Vision Buldana Educational & Welfare Society S Buldana

Vision Buldana Educational & Welfare Society’s Buldana

PANAKAJ LADDHAD INSTITUTE OF TECHNOLOGY & MANAGEMENT STUDIES, BULDANA

(AICTE Approved letter F.No.-06/07/Ms-Engg/2009/04 dated June 05,2009

(Affiliated to Sant Gadge Baba Amravati University, Amravati)

Application For Leaving Certificate

To,

The Principal,

PLITMS, Buldana

Subject: Regarding Leaving Certificate

Respected Sir,

Sir,

I the undersigned Candidate request you to please issue me leaving Certificate

Details regarding the last examination for the Leaving Certificate are furnished below:-

1) Full Name of Candidate (in Marathi) : ------

2) Full name of Candidate (in English Capital letters) : ------

3) Name of the Examination Passed : ------

4) Summer/Winter: ------5) Roll No. of Final Year Exam: ------

6) Enrollment/Registration No. : ------

7) Name of Department : ------

8) Division in which passes ------

(Enclosed attested zerox of marksheet (UG-1to 8th Including EVS, PG-1st to 4)

I request you to please give me leaving certificate.

Thanking you.

Date : ------/------/200

Submit NOC Yes/No.

Name : ------

Address :------

Email.ID------Yours faithfully,

Place ------

Mobile No. ------Signature ------

Dist. ------

PIN CODE ------

Signature by H.o.D :-Principal Signature:

Received date: / /201TC : Prepared By:

Issue TC date: / /201

Application For Withheld Mark Sheet

To,

The Principal,

PLITMS, Buldana

Subject: Regarding Withheld Mark sheet

Respected Sir,

I the undersigned Candidate request you to please issue me Withheld Mark sheet

Details regarding the examination for the Withheld Mark sheetare furnished below:-

1) Full name of Candidate (in English Capital letters) : ------

2) Name of the Examination Passed : ------

3) Summer/Winter: ------5) Roll No. Exam : ------

4) Reason for Withheld –W/A, W/T, W/E/, W/G

4) Name of Department: ------

5) Enrollment No. ------

(Enclosed documents for W/A, previous pass marksheet, W/E.- Discrepancies Documents, )

W/A- (Previous Pass Markshhet)

W/E- Due to Enrollment Discrepancies

W/G- Environmental Studies

I request you to please give me Withheld Mark sheet

Thanking you.Yours faithfully,

Place ------

Date : ------/------/200Signature ------

ACKNOWLEDGEMENT FOR OFFICE

Student Name :-______

Name of Exam for getting withheld Marksheet : B.E. SemesterWinter/Summer: 201 : Roll No.______

Address :------

Email.ID------

Mobile No. ------

Signature by Exam Co-ordinator: Signature by H.o.D:

App. Received date: / /201Signature by clerk submitted to University:

APPLICATION FOR GETTING ORIGINAL DOCUMENTS

To,

The Principal,

PLITMS, Buldana

Subject: Regarding original Documents

Respected Sir,

I the undersigned Candidate request you to please issue me original Documents

Details regarding the admission for the original Documents are furnished below:-

1) Full name of Candidate (in English Capital letters) : ------

2) Admission Year for First Year/Direct Second Year : ------Course Name: ------

3)List of documents submitted at the admission time :

1) ------2)------3)------

4)------5)------6)------

7)------8)------9)------

I request you to please give me original documents

Thanking you.

Date : ------/------/200

Name : ------

Address :------

Email.ID------Yours faithfully,

Place ------

Mobile No. ------Signature ------

Dist. ------

PIN CODE ------

Received date : / /201Checked any dues by Accountant:------(Yes/No)

Document Issue date: / /201Signature:-

Principal Signature:-

Signature by documents issuing Authority:-

APPLICATION FOR DOCUMENTS

Fee Estimate, Bonafide, Appearing, Provisional Certi, Bus Pass letter,

To,

The Principal,

PLITMS, Buldana

Subject: Regarding issuing ______

Respected Sir,

I the undersigned Candidate request you to please issue me______

Details regarding for admission :-

1) Full name of Candidate (in English Capital letters) : ------

2) Admission Year for First Year/Direct Second Year : ------Course Name: ------

3) Date of Birth ______Category ______

4) Purpose for ______

5) Enrollment No. ______

I request you to please give me ______

Thanking you.Yours faithfully,

Date : ------/------/200Signature ------

Name : ------

Address :------Signature Of Class In charge

Email.ID------,

Place ------

Mobile No. ------Signature Head of Dept.

Received date: / /201Checked any dues by Accountant:------(Yes/No)

Document Issue date: / /201Signature:-

Signature by documents issuing Authority:-Principal Signature:-