Application Form for Duplicate Marksheet - DOC

							                                          SVKM`s NMIMS University
                                          School of Distance Learning

                                DUPLICATE MARKSHEET APPLICATION FORM
To,
NMIMS
School of Distance Learning,
JVPD Scheme,
Mumbai - 400 056.
                                                                      Date: _____________

Sir,

Kindly issue me a Marksheet. I furnish below my details for your reference.

Name: (IN CAPITALS)

Surname                                   First Name                           Middle Name

Year of Registration: ________-________

Registration No: ______________

Course: ___________________________________________________________

Marksheet for _______________ month of _____________ year Examination

Please send the Marksheet at ______________________________ Study Centre / the following Address:
(Strike whichever applicable)

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Kindly do the needful at your earliest.

Thank you,

Yours faithfully,



_______________________

(Signature of the Student)

I am enclosing herewith a Demand Draft No.____________________ drawn on _____________
__________________________________________________ dated ___________________ for
Rs._______________ (In words Rupees_____________________________________________
___________________________________________________) as Duplicate Marksheet Fees at the rate of Rs.
100/- (DD in favour of “S.V.K.M.’s NMIMS” payable at Mumbai)