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CENTRAL UNIVERSITY OF KASHMIR

Transit Campus: Sonwar, Srinagar – 190 004 RE-EVALUATION FORM

( Session : 20__ Semester : ___ Batch : ___ )

This form shall be filled by the candidate in block letters and in blue or black ink only for seeking Admission in Second PERSONAL INFORMATION

Programme Code Enrolment No.

Name

( Exactly as it appears in Qualifying Examination Certificate ) Address for Correspondence

__________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________

Phone No. __________________________ Mobile No. __________________________ e-mail id __________________________________________

COURSES FOR RE-EVAULATION

S. No. Course Code Course Title

1.

2.

3.

4.

5.

6.

REASONS FOR RE-EVALUATION

1. ………

2. ………

3. ………

D

DEECCLLAARRAATTIIOONN BBYY TTHHEE AAPPPPLLIICCAANNTT

I hereby declare that the result declared after re-evaluation shall be final and binding upon me. I undertake that I shall abide by the rules & regulations of the University.

Place :

Date : ( Signature of the Applicant )

FOR USE IN EXAMINATION SECTION

The Re-evaluation Fee of Rs________________(in words) ________________________________________________ paid vide University Reciept No. ___________ dated __________________.

The above particulars have been verified and found in order. As such, the re-evaluation may kindly be accorded in favour of the applicant.

UDC(Exam)

Assistant Registrar

Paste Recent Passport Size Colored Photograph

Referensi

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