Duplicate Degree Request Form

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Payment is to be made between 9.30 A.M. to 12.30 P.M.. 1. Fee for issuing a duplicate of : (a) Diploma }. (b). Degree. } Rs.600/- (after 10 years Rs.1,000/-).
D.U.P.-

08-2014--Payment is to be made between 9:00 A.M. to 3:00 P.M.

Hkqxrku losjs 9%00 ls nksigj 3%00 cts rd gks ldsxkA 1. Fee for issuing a duplicate of :

nwljh izfr tkjh djus dk 'kqYd bl izdkj gS% (a)

Diploma

(d) fMIyksek (b)

Up to 6 Years Rs. 500/More than 6 years Rs. 1000/-

Degree

([k) mikf/ (c)

Certificate

(x) izek.k&i=k

UNIVERSITY OF DELHI

fnYYkh fo'ofo|ky; FORM OF APPLICATION FOR ISSUE OF A DUPLICATE COPY OF UNIVERSITY DIPLOMA/DEGREE/CERTIFICATE

fo'ofo|ky; ds fMIyksek@mikf/@izek.k&i=k dh nwljh izfr ds fy, izkFkZuk&i=k Note : For Instructions, please see reverse.

Received Rs.............................................

fVIi.kh % fgnk;rksa ds fy, ihNs ns[ksaA

.................................................#- izkIr gq,

To

Receipt No...............................................

The Registrar, University of Delhi Delhi-110007

jlhn uaDated ......................................................

rkjh[k

lsok esa dqylfpo egksn;] fnYYkh fo'ofo|ky; fnYYkh&110007

Cashier [ktkaph University of Delhi

fnYyh fo'ofo|ky;

Sir, I wish to have a duplicate copy of my Diploma/Degree/Certificate for the.................................................................. Examination for the following reasons :

eSa fuEufyf[kr dkj.kksa ls viuh ------------------------------------------------------------------------ ijh{kk ds fMIyksek@mikf/ izek.k&i=k dh nwljh izfr pkgrk gw¡ % The prescribed fee of Rs. 500/1000 is submitted herewith.

500@1000 #- dk 'kqYd tek djk jgk gw¡A The required particulars are given below:

visf{kr fooj.k uhps fn;k tk jgk gS% Name of Candidate (in block letters in English) .....................................................................................................

ijh{kkFkhZ dk uke cM+s v{kjksa esa vaaxzsth esa (in Hindi) (fgUnh esa) ............................................................................................ Father's Name (in block letters) ...........................................................................................................................

firk dk uke (cM+s v{kjksa esa) Enrolment No. ukekadu la[;k ................................................... Examination passed............................Annual/Supplementary

ekl --------------------------20 esa lEiUUk ijh{kk----------------------okf"kZd

held in month of..................20

Subject...........................

vuqiwjd ijh{kk mÙkh.kZ dhA fo"k; --------------------------------------------

Roll No......................................Division..............................

vuqØekad---------------------------------- ifj.kke-----------------------------Js.kh

Name of College, Hall, Institution and other particulars...........................................................................................

dkWyst] gky] laLFkk dk uke vU; fooj.k .......................................................................................................................................................................... Full Permanent Address iwjk LFkkbZ irk......................................................................................................................... .......................................................................................................................................................................... I solemnly declare that the particulars given above are correct to the best of my knowledge.

eSa lR;fu"Bksa ds lkFk ?kks"k.kk djrk gwa fd tgka rd esjh tkjdkjh gS] Åij fn;k x;k fooj.k lgh gSA I certify that the above entries made by the applicant are correct

eSa izekf.kr djrk gwa fd izkFkhZ ds }kjk Åij nh xbZ izfof"B;ka lgh gSA

Yours faithfully,

Hkonh; Signature and the present address of the candidate

Signature of the Principal

fizafliy ds gLrk{kj (with College Stamp)

(dkWyst dh eksgj lfgr)

ijh{kkFkhZ ds gLrk{kj vkSj orZeku irk .............................................................................. ..............................................................................

INSTRUCTIONS TO CANDIDATES FOR ISSUE OF DUPLICATE COPY OF UNIVERSITY DIPLOMA/DEGREE/CERTIFICATE

fo'ofo|ky; ds fMIyksek@mikf/@izek.k&i=k dh nwljh izfr tkjh fd;s tkus ds ckjs esa ijh{kkfFkZ;ksa dks fgnk;rsa% 1.

The form should be filled in legibly \and signed by the candidate.

iQkeZ LOk;a ijh{kkFkhZ }kjk lkiQ v{kjksa esa Hkjk tkuk pkfg, vkSj ml ij mlds gLrk{kj gksus pkfg,A 2.

The form should be submitted through the Head of the College. Hall or Institution through which the candidate appeared at the said examination and the duplicate copy will be sent through the college/institution concerned.

ijh{kkFkhZ mDr ijh{kk esa ftl dkyst] gky vFkok laLFkk dh ekiQZr cSBk gks] iQkeZ Hkh Hkjdj ml dkfyt] gky vFkok laLFkk ds vè;{k dh ekiZQr gh nkf[ky fd;k tkuk pkfg,A nwljh izfr Hkh lacaf/r laLFkk ds ekiZQr gh Hksth tk;sxhA 3.

A duplicate copy of the diploma, degree or certificate will be issued on submission of an affidavit attested by a First Class Magistrate together with attested copy of the F.I.R. lodged with the nearest Police Station to the effect that either the original diploma, degree or certificate has been irrecoverably lost or destroyed or defaced and on payment of the fee prescribed.

vlyh fMIyksek] fMxzh ;k izek.k&i=k [kks x;k gks vkSj mlds feyus dh dksbZ vk'kk u jgh gks ;k u"V vFkok fojfEir gks x;k gks rks fufnZ"V 'kqYd vnk djus ij mDr fMIyksek] fMxzh ;k izek.k&i=k dh nwljh izfr mlh lwjr esa nh tk;sxh tc izFke Js.kh ds eftLVªsV ls lR;kfir djkds ,oa 'kiFki=k vkSj mlds lkFk lcls fudV ds Fkkus esa ntZ djkbZ xbZ izFke lwpuk&fjiksVZ dh lk{;kafdr izfr nkf[ky dj nh xbZ gksA If FIR available on the website of the state then self attested copy of the print-out of FIR otherwise copy of the FIR attested by concerned SHO.

;fn izkFkfed lwpuk fjiksVZ (,iQ-vkbZ-vkj-) jkT; dh osclkbV ij miyC/ gks rks mlds fiazaV vkmV dh Lo;a lR;kfir izfr vU;Fkk ntZ dh xbZ izkFkfed lwpuk fjiksVZ (,iQ-vkbZ-vkj-) dh ,d izfr tks lacaf/r Fkkukè;{k }kjk lR;kfir gks] mls izLrqr djuk gksxkA 4.

In very special case subsequent copies of the diploma, degree or certificate may be issued for more than four times on submission of an affidavit attested by First Class Magistrate to the effect that the diploma, degree or certificate issued previously by the University has been lost or destroyed and on payment of same fee as are prescribed for the issue of duplicate copy.

cgqr gh fo'ks"k fLFkfr;ksa esa fMIyksek] mikf/ vFkok izek.k&i=k dh vksj izfr;ka Hkh tkjh dh tk ldrh gS & ysfdu pkj ckj ls vf/d ugha rFkkfi fdlh izFke Js.kh ds eftLVªsV ls lR;kfir djkds ;g gyiQukek nkf[ky fd;k tk;s fd fo'ofo|ky; us igys tks fMIyksek] mikf/ ;k izek.k&i=k tkjh fd;k Fkk ysfdu og [kks x;k gS vFkok u"V gks x;k gS rFkk blds lkFk gh mruk 'kqYd tek dj fn;k tk, ftruk nwljh izfr ds fy, fufnZ"V gSA FORM FOR AFFIDAVIT TO BE EXECUTED ON A NON-JUDICIAL STAMP PAPER OF RS. 10/- BEFORE FIRST CLASS MAGISTRATE I _____________________________________ Son/Daughter of Shri ____________________________ R/o _________________________________________ do hereby solemnly affirm and declare that original diploma/degree/certificate dated _______________________ issued to me by Registrar, University of Delhi, Delhi-110007 on my having passed the ________________________ Examination in _____________________ under university roll no. ____________________ Enrolment No. __________________ has been lost destroyed. I have filed an FIR with ___________________________ police station __________________________ and attested copy of the same is appended hereto. I also undertake that if my original Diploma/Degree/Certificate, which has been lost, if put to any unfair use by a person who may lay hands on it, I shall stand for the damages which may accrue from such use. Deponent Signature _____________________ Address ______________________ ____________________________ VERIFICATION : Verified at Delhi this ____________________ day of _________________________ 20 the affidavit are true and correct to the best of my knowledge and belief.

that the contents of Deponent

SWORN BEFORE ME Signature ___________________________ Designation _________________________ Official seal _________________________