Name of the Student
Student Registration/Enrollment No.
Student Roll No
Name of the Department
Name of the School
Date of Form Fillup
Month & Year of Completion Of Degree
Address of the Student
Present status of the student (Employed / Unemployed)EmployedUnemployed
Name of the Organisation where employed
Will you receive your degree in person or in absentia?In PersonIn Absentia
Please note that students who have chosen ‘In-Absentia’ will have to pay Rs. 1500 during degree collection.
Relationship with Parent1 / Relative1 / Friend1
Address of Parent1 / Relative1 / Friend1
Name of Parent2 / Relative2 / Friend2
Relationship with Parent2 / Relative2 / Friend2
Address of Parent2 / Relative2 / Friend2
All graduating students will have to deposit Rs. 1000 on Convocation Day for the gown. This money will be refunded upon the return of the gown at the end of the same day.
Number of person needing accommodation ?
Number of days for which you need accommodation ?
Date of Arrival
Tentative time of Arrival
I agree to terms and condition of the Convocation Ceremony