Rechecking blank Form

Gujarat Technological University
Rechecking form for University exam (Ph.D.)
Course & SEM: ______________________Exam held in __________________________________
Institute Code & Name_____________________________________________________________
Enrollment No: ________________________ Seat No: ____________________________________
Name of Student: __________________________________________________________________
TO,
Controller of Examination
Gujarat Technological University
Respected Sir,
I would like to apply for rechecking in the following external theory portion of the
subjects as mentioned below:
Sr No
1
Subject code for Re-checking
Present Grade
2
3
4
5
6
I hereby confirm that all the details provided above are correct & agree that the result declared after rechecking 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-checking fees (Rs. 100/- for per subject) for
______subjects
Signature Of Ph.D. Section Incharge
____________________________________________________________________________________