GITAM UNIVERSITY DIRECTORATE OF EVALUATION

Application Form for obtaining original Diploma/Degree

(Separate Application is to be submitted for each certificate) In-Person
(Tick the appropriate box (s))

By Post

1. Name of the Candidate*

(In Capital Letters)

2. Parents

Fathers Name in full

Mothers Name in full

3. Postal Address with PIN code 4. Phone No. 5. e-mail ID

PARTICULARS DEGREE/DIPLOMA

Mobile No:

Land Line (with STD Code):

6. Degree Particulars 7. Study Centre 8. ID No & Year of Passing

Degree

Period of study

ID. No.

Month & Year of passing

9. Fee Paid : Fee can be paid through DD in favour of CDL, GITAM University payable at Visakhapatnam. D.D.No. : Amount : Place: Date: NO DUES CERTIFICATE Signature of the Candidate Date : In words : Bank :

Certified that the candidate has NO DUES to the Institution.

Office Manager * As entered in SSC, if applicable

Signature of the Director (Stamp of the Institution)

GITAM
UNIVERSITY
(Estd. u/s 3 of the UGC Act, 1956) Visakhapatnam * Hyderabad Accredited by NAAC with A Grade

Centre for Distance Learning

(Approved by Joint Committee of UGC-AICTE-DEC)

Third Floor, Balaji Metro Plaza, Dondaparthi Main Road, Visakhapatnam-530 016.
Phone: 0891-2796499, 2797499, 7799668883 E-mail: cdl@gitam.edu

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Date: 25-02-2013 Graduation Ceremony - Intimation Notice

This is to inform that the Second Graduation Ceremony of the Center for Distance Learning of GITAM University is scheduled to be held on 20-04-2013 at 3.00 pm in Mother Teresa Auditorium, GITAM campus, Rushikonda, Visakhapatnam. Learners of Center for Distance Learning of GITAM University who have qualified for the following Degrees/Diplomas in 2012 are eligible to apply.
S.No 1 2 3 4 5 6 2011-12 Admitted Batch P.G. Diploma in Env. & Sustainable Mgmt. (PGDESM) P.G. Diploma in Common. Skills (PGDCS) Diploma in Communicative English (DCE) Diploma in Computer Applications (DCA) P.G. Diploma in Management (PGDM) (completing first year of MBA) P.G. Diploma in Computer Applications (PGDCA) (completing first year of MCA) 2010-11 Admitted Batch M.A (English) MCA M.A (Economics) M.Sc (Biotechnology) M.Com P.G. Advanced Diploma in Management/ HRM (completing second year of MBA/MBA(HR) P.G. Advanced Diploma in Computer Applications (PGADCA) (completing second year of MCA) B.A B.COm 2009-10 Admitted Batch MBA (General) and MBA (HRM)

Fee: Prescribed fee for receiving Degrees/Diplomas: In person: Rs. 600/In absentia: Rs. 1000/-

Candidates who apply for Degrees/Diplomas after the Graduation Ceremony i.e after 20-04-2013 have to pay Rs: 1500. Candidates are advised to send the filled-in proforma (given overleaf) along with DD for the required amount in favour of CDL, GITAM University payable at Visakhapatnam on or before 30th March 2013 to Director, Centre for Distance Learning, GITAM University, 3rd floor, Balaji Metro Plaza, Dondaparthi Main Road, Visakhapatnam 530 016. Candidates opting to obtain the Diploma/Degree in person have to attend Graduation Ceremony as mentioned above for taking the Diploma/Degree. With Best Wishes

(T. Srinivas)