Central University of Himachal Pradesh
(Established under Central Universities Act 2009)
PO BOX: 21, DHARAMSHALA, DISTRICT KANGRA – 176215, HIMACHAL PRADESH
APPLICATION FORM FOR ISSUE OF MIGRATION CERTIFICATE
(To be filled in by the applicant. Before filling in the form, see instructions)

1. Name of the Applicant (Block Letters)................................................................................
2. Father’s Name (Block Letters)…………….........................................................................
3. Mother’s Name (Block Letters)…………….......................................................................
(Spellings of Name, Father’s Name & Mother’s Name should be same as shown in Registration Card)
4. Registration / Enrolment No.................................................................................................
5. Date of Birth.........................................................................................................................
6. Particulars of last examination:
Registration / Enrolment No
Examination Passed (Programme of Study)
Semester of Passing
Year of Passing
Overall Weighted Percentage Marks Obtained
Grade Obtained
7. Name of the University to which the candidate wants to migrate…………………………………….........
8. Permanent Address ......................................................................................................................................................
...............................................................................................................................................Pin.......................................Email......................................................................................................Mobile.................................................................
I hereby declare that the information provided is correct to the best of my knowledge and I have paid all the fees due to the University. I did not appear in any examination of this University except examination in the above mentioned this University. In the event of any information being found incorrect the Certificate shall be liable to cancellation by the University.
Dated....................................... .........................................
(Signature of the Applicant)
INSTRUCTIONS:
1. All the required particulars should be carefully filled in by the applicant him/her self. This office will not be responsible for any delay in case the form is incomplete.
2. Unversity Migration Certificate Fee of Rs.50.00 is to deposited by through a Demand Draft on the name of Finance Officer, Central University of Himachal Pradesh, Dharamshala, Canara Bank, Dharamshala, District Kangra, (Himachal Pradesh).
3. Migration fee once paid is not refundable.
4. Attach Photostat copy of the certificate of last examination.
______________________________________________________________________________________________
For Office Use
Migration Fee Receipt No............................................Date......................................................
Sr. No. Migration Certificate.......................................Date of Issue.........................................
Date.................................. (Dealing Assistant) (Section Officer)
Controller of Examinations
Received
Rs...............................................
D.D.No.......................................
Date............................................
Bank............................................
Name...........................................
Place of Issue.............................