Reassessment blank Form

Gujarat Technological University
Re-assessment Form for University Exam (Ph.D.)
Enrollment No:______________________ Seat No:____________
Name of Student:_________________________________________
To,
Controller of Examination
Gujarat Technological University
Respected Sir,
I would like to apply for reassessment in the following theory portion of
the subjects as mentioned below:
Sr.
Present Grade
Subject code
Subject Name
No
1
2
3
4
I here by confirm that all the details provided above are correct & agree that
the result declared after re-assessment will be considered as my final result for
the above examination.
Signature of Student
For Office Use Only
To be filled in by Ph.D. Section
The student has paid sum of Rs________as re-assessment fees (Rs.250/-for
one Subject and Rs.500/- for every additional subject) for ____subjects
Signature of Section Incharge