Degree Format BEU

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BIHAR ENGINEERING, UNIVERSITY, PATNA
APPLICATION FORM FOR THE ISSUE OF DEGREE/DIPLOMA CERTIFICATE

Registration Number College Code Course

Name of the Student as registered with the University

Complete Address (Do not repeat the name)

STD Code Phone/Cell Pin Code

Demand Draft No. Date Amount Name of the Bank


D D M M Y Y 1 0 0 0
(The Demand Draft to be made in favour of AKU Registration & Examination Fund, A/c Payable at Patna)

E-mail Address

Academic Details

Sl. Programme & Semester/Year Month & Year of Passing Total Marks/CGPA Obtained in the
(last) Semester/Year/Result

Note: Attach self-attested copies of Mark-Sheets of all Semesters/Years & Provisional Certificate.

Declaration
I hereby declare that all the information given by me in this form are true and correct to the best of my
knowledge and belief. I have attached all required documents and demand draft with this form.

Date Place Signature of the Student


For College/Institute Use only
It is certified that all the information mentioned by the student in this Form are correct as per the record.

Date Place Seal & Signature of Principal College

STUDENT NOT TO WRITE BELOW THIS LINE (For Office use only)

Registration No. D.D. No.


Date of Receiving D.D. Amount
Send for verification to Issuing Branch Issuing Date
Important Instructions

1. Degree/Diploma Certificate Form is to be filled by the student in his/her own hand writing in
English, using Black/Blue ball point pen very carefully in Block Letters only.
2. The address of the students must be complete in all respect. It is compulsory to mention PIN
Code, Telephone/Cell No. and e-mail address (if any)
3. The Form having overwriting, striking out or erasure of any kind is liable to be rejected.
4. The Degree/Diploma Certificate fee is to be paid by demand draft of ₹. 1500/- (One Thousand
Five Hundred only) in favour of BEU, Registration & Examination Fund A/c payable at Patna.
5. The College/Institute and Students are required to retain the Xerox of the filled Form and the
Demand Draft for future reference.

Note: Attach self-attested copies of Mark-Sheets of all Semester/Years & Provisional Certificate.

The Complete Degree/Diploma Forms along with demand drafts are to be sent on the Following Address:

The Registrar
Bihar Engineering University, Patna
AKU Campus,
Near Mithapur Bus Stand, Patna – 800 001

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