The Registrar,
_____________ (University Name),
_____________ (University Address)

Date: __/__/____ (Date)

Subject: Application for medium of instruction certificate

I would like to state that my name is ____________ (Name) and I am a pass out student of your reputed University i.e. _____________ (University Name) having ________ (College/University) Roll number ____________ and my student ID was ______________ (Student ID). The course taught to me was in English.

I would like to state that I want to participate in ______________ (Further Education/ Event- Program Name/International study) for which I will be requiring an MOI certificate. I request you to kindly issue medium of instruction in my name with the details mentioned below:

Candidate’s name: __________
University Roll Number:
Name of degree obtained: _________
Course Start and End Date: ____________
Course Duration: _________
The date on which degree was Awarded: _________
Contact details: __________

Kindly, help me by issuing the required document at the earliest I shall be highly obliged for the same.

Thanking You,

Yours Truly/ Thankfully,
_____________ (Name),
_____________ (Contact Details)

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