EXAMINATION FORM CUM ADMIT CARD FOR EXAMINATION: May/Jun-2017
For Reappear Only
Fees:
(Fill in Duplicate)
For UG/PG Rs. 1,000/- per Subject (Maximum limit Rs 1500/-)
For M.Phill Rs. 1,000/- per Subject (Maximum limit Rs 2000/-)
Without late Fee
With late Fee of Rs. 500/05-06-2017
07-06-2017
Department
Semester
University Roll No.
1st
Photograph
(As already issued)
Name (Capital Letters only)
Date of Birth
Father Name
Mother Name
Mobile Number
E-mail
S.No.
Subject Code
Subjects in which appearing
Subject Title
Theory/Practical
I have understood all the regulations and its amendments in regard to examinations. I found myself Eligible to
appear in Examination. In case University declare me ineligible due to any wrong information submitted in
examination form by me, I shall be responsible for the consequences at any stage.
Signature of Candidate_______________
Date_____________
Certified that the candidate has completed the prescribed course of study and fulfilled all the conditions laid down
in the Regulations for the examination and is eligible to appear in the examination as a regular student of Khalsa
University. It is also certified that the student has paid the due Examination Fee. The candidate bears a good moral
character and particulars filled by him/her are correct.
Signature of Principal ___________________
Signature of H.O.D _____________________
For Office Use Only
______________________/____________________
Signature of Dealing Clerk/ Assistant to Controller
___________________
Signature of COE