VISVESVARAYA TECHNOLOGICAL UNIVERSITY
“Jnana Sangama”, Belagavi- 590018
Application for issue of Provisional Degree Certificate for UG Courses (PDC/UG)
ONLY FOR STUDENTS PASSED OUT DURING JAN/AUG 2020 EXAMINATION
For Students of Non-Autonomous colleges only
POINTS TO NOTE
Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid PDC/UG
DDs are not accepted
Fees paid once cannot be refunded. Please check you are eligible to apply for PDC before submitting application.
PDC is valid only until the next convocation. Do not apply for PDC if you have received your Degree Certificate
PDC is issued only once. If you lose it, you can only obtain a duplicate copy. By Post Only
Do not attach copies of marks cards or any other document.
As per notification dated 5th May 2020, Scan the application and online payment receipt and other
documents(if any) to
[email protected]Name of Student
(As on Grade/Marks Cards)
University Seat Number Old USN (if applicable):
Details of Fees Fee paid: ₹ 400-00
Choose Category “F – Fees to be Payment ID: ____________________________ Date: _________________
paid by student” – Examination
Non CBCS First attempt total marks of last four semesters (excluding CIP and CIV) CBCS CGPA: _____________
Non CBCS CBCS Non CBCS and CBCS
th th th th th th
Course 5 Sem 6 Sem 7 Sem 8 Sem 9 Sem 10 Sem Total CGPA Class
B.E./ B.Tech./B.Arch.
CHECKLIST
I declare that I have not studied in an Autonomous college
Online receipt of fees paid
UNDERTAKING
I Mr/Ms _____________________________________________ do hereby undertake, that I have not applied/will not apply
for Revaluation and/or Photocopy of my answer scripts of any subjects of the current exam.
Signature: _____________
Name & Address: ________________________________________________________________________________________
______________________________________________________________________________________________________
Date of Birth: _________________ Mobile: __________________ Emailid:_____________________________________
Application by Post Application by Hand (In person at VTU Belagavi)
Send the filled and signed application form and online receipt Applications are not recieved by hand due to Covid-19 Pandemic.
of fees paid to the following addres:
Registrar (Evaluation)
Visvesvaraya Technological University
Jnana Sangama
Belagavi- 590018
For Office Use Only
Case Worker: _________________ Special Officer: __________________
To be filled in by applicant
POSTAL ADDRESS TO WHICH PDC IS TO BE SENT (This portion will be cut and pasted on envelope. Check for correctness)
Note: Postage fee of ₹ 1,500-00 to be added to the fees for addresses outside India
Name USN:
Address
PIN Mobile: