APPLICATION FORM FOR OBRTAINING THE PROVISIONAL CERTIFICATE CUM CONSOLIDATED
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INSTRUCTIONS
1. As the Original Degree Certificate is not issued till the convocation is held, when the Degree is
conferred. The provisional Certificate-cum-Consolidated Marks Memorandum and Migration Certificate
for further studies will be issued to the candidates when this Form is submitted to the Controller of
Examinations, Dr. B. R. Ambedkar Open University duly filled-in accompanied by prescribed fee
through a challan paid in any one of the SBH Branches or Demand Draft from any Nationalized Bank
drawn in favour of the Registrar, Dr. B. R. Ambedkar Open University, Hyderabad.
2. Attested copies of all the passed Marks memos should be enclosed to this Form.
3. The candidate is instructed to be very careful about the entries to be made in all the columns. All
entries should be made in candidates own handwriting and he / she will be held personally
responsible for any incorrect entry that he / she makes. Signature of the candidate is compulsory
on application.
4. The name of the candidate with name of the Father given hereunder should correspond to those
mentioned in the qualifying Examination Certificate (S.S.C. / Eligibility Test / Intermediate or its
equivalent Examination).
CHECK LIST
1. Challan / Crossed Demand Draft towards the prescribed Fee for the Certificate of the Programme.
2. “NO DUE CERTIFICATE” issued by the Director (Student Services) and also Xerox copy of the I, II
& III Year tuition Fee payment Receipts should be enclosed.
3. Attested Copy of Identity Card
4. Attested Copy of Qualifying exam i.e., E.T. or Intermediate or its equivalent exam.
5. Xerox Copy of Provisional & I, II, III Year Marks Memos for which now you have applied for Degree
Certificate.
NOTE: Application Form will be rejected, if, the student does not enclose any one of the
above mentioned in the checklist.
-----------------------------------------------------------------------------------
INSTRUCTIONS
1. As the Original Degree Certificate is not issued till the convocation is held, when the Degree is
conferred. The provisional Certificate-cum-Consolidated Marks Memorandum and Migration Certificate
for further studies will be issued to the candidates when this Form is submitted to the Controller of
Examinations, Dr. B. R. Ambedkar Open University duly filled-in accompanied by prescribed fee
through a challan paid in any one of the SBH Branches or Demand Draft from any Nationalized Bank
drawn in favour of the Registrar, Dr. B. R. Ambedkar Open University, Hyderabad.
2. Attested copies of all the passed Marks memos should be enclosed to this Form.
3. The candidate is instructed to be very careful about the entries to be made in all the columns. All
entries should be made in candidates own handwriting and he / she will be held personally
responsible for any incorrect entry that he / she makes. Signature of the candidate is compulsory
on application.
4. The name of the candidate with name of the Father given hereunder should correspond to those
mentioned in the qualifying Examination Certificate (S.S.C. / Eligibility Test / Intermediate or its
equivalent Examination).
CHECK LIST
1. Challan / Crossed Demand Draft towards the prescribed Fee for the Certificate of the Programme.
2. “NO DUE CERTIFICATE” issued by the Director (Student Services) and also Xerox copy of the I, II
& III Year tuition Fee payment Receipts should be enclosed.
3. Attested Copy of Identity Card
4. Attested Copy of Qualifying exam i.e., E.T. or Intermediate or its equivalent exam.
5. Xerox Copy of Provisional & I, II, III Year Marks Memos for which now you have applied for Degree
Certificate.
NOTE: Application Form will be rejected, if, the student does not enclose any one of the
above mentioned in the checklist.
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