Phone: 040-23680292 By Person / Post -100/-
Dr. B.R AMBEDKAR OPEN UNIVERSITY
STUDENT SERVICES BRANCH
ROAD NO.46,JUBILEE HILLS,HYDERABAD-500033
APPLICATION FOR OBTAINING TRANSFER CERTIFICATE OF
UG/DIPLOMA/POST GRADUATE COURSES (FREE OF COST)

1. Admission Number : ……………………………………………………………
(According to Identity Card)
2. Name of the Student : …………………………………………………………...
(In Capital Letters)
3. Fathers Name : ……………………………………………………………
4. Date of Birth : ……………………………………………………………
(As recorded at the time of admission)
5. Caste : OC / SC / ST /BC-A, B, C, D, E ( )
6. Nationality of the Study Centre : INDIAN -HINDU / ISLAM / CHRISTIAN ( )
7. Name of the Study Centre : ………………………………………………………………………………………..
8. Course Studied : B.A / B.Com / B.Sc / Diploma / PG………………………………………………
9. Medium of Instruction : TELUGU / HINDI / URDU / ( )
10. Modern Indian Language in I year : Telugu / Hindi / Urdu / Addl.English ( )
11. Optional Subjects of UG /PG/ Dip : 1) ……………………………………………………………………………………..
: 2) ……………………………………………………………………………………..
: 3) ……………………………………………………………………………………..
12. Month & Year of Passing : ………………………………………………………………………………….........
13. Identification marks (as per SSC) : 1) ……………………………………………………………………………………
2) ……………………………………………………………………………………
14 Address for Communication : ………………………………………………………………………………………..
with Telephone No if any
………………………………………………………………………………………..
………………………………………………………………………………………..
15. Particulars of D.D./ Challan drawn in favour of the Registrar, Dr.B.R.Ambedkar Open University, Hyderabad
DD/ Challan No …………………….. dated …………………..Name of the Bank …………………………………………
Branch ………………………………..Amount Rs …………………………………………
I declare that the information given by me is correct and in the event of any information given is found to be
incorrect. I am liable for any punishment as per rules of the university.
Date:
Station: Signature of the Applicant
…………………………………………………………………………………………………………………………………………
FOR OFFICE USE ONLY
The particulars mentioned above by the applicant are verified with original records of the student and the information is found correct. Further, the student has paid prescribed fee due to the University.
Therefore the T.C. may be issued.
T.C. is issued bearing No ……………………………………………… Date ………………………….
Pass port
Size
Photograph
JACT /DEO Superintendent Asst. Registrar Director
The following certificates are to be enclosed along with this application form (Xerox copies of certificates
attested by any Gazetted Officer)
For U.G. COURSES
1) Memo of Marks of Eligibility Test / Intermediate or its equivalent.
(Xerox copy duly attested by any Gazetted Officer).
2) The Provisional / Degree Certificate. (Xerox copy duly attested by any Gazetted Officer).
3) A Demand Draft of Rs 100/- drawn in favour of “Registrar, Dr. BRAOU, Hyderabad.
4) Copy of the Date of Birth Certificate attested by any Gazetted Officer.( As recorded at the time of
Admission)
5) Attested copy of the Caste Certificate issued by Mandal Revenue Officer.
(Copy to be attested by any Gazetted Officer).
6) Copy of the Identity Card & Hall Ticket.
NB : The University reserves the right to cancel T.C. of any student at any stage if it is found that such
Transfer Certificate was issued on basis of the false information furnished by the student.
For P.G. DIPLOMA COURSE
1) T.C. Provisional degree course (in original)
2) The Provisional / Original Certificate
3) A Demand Draft of Rs 100/- drawn in favour of “Registrar, Dr. BRAOU, Hyderabad.
4) Attested copy of the Caste Certificate issued by Mandal Revenue Officer.
(Copy to be attested by any Gazetted Officer).
5) Copy of the Date of Birth Certificate attested by any Gazetted Officer.
(As recorded at the time of Admission)
Note : 1) TCs are issued only to the student in person. Those who cannot come to the University to
collect the TC in person, can obtain by Registered post.
2) SELF ADDERESSED ENVELOPE MAY ALSO BE ENCLOSED.
3) The TC applications may submit in person or send by post to the Director, Student Services,
Dr.B.R. Ambedkar Open University , Jubilee Hills, Hyderabad.