Form M(O)
University of North Bengal
Dist.
Application Form for Migration Certificate
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1. Name
of the applicant (in block letters) |
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2. Mother’s Name |
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3. Father’s Name |
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4.
Address for Communication |
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5. Registration Number of the student with the
session of his/her Registration with the University. : (Original Registration
Certificate without lamination is to be enclosed): |
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6. Name of the College / Department under this
University where the student studied last: |
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7. Last Examination passed
from this University. (Attested photocopy of marksheet is to be enclosed.) |
Year |
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Roll |
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No. |
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8. Reasons for Migration : |
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9.
Fees (may be deposited in cash at the University Cash Counter between |
1.*Urgent – Rs.550/- (Migration
Certificate to be issued by hand on the same day) 2.* Ordinary – Rs. 350/- (Enclose self-addressed envelop with required
postage-stamp for sending Migration Certificate by Registered Post) The
payment is to be made by Bank Draft drawn in favour of “University of
North Bengal” payable at SBI, NBU Campus Branch. |
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Bank
Draft No. & Date |
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Signature
of the Student |
Signature
of Principal (in case of College) / Head of Department (in case of
University)/Registrar with Seal |
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Date |
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Date |
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* Applicable for
Migration Forms downloaded from the website (www.nbu.ac.in)
The filled-in form should be
sent to the Registrar,
N.B. – (1) The Migration Certificate must be returned
within a period of one year from the date of issue, in case this is not used
for the prescribed purpose, failing which the Duplicate Migration Certificate,
if asked for, shall not be issued.
(2)
Incomplete Application Form may be rejected.
(3)
Fees once deposited shall not be refunded.