Application for Transcript / Bonafide cum

Migration Certificate

1. Name : For Office Use Only

Address: Eligibility Verified (Yes/ NO)

Pin Code: Signature

*Ph.(R) *Mobile: *Email ID:
2. Roll No: 3. Course Code:
4. No of Transcript copies requested 5. Bonafide cum Migration Certificate (Yes / No)

5. Briefly indicate the reason for obtaining the above certificate:

6. Academic Details (Enclose Xerox copy of the Marks Card of semesters):

Semester Month & year of passing Semester Total Semester Grade Remarks

7. Details of fees paid (Refer to the Instructions)

DD NO DD Date DD Amount(₹)

Bank Name:
Demand Draft (DD) in favour of Sikkim Manipal University, payable at Gangtok

Certified that information given above is correct.

Processing time: 15 days from the date of receipt of application.
Place:
Date: Signature of the candidate
8. Applicant’s address to which the certificate to be sent
8. Checklist (put tick mark in appropriate box) Name:
Address:
1) Xerox copies of all Marks Cards

2) Demand Draft

* Information is mandatory Pin Code:

 IMPORTANT INSTRUCTIONS

Read the following instructions carefully before filling up the application form.
(1) S.No.1: Please write Name and Address, Phone Numbers and Email ID details.
(2) S.No.2: Write your Reg/Roll Number.
(3) S.No.3: Write the Course Code of the course you have completed.
(4) S.No.4: Write the number of additional copies of transcript required.
(5) S.No.5: Briefly indicate the purpose for which you require Transcript (compulsory).
(6) S.No.6: Please fill in the academic details in the table.
(7) S.No.7: Fill in the DD details. DD must be drawn in favour of Sikkim Manipal
University, payable at Gangtok
(8) S.No.8: Checklist: Put the ‘tick’ mark in boxes as per enclosures list.
(9) S.No.9: Write the complete Address to which transcript to be dispatched.
(10) Enclose the following documents along with the application form:

a) Duly attested by the Gazetted Officer or Notary Public

- Xerox copy of the Marks card of all Semesters of program as mentioned at S.No.8 in the
application form.
b) Demand Draft.

(11) Fee Particulars

Category Fee to be paid in ₹
1. Transcript 200 for first copy
2. Additional copies 100 per copy for Transcript only
3. Bonafide cum Migration 300 for each copy
4. Postage charges 1250 for Overseas only(Single Postage)

(12) Wire transfer details

Account No 007201019261
Account name Sikkim Manipal University – DE
IFSC Code ICIC0000072
ICICI Bank Manipal, Kasturba Hospital Complex, Main Road, Manipal, Udupi
Address
Pin - 576104, Karnataka

(13) Please send duly filled application form along with enclosures to the following address for Transcript:

Office of Student Evaluation

Sikkim Manipal University
Directorate of Distance Education
5th Mile, Tadong, Gangtok,
Sikkim - 737102, INDIA
Tel: +91 - 3592 / 232041 Extension: 194
Email: smuhelpdesk@smudde.edu.in

(14) Email to smuhelpdesk@smudde.edu.in for the transcript status.