To be filled in by the Candidate
Downloaded forms-Rs.25 extra
Details of Payment:
Cash Counter Chalan/DD/
Friends Kendra Receipt
Amount Rs.
………………………………..
Chalan/DD/Receipt No.
Date of Payment
……………………….
…………………………..
MAHATMA GANDHI UNIVERSITY, KOTTAYAM
APPLICATION FOR ELIGIBILITY/EQUIVALENCY CERTIFICATE
1
Name of the applicant
(In Block Letters)
2
Sex (Male/Female)
3
Purpose for which certificate is
required
Higher Studies
Employment
(Tick whichever is applicable)
4
If Higher Studies, specify the course
to which the applicant is seeking
admission
5
Name of the examination passed by
the candidate and percentage of
marks secured
6
Name of the University/Board which
conducted the examination
7
Whether the examination was taken
as a Regular/Correspondence/
Private candidate
8
Month and year of passing the
examination
9
Duration of the Course
10
Address to which communications
are to be sent
Telephone No.
Mobile No.
E-mail
11
Signature of the applicant
ENCLOSURES TO BE SUBMITTED ALONG WITH THE APPLICATION
1. Chalan Reciept for Rs. 100/-
2. Copies of the following certificates attested by a Gazatted officer
a) Degree / Provisional Certificate
b) Mark Lists
c) T.C/Course Certificate from the institution where the applicant studied
for the course for which eligibility is required