VISVESVARAYA TECHNOLOGICAL UNIVERSITY
“Jnana Sangama”, Belagavi- 590018
                                 Application for Duplicate Degree Certificate (DDC) (Convocation) issued by VTU
POINTS TO NOTE
 Pay online only by SBI Payment link http://vtu.ac.in/online-fee-payment and enclose Online Receipt of fees paid                                           DDC
 DDs are not accepted                                                                                                                              (For office use only)
 Fees paid once cannot be refunded.
 Original police FIR regarding the lost of Original Documents.
                                                                                                                                                           By Post
 Original Affidavit on Stamp paper of ₹ 20, mentioning the details of USN, Name,Semester, Month and Year of Examination of the
  Degree Certificate lost and requesting the concerned authority for the issue of Duplicate.
              Name of Student
    (As on Grade/Marks Cards)
        University Seat Number                                                                             Old USN (if applicable) :
        Details of Fees- Choose                     Duplicate Degree Certificate Fees ₹ 2000 + ₹ 200 penalty per each year             ₹ 2000 + (₹ 200 x No. of years since
                                             
  Category “F – Fees to be paid by                  (For Indian National)                                                              completion of degree)
          student”– Examination                                                                                                        $ 400 + ($ 50 x No. of years since
                                                    Duplicate Degree Certificate Fees USD 400 + USD 50 penalty per each
                                                                                                                                      completion of degree)
                                                    year (For Foreign National)
Additional Rs 50 Postage Fee
(within in India) or Rs 2000
                                           Year of completion: ________ Year of application: _________ No. of years since completion: ______
(Outside India)
                                           Fees paid: ₹ ________________               Payment ID: ______________________                        Date: _______________
                                               DEGREE CERTIFICATE PARTICULARS: Applied for Duplicate Degree Certificate
                                                           CBCS Scheme                                                                 Non CBCS Scheme
      Semester        First Attempt              Second Attempt         Third Attempt                  Fourth Attempt                   Slno.          Month            Year
                      Month      Year            Month     Year         Month      Year                Month      Year                    1
                                                                                                                                          2
                                                                                                                                          3
                                                                                                                                          4
                                                                                                                                          5
                                                                                                                                          6
                                                                                                                                          7
                                                                                                                                          8
                                                                                                                                          9
                                                                                                                                         10
CHECKLIST
   Online receipt of fees paid                                                                        Original Police FIR with Affidavit on stamp paper
Name: _____________________________                               Mobile: ____________________________ Date:_______________________
Address: _________________________________________________________________________________________________
            _________________________________ PINCODE: _______________                                                      Signature: ______________________
                                                                     Application by Post
                            Send the filled and signed application form and online receipt of fees paid to the following address:
                                                                    Registrar (Evaluation)
                                                          Visvesvaraya Technological University
                                                             Jnana Sangama, Belagavi- 590018
                                                                                For Office Use Only
Case Worker: _________________                                                                                                    Special Officer: __________________
                                                            To be filled in by applicant in BLOCK Letters
      POSTAL ADDRESS TO WHICH DUPLICATE DEGREE CERTIFICATE IS TO BE SENT (This portion will be cut and pasted on envelope. Check for correctness)
                           Note: Postage fee of Rs. 2000-00 to be added to the fees to be paid, for addresses outside India
Name                                                                                                                               USN:
Address
                           PIN :                                                                          Mobile: