialOfficer:

To be filled in by applicant
POSTAL ADDRESS TO WHICH PDC IS TO BE SENT (This portion will be cut and pasted on envelope. Check for correctness)
Note: Postage fee of ₹ 1,500-00 to be added to the fees for addresses outside India

Name Hashim USN: 4PA16ME020

Address Hashim s/o Mohammad kunhi parladka golikatte house


Aryap post Dakshina kannada karnataka

PIN 574201 Mobile: 9743080934

You might also like