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Price : Rs.

25/-

Fee Rs. 125/Fee Remitted

MAHATMA GANDHI UNIVERSITY


KOTTAYAM

S.B.T/MGU Cash Counter

Amount
Application for Rank
Certificate

Pay-in
in Slip No..
Date

(Photocopy
Photocopy of the Mark list should be appended to the Application
Application)
Name of the Candidate (in block letters)
Address with PIN code (in block letters)

DETAILS OF THE EXAMINATION PASSED


(Candidates need to fill only the columns of the relevant course)
4 Details of earlier appearance:
B.A./ B.Sc./B.Com.
/B.Com. Degree
B.Ed. Degree
Part
Reg.
Month
Class
Centre(s) Optional Reg.No. Month & Class
No.
& year
obtained
Subjects
Year
Part I
English
Part II
Additional
Language
( )
Part III
Optional
Subjects

Centre

FOR ALL OTHER DEGREES


Name of the Degree /with Branch/Subject
Year/Sem. Reg.No
Month Class Centre
& Year

Main
Subsidiaries/
Elective
1)
2)
M.A./M.Sc./M.Com.
.Sc./M.Com. Degree (Annual/Sem.)
BRANCH

Year/Sem.

Reg. No Month& Class


Year
obtained

Centre( s)
RANK AWARDED BY THE UNIVERSITY

Rank. Class..
Place . Date
For Office Use

Marks

Signature of the Candidate

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