PG / M.Phil./ Ph.D.
DRAVIDIAN UNIVERSITY
Srinivasavanam, Kuppam- 517 425
APPLICATION FOR SECOND CONVOCATION FOR THE AWARD OF M.A./M.Sc./M.C.A./M.Ed./M.Phil./Ph.D. DEGREE
1. Degree to be awarded Affix a recent
Passport Size
Photography
attested by a
Gazetted Officer
with his I her seal

2. Degree to which candidate desires to be admitted to the Convocation
Course: ________________________ Subject: __________________________
Topic: __________________________________________________________________________
(in case of M.Phil./Ph.D. Candidates)
3. Name (in Block letters)
(As in the Lower Degree
Convocation Certificate)
4. Father's/Mother's Name
Address for Communication
(Do not repeat your name)
6. Name of the college where
studied
Land Phone/Cell No: --------------------
7. Particulars of qualifying Examination :
a) B.A. /B .Sc. /B. ComjB.B. M. /B. C.A. /Other
b) Hall Ticket No.
c) Year of Passing
d) Name of the University
8. Particulars of M.A./M.Sc./M.C.A./M.Ed./M.Phil./Ph.D. to which the candidate desires to apply for Convocation.
9. Demand Draft drawn in
favour of the Registrar
D.U., Payable at Kuppam
(Preferably Andhra Bank)
Place:
Date:
Semester Examination Reg. No. Marks Year of Passing
I - Semester
II- Semester
III - Semester
IV - Semester
V- Semester
VI- Semester
Total Marks /
(D. D. on either Andhra Bank, State Bank of India, Indian Bank or Canara Bank)
SIGNATURE OF THE CANDIDATE