Submit the completed form along with the necessary documents to the office of Registrar (Evaluation), Rajiv Gandhi University of Health Sciences, 4th 'T' Block, Jayanagar, Bangalore - 560041. You can submit the form in person or through registered post. Ensure that the challan for the prescribed fee is included. For inquiries, contact Ph: 080-26961930 or Fax: 080-26961931. Always double-check that all required fields are filled, and documents are attached to avoid processing delays. Ensure you keep copies of all submissions for your records.

For 2024 and 2025, there are no specific dates to submit this form. Ensure you meet the university's application deadlines for certificates and corrections.

The purpose of this form is to facilitate various academic services provided by Rajiv Gandhi University of Health Sciences, Karnataka. It includes applications for name correction, consolidated marks card, provisional degree certificate, duplicate marks card, official transcript, and rank certificate. The form ensures that students and graduates can obtain the necessary documents efficiently and accurately. Additionally, the form provides a checklist of required documents and fee details to guide applicants in the submission process. By adhering to the instructions and providing the correct information, applicants can avoid delays and ensure successful processing of their requests. It is essential for candidates to fill out the form accurately and attach all necessary documents to support their application.

• 1. Full Name: Enter the full name of the candidate in block letters as registered for the University examinations.
• 2. Gender: Specify the gender of the candidate by selecting Male or Female.
• 3. Register Number: Provide the register number assigned during the University examinations.
• 4. Course & Year of Passing: Mention the course and the month & year of passing, including Phase - Part I or Part II.
• 5. College: Enter the name of the college from which the candidate appeared for the examination.
• 6. Postal Address: Provide the correct postal address to which the certificate has to be sent, including the pin code.
• 7. Fee Details: Specify whether the prescribed fee has been remitted and furnish the challan details including challan number, amount, date, and bank.
• 8. Documents Submitted: Tick the documents submitted with the application as per the checklist provided.
• 9. Signature: The candidate's signature is required to validate the information provided in the form.
• 10. Principal's Certification: The principal must certify that the information provided by the candidate is correct as per the college records.
• 11. Payment in Favor: Ensure all payments are made in favor of Registrar (Evaluation), RGUHS, Bangalore.

Failure to submit this form may result in the candidate not receiving the requested documents or corrections. It could lead to delays in academic or professional processes.

• No Name Correction: The candidate will not receive the corrected marks card if the name correction application is not submitted.
• No Provisional Certificate: Without submission, the candidate will not receive the provisional degree certificate required for further studies or employment.
• No Duplicate Marks Card: The candidate will not obtain a duplicate marks card if the form is not properly filled and submitted.
• No Official Transcript: The absence of the application will result in not receiving the official transcript needed for various applications.
• No Rank Certificate: The candidate will miss out on receiving the rank certificate if the form is not submitted.

• 1. Name Correction: Apply for correction of name in the marks card by using this form.
• 2. Consolidated Marks Card: Request for a consolidated marks card by filling out this form.
• 3. Provisional Degree Certificate: Use this form to obtain a provisional degree certificate.
• 4. Duplicate Marks Card: Apply for a duplicate marks card in case of loss or damage of the original.
• 5. Official Transcript: Request for an official transcript of the marks card/degree certificate using this form.