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Convocation

Convocation Form

pass out year

program mode

program name

enrollment no.

admission year

admission session (eg: july 2015)

year of passing

Personal Details

student name

father name

mother name

date of birth

gender Male Female Other

Permanent Address

address line 1

address line 2

city

state

country

pin code

Address for Correspondence (Degree will be mailed to this Address)

Correspondence Address same as Permanent

address line 1

address line 2

city

state

country

pin code

Professional Details

name of company

designation

duration

company address

salary drawn

Degree Collection Method

Deliver to correspondence address (Fee: ₹5500 + Payment Gateway Charges) Collect from University (Fee: ₹5000 + Payment Gateway Charges)

Declaration

I hereby certify and declare that the information given in the Application is complete and accurate to the best of my knowledge. I understand and agree that misrepresentation or omission of facts will justify the rejection of my convocation form. I have selected the preferred collection method for the degree, and agree to the fees applicable.

NIMS UNIVERSITY RAJASTHAN, JAIPUR

CONVOCATION FORM

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