Application for Convocation

Registration No *

Date of Birth *

Registration Year *

Admission Year *

Name of College/University

Name of The Department

Course *

Degree Awarded Date *

Full Name *

Award No. (AURW-14/02R/04/2022(Vol-IV)) *

Permanent Address:

Correspondance Address:

(Click if Permanent Address is same as correspondence Address)

Address Line 1 *

Address Line 2

District *

State/Province *

Country *

Pin/Zip *

Father Name *

Mother Name *

Enter Mobile No (Only Mobile Number without prefix 0 or +91) *

Enter Email ID
*

Upload Photo (gif/jpg/png) (Max 100KB)

Upload Change Remove

Upload Signature (gif/jpg/png) (Max 50KB)

Upload Change Remove

Upload Course Work Marksheet (gif/jpg/png) (Max 100KB) *

Upload Change Remove

Upload Award Notification (gif/jpg/png) (Max 100KB) *

Upload Change Remove

Do You Want to Attend Convocation Physically *

Yes ( 2800 )

No ( 2000 )

Dress Size *

Self Declaration *

I declare that the above particulars are true to the best of my knowledge and belife. In case any statement made by me is found to be incorrect my application shall be liable to be cancelled.