RAJIV GANDHI UNIVERSITY OF SCIENCE AND TECHNOLOGY

Graduation / Degree Request

Title

Last Name

First Name

Middle / Initial

RGUST Student ID No

Social Security / National ID No.

Passport No.

Permanent Phone #

Mobile/Cell No.

Personal E-mail

Current Address

Permanent Address

Attendance at Rajiv Gandhi University of Science and Technology:

Date of acceptance into Rajiv Gandhi University of Science and Technology:

Date of successful completion of Curriculum::

RGUST School Attended:

Program Attended:

Date - Final Exit Examination:

Final Exit Examination Grade:

Profesional Licensure Examinatuions Completed:

USMLE I

Score:

USMLE II

Score:

CAMC

Score:

PLAB

Score:

Other

Score:

Previous Degree / Diploma Information:

Degree / Diploma

School / College / University

Date of Completion

Date - Final Exit Examination:

Convocation Date:

IMPORTANT INFORMATION:
Convocation is to be held only once every year. All Graduation / Degree Request must be received before the indicated deadline for that year. Students who have completed their Curriculum will receive notification of graduation application prior to the date of commencement. All students applying must be in "Good Standing" with the University and must have satisfied all of their curricular, financial and other obligation with their student file complete. Final commencement instruction will be sent to the students a month Prior to the convocation date.

I certify that all the information mentioned above are correct and that I have satisfied all requirements and obligations for the degree of

I hereby agree to the terms & conditions per RGUST policy

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