DIRECTORATE OF DISTANCE EDUCATION
Alagappa University, Karaikudi
Application for certificates
Enrol.No. :
Name of the Candidate (In English):
Name of the Candidate (In Tamil) :
Father's Name :
Course :
Date of Birth :
Mobile No. :
E-Mail Id :
Present Address with pincode: :
DD details:
DD Amount-Rs.: Date: DD No.:
Bank Name:
Place of the Bank:
Signature of the Candidate with date
Note:
1.Please check and apply for the required certificates mentioned overleaf.
2.Demand drafts should be drawn in favour of "The Director, DDE, Alagappa University, Karaikudi"
Received :
Signature with date
1
Please tick the required certificate(s)
S.No. Name of the Certificates Requirements
1 Provisional/Degree certificate (Photocopy)
1 Migration Certificate
2 Demand draft for Rs.400
Course Completion 1 Student ID Proof
2
Certificate 2 Demand draft for Rs.400
1 Passport Size Photo-1
3 Duplicate ID card
2 Demand Draft for Rs.200
1 Student ID Proof
4 Transfer Certificate 2 Previous Original Transfer certificate
3 Demand draft for Rs.100
1 Provisional/Degree certificate (Photocopy)
2 Cumulative Mark Statement (Photocopy)
5 PSTM Certificate
3 PSTM format (General/TNPSC/TRB/Police format)
4 Demand draft for Rs.500
Medium of Instruction 1 Photocopy of ID card
6
Certificate (MOI) 2 Demand draft for Rs.500
1 Student ID Proof
7 Date of Joining Certificate
2 Demand draft for Rs.500
1 Student ID Proof
8 Bonafide Certificate (BC)
2 Demand draft for Rs.500
1 Student ID Proof
Genuineness of Migration
9 2 Migration Certificate (Photocopy)
Certificate
3 Demand draft for Rs.500
1 Student ID Proof
Genuineness of Course
10 2 Course Completion Certificate (Photocopy)
Completion Certificate
3 Demand draft for Rs.500
1 Student ID Proof
Duplicate Transfer Lost Document Report (LDR) from Police Department (Refer
11 2
Certificate www.tnpolice.gov.in)
3 Demand draft for Rs.250
1 Student ID Proof
Genuineness of Transfer
12 2 Photocopy of Transfer Certificate
Certificate
3 Demand draft for Rs.500
