UNIVERSITY OF GUJRAT
Degree Issuance Form
Please read the instructions overleaf carefully. Fill in all the relevant information, provided in this form and
attach all the required documents. Incomplete forms will be rejected. For office use only
No: ………………………………..……
Please mark (√) your requirement: Date: ………………………..……………
Degree Original Duplicate Revised
1. Examination: __________Annual/Supply ______ Roll No.
(For Semester System) Session: _______ Batch: _______ Department: _______________________
2. Gujrat University Registration No:
Affix Photograph
3. Reason: ________________________________________________________________________ (Passport Size)
From: _______________________________ To: ___________________________________
Attested from Front
4. Name of Candidate: _____________________________________________________________
(IN BLOCK LETTER)
_________________________________________________________________________
5. C.N.I.C No: - -
6. Father’s Name: _____________________________________________________
(IN BLOCK LETTER)
____________________________________________
- -
7. Father’s C.N.I.C. No:
8. Marks Obtained: Division /CGPA:
9. Date of Birth:
10. Name of Institute:
11. Postal Address:
12. Contact No: __________________________
Fee Information:
Amount: ____________ Bank Challan No: ___________ Dated: ____/____/____
Branch: _____________________________________________________________________
I hereby declare that the entire particulars are correct and that in case of any difficulty arising out of inaccuracy therein, I shall be
responsible for the consequences. I have attached attested photocopies of the following documents
1. Pass Result Cards/Transcript (All Parts)
(Annual System) (Semester System)
2. Computerized National Identity Card
3. Affidavit (for duplicate degree / D.M.C)
Signature of the Candidate: …………...………..…..
Attestation:
a. Private Candidates (Any Gazetted Officer)
b. Regular (Only by the College Principal)
c. Semester System candidates (only by the head of department)
Signature and Office Stamp
Name: ……………………………………………………………………
CNIC#
Note: Semester System candidates are required to attach the CLEARANCE CERTIFICATE
from the Head of Department also.
P.T.O