DHANAMANJURI UNIVERSITY, MANIPUR
APPLICATION FORM FOR ORIGINAL CERTIFICATE
Candidate Information
Name of the Candidate to be written in the certificate
Candidate Name is required
Father's Name
Father Name is required
D.M.U. Registration No.
D.M.U. Registration No. is required
Year
Year is required and it should be 4 digit
Home Address
Home Address is required
Police Station
Police Station is required
Post Office
Post Office is required
District
District is required
PIN
PIN is required and it should be 6 digit
Mobile
Mobile is required and it should be 10 digit
Email
Email is required
Certificate Details
Exam
Exam is required
Roll No.
Roll No. is required
Year
Year is required and it should be 4 digit
Division
Division is required
Marksheet No
Marksheet No is required
Subject
Subject is required
* Add subject sepated by comma(,). Ex. Math,Physics,Chemistry
College/Dept
College/Dept is required
Payment Details
Transaction ID
Transaction ID is required
Payment Date
Payment Date is required
Upload Payment Details (Screenshot)
Upload Payment Details (Screenshot) is required
Submit Application
Confirm Submission
Are you sure you want to submit this application?
