Required Documents

FOR UG & PG STUDENTS OF Use this Application Form to request VTU to
NON AUTONOMOUS PROGRAMS send your documents directly to WES by secure electronic transfer
VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“Jnana Sangama”, Belagavi- 590018
APPLICATION BY EMAIL TO REQUEST VTU TO SEND DOCUMENTS DIRECTLY TO WES
Common application format for sending application by email as per Notification VTU/BGM/Reg(E)/PS/2019-2020/01 dated 05-05-2020
SUBMIT SEPARATE APPLICATION FORM AND PAYMENT ID FOR EACH DIFFERENT DESTINATION ADDRESS
APPLICANT CONTACT INFORMATION (Fill electronically or write in a legible handwriting, ALL CAPS where possible) Date: __ __ – __ __ – __ __ __ __
Name: _____________________________________________ Address: _____________________________________________________________________
Email: _____________________________________________ ____________________________________________________________________________
Mobile: ____________________________________________ _____________________________________________ Signature: ____________________
Name as on Grade/Marks Card: _________________________________________________ USN: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Status of College when enrolled:  CBCS/ Non CBCS Old USN (if applcable): ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Document Fee
Transcript to be sent To WES  ₹ 500 for 1 Transcript

(Note: Attach the WES Academic Records Request Form and  ₹ 300 (1 to 9 DC/PDC + Marks/Grade cards).......... Optional. Attach copy
documents to be attested)  ₹ 600 (10 to 18 documents)................................... Optional. Attach copy
 ₹ 900 (19 to 24 documents)................................... Optional. Attach copy
Medium of Instruction  ₹ 250 ...................................................................... Optional
FEE DETAILS Documents Fee: ₹ _________________

 ₹ 1,500 Processing fee Processing Fee: ₹ 1500-00
Grand Total: ₹ _________________
Fee Payment ID: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Pay fee by SBI Collect on https://vtu.ac.in/en/online-fee-payment. Choose “Category F – Fees to be paid by student Examination”
FOR OFFICE USE ONLY
Case Workers: 1) _____________ 2) _____________ 3) _____________ Special Officer: __________________ Registrar (Eval): ____________________
TO BE FILLED IN BY APPLICANT
WES Reference Number: ____ ____ ____ ____ ____ ____ ____
USN:______________________________
Academic Records Request Form
A. For Applicants: This form is provided to facilitate the release of your academic records by your academic institution.
You are responsible for contacting your academic institution directly.
1) Complete the top part of this form. You must include your WES reference number.
2) Submit this form to the registrar/controller of examinations or other authorized official where you obtained your credential(s).
3) Print additional copies of this form as necessary.
WES Reference No. (required)

5090635
Last/Family Name First/Given Name
TRIPATHI AAYUSH
Previous Name (if applicable) Date of Birth (dd/mm/yyyy) E-mail
16/11/1994 a.tripathi94@rediffmail.com
Institution Name Country Dates Attended
08/2013 07/2017
MVJ COLLEGE OF ENGINEERING INDIA From_____________________ To ____________________
(mm/yyyy) (mm/yyyy)
Degree Name (if applicable) Year of Award (if applicable) Major
Bachelor of Engineering 2017 COMPUTER SCIENCE & ENGINEERING

Student ID or Roll Number at sending institution (if applicable)
IMJ13CS002
I hereby authorize the release of my academic records to World Education Services.
Applicant’s signature: _____________________________________________________ Date: _____________________
B. For Authorized Officials: The person named above requests that their academic records be released to World Education Services. His or
her records/statement of marks should show all subjects completed and all grades/marks awarded for all years of study.
1) Please complete this form.

2) Place this form and academic record(s) in an envelope.
3) Sign and seal the envelope across the back flap.
Institution Name:
Degree obtained: (if applicable) Date awarded: (month/yr)
Name of Official Completing Form: (please print or type) Title:
Telephone: Email:
Authorized signature and seal: _________________________________________________ Date: ________________________
Yes. The applicant’s academic records are attached to this form.
Please send this form and academic records directly to WES at the address below:
WES Reference No.____________________

World Education Services
Attention: Documentation Center
102-2820 14th Avenue
Markham, ON L3R 0S9
Canada
12/2020
Document Submission Checklist
Please use this checklist as a guide to ensure that the documents meet WES requirements.
Documents not received as specified will delay your credential evaluation.
Remember to:
• Carefully follow the document requirements for your country of education.
• Use the Academic Records Request Form (optional).
BEFORE Sending Your Documents:
ake sure that your transcripts are complete. Transcripts must show: all subjects taken, grades
M
received for each subject, and for each year you were in the program.
ake sure that academic records include the correct spelling of your name. The WES evaluation
M
will indicate the name and date of birth shown on your academic records.
Make sure that all documents that are sent to WES are clear and legible.
WHEN Sending Your Documents:
Make sure that your WES reference number is indicated on all envelopes.
ake sure that your transcripts are placed in an envelope that is signed and sealed across the
M
back flap by the institution preparing the documents.
end only academic records issued by recognized academic institutions. WES does not
S
evaluate occupational or trade qualifications.
Please Do NOT Send:
• Personal photocopies of transcripts.

• Original documents, unless specifically requested by WES.
• Documentation regarding non-formal training or work experience.
wes.org/ca
12/2020
6/10/2021 https://www.onlinesbi.com/sbicollect/paymenthistory/paymenthistoryredirecturl.htm
VISVESVARAYA TECHNOLOGICAL UNIVERSITY

JNANA SANGAMA
, , BELAGAVI-590018
Date:
10-Jun-2021
e-Receipt for State Bank Collect Payment
SBCollect Reference Number DUE9487888

Category F-FEES TO BE PAID BY STUDENT-EXAMINATION
CANDIDATE NAME AS REGISTERED Aayush Tripathi
USN NO 1MJ13CS002
GENDER MALE
BRANCH /COURSE COMPUTER SCIENCE AND ENGINEERING
POSTAL ADDRESS Hyderabad House The Doon School Mall Road Dehradun 248006
CONTACT NO 9902129220
EMAIL ID aayushtripathi6@gmail.com
ISSUE OF DEGREE CERTIFICATE 300
ISSUE OF OFFICIAL TRANSCRIPT 500
OTHERS 1500
Transaction charge 0.00
Total Amount (In Figures) 2,300.00
Total Amount (In Words) Rupees Two Thousand Three Hundred Only
Remarks
Notification 1 FEE ONCE PAID WILL NOT BE REFUNDED UNDER ANY
CIRCUMSTANCES - KINDLY VERIFY THE DATA ENTERED BEFORE FINAL
SUBMISSION
Notification 2 SUBMIT THE NECESSARY DOCUMENTS ALONG WITH FEE RECEIPT
FOR FURTHER PROCESSING

https://www.onlinesbi.com/sbicollect/paymenthistory/paymenthistoryredirecturl.htm 1/1

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FOR UG & PG STUDENTS OF Use this Application Form to request VTU to

VISVESVARAYA TECHNOLOGICAL UNIVERSITY

Name: _____________________________________________ Address: _____________________________________________________________________

Email: _____________________________________________ ____________________________________________________________________________

Mobile: ____________________________________________ _____________________________________________ Signature: ____________________

Transcript to be sent To WES  ₹ 500 for 1 Transcript

Medium of Instruction  ₹ 250 ...................................................................... Optional

FEE DETAILS Documents Fee: ₹ _________________

FOR OFFICE USE ONLY

WES Reference No. (required)

Bachelor of Engineering 2017 COMPUTER SCIENCE & ENGINEERING

Applicant’s signature: _____________________________________________________ Date: _____________________

1) Please complete this form.

Degree obtained: (if applicable) Date awarded: (month/yr)

Name of Official Completing Form: (please print or type) Title:

Authorized signature and seal: _________________________________________________ Date: ________________________

Yes. The applicant’s academic records are attached to this form.

WES Reference No.____________________

BEFORE Sending Your Documents:

WHEN Sending Your Documents:

Please Do NOT Send:

• Personal photocopies of transcripts.

VISVESVARAYA TECHNOLOGICAL UNIVERSITY

e-Receipt for State Bank Collect Payment

SBCollect Reference Number DUE9487888

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Name: _ Address: _________________________

Email: _ ________________________________

Mobile: ____________________ _ Signature:

Applicant’s signature: _________________________________ Date: _

Authorized signature and seal: _________________________ Date: