05.04.2015 Views

Application form for mark list - Darul Huda Islamic Academy

Application form for mark list - Darul Huda Islamic Academy

Application form for mark list - Darul Huda Islamic Academy

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Form: 07 (E)<br />

For Office Use only<br />

Appli. No:<br />

Rec. Date:<br />

DARUL HUDA ISLAMIC UNIVERSITY<br />

Hidaya Nagar, Chemmad, Tirurangadi PO, Malappuram, 676306, Kerala, India<br />

Ph: 0494-2463155,2464502, Fax: 2460575 Website: www.darulhuda.com, Email: dhiuniversity@gmail.com<br />

<strong>Application</strong> <strong>for</strong> obtaining Original Documents<br />

See the Second Page <strong>for</strong> Instructions<br />

1. Name of the candidate in full (In Capital letters)<br />

as entered in the University Records.<br />

2. DHIU Admission Number: 3. Date of birth (DD/MM/YYYY)<br />

4. Details of Examinations passed<br />

Categary Institution studied Ad No: Exam Reg No Month&Year of passing<br />

Preparatory<br />

Secondary<br />

Sen. Secondary<br />

Degree<br />

P.G.<br />

4. (a) Permanent home address (in capital letters, specify Pincode)<br />

Phone: Resi (with code)<br />

Mobile:<br />

5. Presently working at: (Give Details: - Place, company/instituion, post etc....)<br />

6. Details of fee remitted:- Reciept No: Date: Amount:<br />

7. Details of documents applied <strong>for</strong>:-<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

I here by declare that the entries made above are correct to the best of my knowledge and belief.<br />

Name of the Candidate:<br />

Date:<br />

Signature:


For Office Use Only<br />

Checked & Vefified by: (Name and Signature of the verifying authority with date)<br />

Documents issued: Date: Folio No RegCode/No<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

Controller of Examinations<br />

Documents handed over on:<br />

Instructions <strong>for</strong> Applicant:<br />

.<br />

1. This application <strong><strong>for</strong>m</strong> (Form 07(E)) is <strong>for</strong> obtainig original documens from DHIUniversity, (Mark List,<br />

Provisional, Conduct, Transfer Certificates etc...). and Seperate application is needed <strong>for</strong> obtaining<br />

Original Secondary, Sen. sec, Diploma, Degree, P.G, Sanad Certificate<br />

2. Candidates must fill all the colums completely as per their original records.<br />

3. Filled applications should be submitted to the controller of examinations after verification by concerned<br />

authority.<br />

4. All proceedures will be done during official working hours.<br />

5. Applicants should wait <strong>for</strong> proper processing time / days.<br />

6. Refer notice board or official website of the university <strong>for</strong> more details / timely updates.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!