Eastern Hill University - PDF document

1 North - Eastern Hill University NEHU C
North - Eastern Hill University NEHU Campus, Shillong – 793022 (Meghalaya) HEAD QUARTERS: SHILLONG – 793022 APPLICATION FOR DEGREE CERTIFICATE 1. Name of the Degree Applied for: … ………………………………………………………………… … … … … … … … … … … … 2. Mention Pass or Honours, with Class, Division and Subjects etc: …………………………………………………………………… … … … … … … … … … … … 3. Name of the Candidate (in block letters): …………………………………………………………… … … … … … … … … … … … … … ... . 4. Registration No ……………………………………………………………………… ……………… … … … … 5. Father’s Name: ……………………………………………………………………………………… … … … … . 6. Roll No: ……………………………... year of Passing: ……………………………………… 7. Name of the College/ Department …………………………………………………………………… … … … … … … … … … … … . 8. Complete Address for Correspondence, w ith co

2 ntact Number if any: ……………â
ntact Number if any: ……………………… ………………………………………………… … … … … … … … … … . ………………………………………………………………………… … … … … … … … … … . ……………………………………………………………………………................................. ……………………………………………………………………………………. ....... ............. 9. Number & Date of the payment of prescribed fee ………………………………………………………………………… … … … … … … … … … . Countersigned by: Principal or Head of the Department (With Office Seal) Station: ……………………………… Date: ………………………………… Note: The prescribed fee for the Certificate is Rs.500/ - (Rupees Five Hundred) only, Payment be made by going to this website https://www.onlinesbi.com/ and then click on State Bank Collect. N.B.: The Candidate should submit an attested Mark Sheet and Xerox copy of Registration Card along with the Application Form