Birla Institute of Technology & Science, Pilani, Dubai Campus

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To Sir, Birla Institute of Technology & Science, Pilani, Dubai Campus The Registrar, BITS Pilani, Dubai Campus APPLICATION FOR KHDA ATTESTATION I would like to get my Original Degree certificate / Final Transcript attested by Knowledge & Human Development Authority (KHDA), Govt. of Dubai, U.A.E. I have enclosed my Passport copy with visa page I have enclosed my Emirates Id copy I have enclosed my Final Transcript copy I have paid the KHDA Attestation fees of AED- 220/- (Fee receipt enclosed) I have filled and signed the KHDA Application for Certification document. (find below) Note: abovementioned documents mandatorily need to be enclosed for KHDA attestation.. My particulars are: For office use Date: Requisition No:.. Payment Verified: Yes / No ID No.: Name: E-mail: Mobile No.: I will collect the document personally Please mail the document to / Hand over to the authorized person I am currently working / studying in And my address is Date: For Office Use Dues Status Accounts, BPDC Visa Status Administration, BPDC Student s Signature Approved / Not approved Registrar, BPDC For Office Use (Details of dispatch) Dispatched by: Dispatched on: Signature: Received by (Name): Signature with date: 1

Procedure: KHDA Attestation 1. Application in the prescribed form shall be submitted to the Registrar s Office with all your details like name, ID No., Address of communication and the number of duplicate transcripts required. 2. The requisite charges shall be paid: (a) By Telex / Bank transfer: Payment can be made directly to the bank account given below through your bank along with collection charges if any. The TT advice / receipt copy received from your bank must bear the Name & ID No. of the student and attach the same with the application. (b) Bank details Account Title BITS PILANI FZ LLC Account No. 026-307181-001 IBAN AE4502 000 000 2630 7181 001 SWIFT Code BBMEAEAD Bank HSBC Bank Middle East Ltd Branch Main Branch, Dubai, UAE By Cash ( to be deposited in person to the Cashier, BITS Pilani, Dubai Campus) Do not send any cash with your application. 3. If attested Degree is required in a sealed envelope, one has to deposit the envelop charges along with the attestation fee. 4. The requests received are processed on 'First Come First Served' basis. No priority treatment is possible or given to a request made in person. Graduated students can send the request by email (enclosing duly filled in prescribed scanned application form) or post or courier. 5. Avoid authorizing another person to apply and/or collect copies of your academic documents. Academic documents are confidential documents and should not go in wrong hands. It is in your own interest to preserve and prevent your academic document from their possible misuse. If for some genuine reason, it is not possible to make a request for attestation by the student himself, an authorization letter for applying and/or collecting the attested degree, duly signed and dated, giving the reason 'why s/he cannot collect the degree in person', should be made and directly sent to The Registrar, BITS Pilani, Dubai Campus, Dubai international Academic City, Dubai, UAE. If authorization letter is sent by fax, original must also be sent by post. 6. The authorization letter should contain the Name, ID.No., Address of the authorized person and your signature should be in original. 7. Attestation requests are normally processed within 30 business days, depending on the queue, after the request is received, verified and found in order. This process may take longer during peaks, which is normally at the beginning and end of each semester and process time depends upon queue of requests. The charges for the following certificates 1 Duplicate Transcripts (Graduated students) AED- 40/- Copy 2 Transcripts / Duplicates (for on roll / continuing students) AED-40/- (1 st Copy Original) AED-20/- for each additional duplicate 3 Duplicate provisional certificate (only issued until the award of final degree) AED-20/- 4 Duplicate Grade sheet AED-10/- 5 Migration Certificate AED-40/- 6 Certificate (Bonafide / Course Completion / CGPA) AED-40/- 7 Printed envelop A4 size AED-2/- per envelope 8 Forwarding Letter (For forwarding the transcripts to the Universities as Nil required by the University through email) If request is to send by the Courier - Full address of the University MUST be supplied for forwarding letter of sealed transcribes. The courier charges (up to 500 grams) are as follows: India/ Kuwait/ Bahrain/ UAE KSA UK USA/ Canada Singapore AED 85/- France AED 150/ Qatar/ Oman AED 50/- AED 20/- AED 80/- AED 75/- AED 95/- Malaysia AED 100/- Germany AED 90/- MAILING ADDRESS Request along with correct payments should be sent to: THE REGISTRAR BITS PILANI, DUBAI CAMPUS POST BOX NO.: 345055 Dubai International Academic City, Dubai, UAE e-mail : office.registrar@dubai.bitspilani.ac.in Phone: +9714 2753 744 Fax : +9714 4200844 2

Application for Certification Details of Academic Institution Name of Academic Institution BIRLA INSTITUTE OF TECHNOLOGY AND SCIENCE (BITS) PILANI, DUBAI CAMPUS Details of Academic President Name as appears on passport Prof. RANENDRA NARAYAN SAHA Phone number 04-4200700 / 04-4200833 Mobile number 055-5080115 Fax number 04-4200844 Email address rnsaha@dubai.bits-pilani.ac.in List of Requirements Phase I- student registration The following documents are required from the Academic Institution in order to submit an application to certify Academic Qualifications Phase I documents should be submitted to the KHDA at least 2 months before the student is awarded the Academic Qualification. In the case of a branch Academic Institution, a letter from the Home Academic Institution or confirmation of the uploaded information verifying all graduating students that are eligible for certification. This confirmation should be signed by the registrar or 1 legal representative of the home Academic Institution. Please note that in the case of a legal representative, further documentation must be submitted to KHDA to verify that he/she has the legal capacity to sign this document. This confirmation should verify the following that the information in the KHDA student database management system is accurate. In the case of a private Academic Institution, a letter from the registrar verifying all graduating students that are eligible for 2 certification. This letter should verify the following: a. Name of the student and their student ID number b. Name of the KHDA approved programme or qualification Submission of student data by the Academic Institution. This information should be submitted for all students that are enrolled in 3 the final year of study of a KHDA approved programme. A unique template will be made available to each Academic Institution. Please contact the RCC for further information. Phase II- KHDA Certification Phase II documents should be submitted at least 1 month before the student is awarded the Academic Qualification. 4 Student documentation submission form verifying all students who have submitted documentation for KHDA certification. Template provided Individual student folders containing the following documents: 5 a. Student documentation submission form- Template provided b. Original degree certificate or Transcript that will be awarded to the student c. Passport copy of the student d. Any other supporting documents 6 Payment of the Certification fee. Please refer to schedule 1 of the Executive Council Resolution Number 21 of 2011 Concerning Higher Education Institutions Based in the Free Zones of the Emirate of Dubai Remarks: KHDA will not certify any documentation unless all required documents For verification purposes, KHDA will not certify any documentation submitted by individual students. KHDA reserves the right to ask for attestation by UAE Embassy or other Embassies, as may be necessary. KHDA reserves the right to call for any extra documents as required. All legal documents must be either in Arabic or English. Documents in any other languages must be accompanied by a certified English or Arabic translation. If applicable, the Academic Institution must successfully obtain all required approvals from other Government bodies, in line with the rules and regulations of Dubai and the United Arab Emirates. Failure to do so will render any KHDA approval null and void. Higher Education Permits Dept 3

Requirement 4- Student documentation submission form Name of Higher Education Institution: For official use only All required Type of Document Student ID Passport Name of the academic documents Checked Any Serial Student Name submitted number number award have been by comments? (Certificate or Letter) submitted. Higher Education Permits Dept. 4

Requirement 5a- Student documentation submission form The following checklist is required to be completed by all HEP s for each individual student who wish to have their Certificates attested Name of Higher Education Provider Student ID number If you are employed, who is your current employer? If you are in further education, please provide details of your studies. BIRLA INSTITUTE OF TECHNOLOGY AND SCIENCE (BITS) PILANI, DUBAI CAMPUS Name of Student Name of Graduating Program What is your current position? Please complete the following information for each document submitted. Document Qty. Original / True Copy Needs Stamping? (Y/N) Where do you need the Stamp? (Front OR Back) Academic Qualification Certified Transcript Replacement Document Letter from HEP Other Document Undertaking By signing below, I hereby authorize the release of documents to KHDA from my institution on my behalf for the purposes of attestation Print name Signature of Student Checklist requirements: The following documentation is required to the submitted to the KHDA to attest student documents and certificates. 1.0 Student Passport Copy 1.1 Original transcripts 2.0 Original Certificate or letter Submitted For official use only Notes: KHDA reserves the right to call for any extra documents as required. KHDA reserves the right to call for original passports for verification purposes. Higher Education Permits Dept 5