ASSAM SCIENCE AND TECHNOLOGY UNIVERSITYs
Guwahati – 781013
(A State University of Government of Assam constituted by “Assam Science and Technology University Act, 2009”)
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Application form for CUMULATIVE GRADE CARD
(To be submitted to the Controller of Examinations, ASTU )
1. Name in full (in block letters): ……………………………………………………………………………………………………………
2. Father’s Name (in block letters): ………………………………………………………………………………………………………...
3. Mother’s Name (in block letters): ………………………………………………………………………………………………………..
4. Registration No: …………………………………………………………………………………………………………………………………
5. Last qualifying examination under this University:
Degree Name of Institute/ Course Roll Number Year of
University Passing
6. Address:
Permanent Address: Communication address:
7. Phone number: ………………………………………………………8. Email-Id: ……………………………………………………….
I declare that I have not been debarred from appearing in any examination during the period of my study in
Assam Science and Technology University and all the above given information are true and correct to the best
of my knowledge and belief.
9. Date: …………………………………………….. 10. Signature of student: ………………………………………………
RECOMMENDATION OF THE HEAD OF THE INSTITUTE/COLLEGE
The particulars stated above has been checked, verified and found correct. The Cumulative grade card
may be issued
Date:……………………… Signature of the Head with Seal
Note for applicant:
i. Cumulative grade card is issued only to a registered student of this University.
ii. Photocopy of registration certificate and all semester’s grade cards with self-attestation should be
enclosed.
iii. Cumulative Grade Card will be issued only to the student. In case the student is unable to collect the
Grade Card, it may be issued to the authorized person after submitting the “Letter of Authorization”
(can be downloaded from the ASTU website )
