Application For Issue of Transcript

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(Established Under Section 2(f) of UGC Act, 1956)

Your Future. Our Mission.


www.arunodayauniversity.ac.in

To,
The Controller of Examinations, Paste Passport
Arunodaya University, Size Photograph
Lekhi Village, Naharlagun, Itanagar,
Arunachal Pradesh- 791110
APPLICATION FOR ISSUE OF TRANSCRIPT
Instruction : The form is to be filled by candidate in English CAPITAL letter and blue ink. Enclose, duly self attested photocopy
of all documents.

1. Name of Applicant :
2. Father’s Name :
3. Mother’s Name :
4. Enrollment Number :
5. Roll No. (Last year / Final year Exam)

6. Name of Course Completed


7. Total Duration of the Course (Yrs.)
8. Duration of Course,
From To
9. Under Lateral Entry / Credit Transfer Scheme : Yes No
10. Postal Address of Candidate

Pin Code Mob. No. WhatsApp No.


11. Fees for issue of Transcript Rs. 3000/-
(The Fees Should be Paid by Digital Mode Only.)
Amount Paid ( ): Online Payment Reference No. :
Bank / UPI / Gateway Name :
Bank Branch Name :
Date :

Name of Examination Month & Year Roll No. Max. Marks & Document
of Passing Marks obtained Enclosed
th
10
10+2
Diploma
Under-Graduate
Post-Graduate
Others............................
ID Proof
Arunodaya Mark-Card. Ist Sem/Yr
IInd Sem/Yr
IIIrd Sem/Yr
IVth Sem
Vth Sem
VIth Sem
VIIth Sem
VIIIth Sem
I need to submit this Transcript at, (Please Write Postal Address):
To,

Please do the needful, Thanking You.

Declaration by the Student

I..........................................................................(Full name of Candidate) hereby declare that the


information furnished by me is correct to the best of my knowledge and belief. I also certify that
the copies of document duly signed and enclosed by me are true and corrected copies of the originals.
In case of any information given by me is found to be false or any certificate enclosed is
found invalid or forged, I understand that my application will be cancelled.

Date: / / Full Signature of Student

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