VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi- 590018

Application for the Extract Marks Cards issued by VTU(UG/PG)
POINTS TO NOTE
 Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid By Token
By Post
 DDs are not accepted Hand No.
 Fees paid once cannot be refunded.

Name of Student
(In Capital letters)
University Seat Number
Old USN (if USN changed)

C Choose one of the below options:

 Extract Marks Cards Fees ₹250 per semester marks card ₹250/for each semester
Details of Fees Marks card

Choose Category “F – Fees to be Fees paid: ₹

paid by student” – Examination
Payment ID: ______________________ Date: ______________________

Marks card particulars:-

Month / Year Semester

CHECKLIST
 I declare that I have not studied in an Autonomous college
 Online receipt of fees paid

Name: _____________________________ Mobile: ____________________________ Date:_______________________

Address: ___________________________________________________________________________________________________________________________
___________________________________________________________ PINCODE: _______________ Signature: ______________________

Application by Post Application by Hand (In person at VTU Belagavi)

Send the filled and signed application form and online receipt of fees Apply before 12:30 pm. Documents will be issued on the same day after 4:30 pm on
paid to the following address: all working days. Second Saturday of the month is a holiday, other Saturdays are full
Registrar (Evaluation) working days.
Visvesvaraya Technological University
Jnana Sangama
Belagavi - 590018
For Office Use Only

Case Worker: _________________ Special Officer: __________________

To be filled in by applicant in BLOCK Letters (POSTAL ADDRESS TO WHICH EXTRACT MARKS CARD ARE TO BE SENT)
(This portion will be cut and pasted on envelope. Check for correctness) Note: Postage fee of Rs. 1,500-00 to be added to the fees to be paid, for addresses outside India

USN:
Name
________________________
Address

PIN Mobile: