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8/9/2019 Application Form Migration MUHS
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Photograph
attested by
the Principal
35 X35mm
Maharashtra University of Health Sciences, Nashik
TO BE FILLED BY THE UNIVERSITY OFFICE
No. .
Migration Certificate No. MUHS/ /200 Date : / /200
Application for Migration Certificate
(To be filled in by the Student)
(1) Name in full (beginning with Surname an in !loc"
letter#)
Shri / Smt. : .
Name before marriage : .......
(2) $re## : ..................
(%) &ele'hone No.:Mobile No.:
() *articular# of D.D. of +#. ,00/ No. .................Date : /
/
Name of the !an" - !ranch
:.......................................... ...............
(,) College la#t attene with the Date of eaing......
() nier#it to which the a''licant 'ro'o#e# to migrate......
(3) Name of the College to which #tuent wi#he# to 4oin....
(5) 6acult to which #tuent wi#he# to 4oin.
(7) 89amination of thi# nier#it if an with earat which the
a''licant a''eare but faile ..
(10)Detail# of 89amination 'a##e :
Name of theUniversity
ExaminationMonth &
YearCenter Seat
NoClass Sub!e"t
(11);ther *articular# if nece##ar
(12)< hae carefull gone through the in#truction# gien
#e'aratel an hae com'lete all
the formalitie# mentione therein. < #hall be re#'on#ible for
an error omi##ion eletion
in the entr of thi# a''lication form.
Date: .. Name & signature of the Applicant :
.......
(&o be fille in b $uthoritie# of the College la#t attene b
the a''licant in thi# nier#it)
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8/9/2019 Application Form Migration MUHS
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College
Seal
To
THE #E$%ST##'
Mahara#htra nier#it of =ealth Science#Mha#rul Dinori +oaNa#hi"
> 22 00.
< hae the honour to forwar herewith an a''lication of Shri /
Smt.
.................. for Migration Certificate.
=i#/=er ate of birth a# entere in the College +egi#trar i#
.. =e/She ha# been a #tuent of thi# College #ince
. an left / +eamitte on .
&he &ran#fer Certificate i# i##ue to the a''licant on
.
an the #ame i# enclo#e herewith in original.
This is to certify that the candidate has not submitted any
application
for Migration Certificate prior to this date.
?our# faithfull
*lace: . Signature:
Date : Principal: College
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8/9/2019 Application Form Migration MUHS
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Intr!ction to Migrating Applicant
1. &he rule# an regulation in re#'ect of Migration are
aailable on nier#it
@eb#ite.
2. $''lication form i# aailable on the nier#it @eb#ite an ma be
own
loae if nee be.
%. &he Migration 6ee +#. ,00/ #houl be 'ai through Deman
Draft of
Nationali#e !an" rawn in faour of the +egi#trar Mahara#htra
nier#it
of =ealth Science# Na#hi".
. Ainl write name an are## of the a''licant on the reer#e #ie
of
Deman Draft.
,. *lea#e en#ure the following ocument# are attache along with
the
a''lication form :
i. &ran#fer Certificate / eaing Certificate of the la#t
College attene
(in original).
ii. Mar"#tatement of la#t 89amination (&rue Co').
iii. Deman Draft of +#. ,00/ (in the name of B&he +egi#trar
M=S
Na#hi" B'aable at Na#hi" of an Nationali#e !an".)
i. Dul atte#te 'hotogra'h on migration a''lication from with
#eal
an #ignature of *rinci'al reuire.
