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  Koneru Lakshmaiah Education Foundation(Deemed to be University u/s 3 of UGC Act 1956)

K L University 

Green fields, Vaddeswaram  522 502, Guntur Dist. A.P. India

Website: www.kluniversity.in 

Application for Award of Original Degree

1.

 Name of the Candidate (in

capital letters as per

Provisional Certificate):

2. Parent Name:

3. Date of Birth Sex

DD MM YYYY Male Female

4. Register No.

5. Programme:B.Tech M.Tech M.B.A. M.Sc M.C.A. Any

Other

Programme/Branch:

6. Month & Year Passing

Month Year

7. Address for Communication:

 Name: __________________________________________________________

Door No.: _________________________ Street: _______________________

City/Town/Village: _________________________ PIN: _______________________

Dist: _________________________ State: _______________________

Phone (LL).: _________________________ Mobile: _______________________

Mail ID.: _________________________

8. Candidate’s preference for obtaining the Original Degree:

At Convocation in Person  In Absentia  In Advance 

(Please Tick the appropriate Box )

9. Fee Particulars:

D.D.No.________________ Date: _______________ Amount Rs._____________________

Bank _________________________________ Branch: ______________________________

(P.T.O)

Photo

 

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Enclosures to the Application:

a.  D.D. in favour of the “Controller of Examinations, K L University” payable at

K L University, Vaddeswaram Branch (Name and Register No. may be written on the

 back side of D.D.).

(i)  In Advance: Rs.2000/-

(ii) In Person: Rs.1000/-

(iii)In Absentia: Rs.1500/-

(iv) In Post Absentia: Rs.1500/- + yearly late fee Rs.500/-

 b. Photo copy of Provisional Certificate and grade cards for which the degree is sought.

c. Original Degree of the previous degree (compulsory) (will be returned after verification).

d. Passport size colour photo recently taken.

Please Note:

The filled in Application form with necessary documents is to be submitted to the Controller

of Examinations, K L University, Green fields, Vaddeswaram  –  522 502, Guntur Dist. A.P.

either in person or by Registered Post / Speed Post.

For In Absentia & In Advance candidates, the certificate will be sent by Registered Post/

Speed Post, if requested.

Signature of the Applicant 

(To be filled in office of the Controller of Examinations)

The candidate has fulfilled all the academic requirements for the award of Degree

of: ____________________

The candidate has secured _____________________ Class with CGPA __________________

The Degree Certificate bearing No.__________________________________ is issued

Application Processed by: ______________________

Application Checked by: ______________________

Date: Controller of Examinations

The Certificate is dispatched on ___________________________ by Registered Post.

Office Assistant