Office of the Controller of Examinations
Application
Student’s Details
Register No.: Name:
Mobile Number: Email ID:
Address for correspondence / Delivery:
House/Apt. No: Building/ Street No.:
Address line:
City: State: Postal code: Country
Sl. No. Nature of service required Cost per set/ copy No. of Sets/ Copies Total Amount (Rs.)
1. Provisional Grade Sheet (Proof of demand required) Gratis 1
2. Official Consolidated Grade Sheet (Transcript) Rs.250/ per set
3. Official Statement of Grades - Semesterwise (Specify the Rs.150//semester
semesters+Exam Month)
4. Provisional Degree Certificate Rs.200/-
5. Request for Scanning (Rs.25/ page)
Total Charges
Payment mode
1VIT Cash Counter Receipt No.: _____________ Dated: _ _ _ / _ _ _ / 201 _ for Rs. ___________
1Demand Draft [ should be payable to VIT University at Vellore, India; Cheques / Money Orders/Other form of payments not accepted]
Name of the Bank:_________________________________________________________ City:____________________ Country:_______________
Demand Draft No.___________ Dated:____________ for Rs.___________
Special requests: In sealed cover: Yes/ No Others:___________________________________________________
Mode of Delivery (Tick any one; all deliveries require a minimum of 2 working days from the date of confirmation of payment):
1Self collection at CoE Office
1By post: (Self addressed envelope with necessary postage is required)
1Authorized collection (Any valid Photo ID is required for delivery): Name of the person:____________________ Relationship:___________
Signature of the applicant:_______________________________________ Date:___________________
Office Use only
Appl. No.:______________________ Date of Receipt: _ __ /__ __ /201__ Date of Payment Confirmation: _ __ /__ __ /201__
Date Centre: Received on : _ __ /__ __ /201__ Processed On: _ __ /__ __ /201__ Delivered on : _ __ /__ __ /201__ Post/ Person
Delivery: Counter Receiver’s Name:_____________________________________________________________________
Signature ____________________________________________________ Date: _ __ /__ __ /201__
Acknowledgment for Receipt of the Application
Reg. No.___________ Name:_______________________________ Office Seal
Bill No._______ Dt.______ Amt Rs.____________
(Please produce this at the time of collection of transcript in person)
Packing Instruction for Sealed Covers
Put a tick mark against in the corresponding columns of the documents to be sealed.
Pack No. Consolidated Semesterwise Provisional degree Others*
10
11
12
13
14
15
* Other certificates like cover page/ transcript request form from the University to which the student applied
