Consent
Form for Attending / Not attending the First
Convocation
CONVOCATION
DATE: MARCH 26, 2015
1. Roll No. __________ Department:__________________________
2. Programme of study: UG: B.Arch.
/ B. Plan.
PG: M.Arch./M. Plan.
3. Academic
Programme completed on date: _____________ 4. NO-DUES Cleared: YES/ NO
5. Name of the Student (in English)
_______________________________________________________
(*as per last
qualified exam certificate submitted in DOAA office)
6. Name of the Student (in Hindi)** _______________________________________________________
7.
Current Postal
Address: _______________________________________________________________
__________________________________________________________________________________
Pin Code: ___________ e-mail id:
________________________________ Mobile No. ____________
8. Tick one of the following boxes
applicable to you:
YES, I shall attend
the Convocation and receive the Degree in person.
Convocation Fee: ` 1500/- (for degree being conferred in person)
(if
you are opting to attend the First Convocation in person, you will have to
compulsorily attend the Convocation rehearsal scheduled on March 25, 2015).
NO,
I shall not be able to attend the Convocation.
Convocation Fee: ` 1500/- (for degree conferred in absentia)
Convocation fee can
be paid online or offline.
Online option: Transfer amount in
Institute bank account through Internet Banking (submit e-receipt) or deposit cash
in Institute Bank account through any bank (submit receipt in original).
Relevant bank details are as follows:
Bank
Name: Canara
Bank; Branch: Bhauri; Branch code: 4725; Beneficiary Name: The
Registrar, SPA Bhopal
Bank A/c No.:
4725201000004; MICR code: 462015021; IFSC code: CNRB0004725
Offline option: Submit Bank draft
drawn in favor of “The Registrar, SPA Bhopal” payable at Bhopal or deposit cash
in the Institute cash branch and submit receipt in original.
Transaction No./Receipt No./Draft No. _________________ dated ____________
Amount: ____________ Bank _____________________
Date:
____/____/2015 Signature of the Student
………………………………………………………………………………………………………………………....................
* if there is any variation in the name, you must write
separately (through SPEED POST) duly supported by a copy of the last Degree/
Certificate.
** The Degree will
be awarded in bilingual form, both in Hindi & English. The change of name
in Hindi should not be made unless you are sure of its correction.
…………………………………………………………………………………………………………………………………....
If you are unable to submit this form in
DOAA office in person, you may post it (along with Bank Draft and other
enclosures, if any) through SPEED POST/ COURIER at the following address so as to
reach us latest by March 16th, 2015.
The Dean (Academic Affairs)
School of Planning and Architecture
Neelbad
Road, Bhauri
Bhopal – 462030
……………………………………………………………………………………………………………………………………………………
PS: Please ensure
that you have cleared all the Institute dues and deposited the NO-DUES
certificate in Academic Section.
For any type of query,
please contact Mr. Amit Khare, Assistant Registrar
(Academics) at convocation@spabhopal.ac.in and deanacademics@spabhopal.ac.in or
call at 09755590393.
Academic
School
of Planning and Architecture,
Neelbud Road,
Bhauri,
Bhopal- 462030
Subject: Name of parents or
spouse to be invited for participation in Convocation 2015.
Dear Sir/Madam,
I,
……………………………………………..(Name in block letters), Roll No.
……………… Programme ………………………………………………………….. am eligible to receive my degree in the Annual Convocation
to be held on March 26, 2015.
I would like to invite the following to the Convocation:
1.
Name : ………………………………………………………
Relationship : ………………………………………………………
Address : ………………………………………………………
………………………………………………………
………………………………………………………
2.
Name : ………………………………………………………
Relationship : ………………………………………………………
Address : ………………………………………………………
………………………………………………………
………………………………………………………
(Signature of the Graduand)
Date: ………………………