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Jatt
THE UNIVERSITY OF AZAD JAMMU & KASHMIR
(Examination Department, Muzaffarabad)

Application Form for Issuance of a Degree/ Certificate
1. Name in Block Letters________________________________________________________________ ____________________________________________________________(in Urdu) National Identity Card No 2. Father's Name _____________________________________________________________________ ____________________________________________________________ (in Urdu) 3. Nature of Degree/Certificate required___________________________________________________ Registration No.___________________Roll No.___________________ Session ___________________ Marks Obtained________Total arks____________Division/Grade_______________________________ 4. Amount of Fee deposited_________________ Challan No_________________Date _____________ 5. Permanent Address (District)_________________________________________________________ ____________________________________________________________________________________ 6. Present Address__________________________________________________________________ ____________________________________________________________________________________ I hereby declare that all the given particulars are correct. ____________________ ____________________ Signature of the Candidate (Urdu) (English) Certify that the above particulars are correct in accordance with record/testimonial/certificate produced before me. The applicant has signed this application form in my presence.

Principal/ Dean (In case of regular/late college candidates) OR Gazetted Officer Class-I (In case of External Candidates)

____________________ (Signature)

____________________ (Office Stamp)

____________________ (Signature)

____________________ (Office Stamp)

FOR OFFICE USE ONLY Amount received Rs._________________
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