application for bonafide certificate

University of Pune Application form for Bonafide Certificate N.B.

(1) Fee for each of Bonafide Certificate is Rs. 50/-. It should be paid in the Bank of Maharashtra, University Extension Counter in the Prashasan Bhavan behind the Main Building. (2) Bonafide certificate will be issued within eight days from the date of the receipt of the application form. (3) Please submit the form through the Head of the concerned Department.

The Registrar University of Pune Pune 411 007 Sir, I wish to apply for getting a Bonafide Certificate. My particulars are as under : a 1. Name in full : ……………………………………………………………… (Surname) Male/Female : Name in full

:

………………………………………………………………. ……………………………………………………………… (Surname)

2. Present address

:

(Name) (Father’s Name) (Mother’s Name)

(Name)

(Husband’s Name)

……………………………………………………………… ………………………………………………………………

Phone number

:

………………………………………………………………

3. Name of the Class Part I/II ……………………………………………………………… Semester I/II/III/IV:

………………………………………………………………

4. Year

:

………………………………………………………………

5. Subject

:

………………………………………………………………

6. Purpose for which Bonafide Certificate/s is/are required : ……………………………… 7. Number of copies required of Bonafide Certificate ……………………………………... 8. I will collect the Bonafide Certificate in person/by post on the address mentioned above. Place : Yours faithfully, Date : ------------------------------------(Signature of the Head of the Department) Name of the Department : -------------------Certificate No. : ---------------------Issued on : ----------------------------

-----------------------------------(Signature of the Applicant) -----------------------------------(Signature of Guide) Dated -------------------------------------------------------(Signature of the concerned person)