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Prospectus Kurukshetra University post-graduate Regional Centre ...

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CHARACTER CERTIFICATE<br />

Annexure-I<br />

Name of the Department/College………………………….Session…………………Certified that<br />

Mr./Miss/Mrs………………………………………son/daughter of Shri…………………..……………………<br />

………………………......has been a bonafide student of this Department/College during the<br />

period………………………………………………He/She appeared in the ……………………. Examination<br />

of the <strong>University</strong>/Board held in ……………………..………………….under Roll No………………and<br />

*passed obtaining………………........marks out of ………………..marks or *failed/*placed under<br />

compartment in the subject of …………………………..<br />

1. Academic Distinction, if any………………………………….<br />

2. Co-curricular activities, if any………………………………...<br />

3. Brief particulars of disciplinary action by College/Department/<strong>University</strong> (including punishments<br />

such as expulsion, warning, fined for violation of College/Department/Hostel rules, UMC/<br />

Disqualification etc., if any……………… ………………<br />

4. General Conduct during stay in the Institution: Good/Satisfactory/Unsatisfactory.<br />

Dated:……………<br />

Signatures of the Principal/<br />

Chairperson of the Deptt.<br />

(with office seal)<br />

________________________________________________________________________________________<br />

*Strike out whichever is not applicable.<br />

--------------------------------------------------------------------------------------------------------.----------------------------<br />

HARYANA GOVERNMENT<br />

Certificate Sr.No.______________ /Year______________ Tehsil____________.<br />

SCHEDULED CASTE CERTIFICATE<br />

Annexure-II<br />

This is to certified that Shri/Smt./Kumari_______________ son/daughter of Shri______________resident of<br />

Village/Town_____________________Tehsil_______________ Distt.____________ of the State/Union<br />

Territory___________________ belongs to the _____________Caste/Tribe, which is recognised as a<br />

Schedule Caste/Schedule Tribe under the Constitution (Scheduled Caste) Order, 1950.<br />

Photo of<br />

Applicant to be<br />

Attested by the<br />

Issuing authority<br />

Dated _________<br />

Place _________<br />

Signature with seal of issuing Authority<br />

Full Name …………………………….<br />

Designation …………………………...<br />

Address with Telephone No. with code …………….<br />

Issuing Authority : Tehsildar-cum Executive Magistrate,<br />

Naib Tehsildar-cum Executive Magistrate,<br />

Head of Department in case of Govt. employees<br />

29

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