PROFORMA FOR APPLYING DIPLOMA CASE Course: _____ Year Diploma in ____________________________________ Sr. No. or Diploma issued _______________________ Name of the Candidate____________________________________ Father's Name Sh. ____________________________ Regd. No. _____________________ Institution: Govt. Polytechnic for Women, Amritsar. Month and Year finally passed the Exam ____________ Sr. No. Year/ Semester Year & Month of Passing S.B. Roll No. Marks Actual Obtained Marks Carried Forwarded/ Accounted for working out Division Under Exam. Rule 23 %age Marks Obtd. Total Marks ____ % of Ist Year ____ % of IInd Year ____ % of IIIrd Year Total Marks Obtd. 1. Ist 2. IInd 3. IIIrd 4. IVth 5. Vth 6. VIth Signature of the concerned official: Total Marks Obtained _________________ Col. Prepared by: _____________ Division in which the candidate placed: - Col. Checked by: _____________ 1) Ist Division with honours __________ Diploma Marks Checked by: _______________ 2) Ist Division _____________________ 3) IInd Division ____________________
