VISVESVARAYA TECHNOLOGICAL UNIVERSITY
“Jnana Sangama”, Belagavi- 590018
Application for issue of Provisional Degree Certificate for UG Courses (PDC/UG)
For Students of Non-Autonomous colleges only
POINTS TO NOTE
Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid PDC/UG
DDs are not accepted
Fees paid once cannot be refunded. Please check you are eligible to apply for PDC before submitting application.
PDC is valid only until the next convocation. Do not apply for PDC if you have received your Degree Certificate
PDC is issued only once. If you lose it, you can only obtain a duplicate copy. By Post Only
Do not attach copies of marks cards or any other document.
As per notification dated 5th May 2020, Scan the application and online payment receipt and other
documents(if any) to examdocs@vtu.ac.in
Name of Student
(As on Grade/Marks Cards)
AKASH NARAYAN BISHT
University Seat Number 1DB17CS400 Old USN (if applicable):
Details of Fees Fee paid: ₹ 400-00
Choose Category “F – Fees to be DUD7290625
Payment ID: ____________________________ 24-10-2020
Date: _________________
paid by student” – Examination
Non CBCS First attempt total marks of last four semesters (excluding CIP and CIV) 6.1
CBCS CGPA: _____________
Non CBCS CBCS Non CBCS and CBCS
th th th th th th
Course 5 Sem 6 Sem 7 Sem 8 Sem 9 Sem 10 Sem Total CGPA Class
B.E./ B.Tech./B.Arch. 6.1 FIRST CLASS
CHECKLIST
I declare that I have not studied in an Autonomous college
Online receipt of fees paid
UNDERTAKING
AKASH NARAYAN BISHT
I Mr/Ms _____________________________________________ do hereby undertake, that I have not applied/will not apply
for Revaluation and/or Photocopy of my answer scripts of any subjects of the current exam.
Signature: _____________
Name & Address:AKASH BISHT, BLGNO 11/107,CSR MHADHA COMPLEX, NEAR
________________________________________________________________________________________
EKTA NAGAR BUS STOP, KANDIVALI WEST - 400067,MUMBAI
______________________________________________________________________________________________________
LANDMARK:- ATHARVA COLLEGE
______________________________________________________________________________________________________
04-03-1998
Date of Birth: _________________ akashbisht81@gmail.com
7506769269 Emailid:_____________________________________
Mobile: __________________
Application by Post Application by Hand (In person at VTU Belagavi)
Send the filled and signed application form and online receipt Apply before 12:30 pm. Documents will be issued on the same day after
of fees paid to the following addres: 4:30 pm on all working days.
Registrar (Evaluation) Second and Fourth Saturdays of the month are holidays, other Saturdays
Visvesvaraya Technological University are full working days.
Jnana Sangama
Belagavi- 590018
For Office Use Only
Case Worker: _________________ Special Officer: __________________
To be filled in by applicant
POSTAL ADDRESS TO WHICH PDC IS TO BE SENT (This portion will be cut and pasted on envelope. Check for correctness)
Note: Postage fee of ₹ 1,500-00 to be added to the fees for addresses outside India
Name AKASH NARAYAN BISHT USN: 1DB17CS400
Address BLGNO 11/107,CSR MHADHA COMPLEX, NEAR EKTA
NAGAR BUS STOP, KANDIVALI WEST - 400067,MUMBAI
PIN 400067 Mobile: 7506769269
