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ALLIANCE UNIVERSITY
Chikkahagade Cross, Chandapura-Anekal Main Road, Anekal, Bangalore 562 106 ______________________________________________________________________________ (To be filled in by the University Office) Migration Certificate No _________
Application for Migration Certificate
Date of Issue ___________
(To be filled in by the Student) To
The Registrar Alliance University Chikkahagade Cross Chandapura-Anekal Main Road Anekal Bangalore 562 106 Sir/Madam,
I request you to issue me Migration Certificate from Alliance University. The detailed information is as under:
1. Name in full ______________________________________________________________________________________________________ (In block letters as per mark sheet)
2. Address __________________________________________________________________________________________ Contact Tel. No/ Mobile __________________________________________________________________________ 3. College/Institute last attended _____________________________________________________________________________________________________ 4. Program /Year of admission___________________________________
6. Last Examination of this University appeared . _________________________ Page 1 of 2
7. Reason for requesting Migration Certificate (Tick the appropriate reason) : Joining other University / Cancellation of Admission /Personal Reason
8. Following documents are enclosed: Photocopy of Transfer Certificate DD No._______________Dated__________________for Rs.1,000/-drawn on___________________
9. Please forward Migration Certificate to my University / Institute : The details are as under : _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________________ Declaration by the student ________________________________________________________________________________________________________ I have carefully gone through the instructions given on the overleaf of this application and I have completed all the formalities mentioned therein. I shall be responsible for any error, omission, deletions in the entry of this application form. Date __________________ Signature of the Applicant ________________________________ _________________________________________________________________________________________________________ To be filled in by the Registrar’s office of Alliance University _________________________________________________________________________________________________________ The Documents mentioned in the column 9 are received. The Migration certificate may / may not be issued. Sr.Executive___________________________________
Remarks by Registrar Registrar________________________________________
