Backlog Practical Form
Backlog Practical Form
Regional Centre Delhi-1, NCT of Delhi Plot.No.J2/1, Block-B-1, Mohan Cooperative Industrial Estate Mathura Road, New Delhi-110044 Tel: 011-26990082, 26990083 Fax: 011-26990084 Email: [email protected]
Course Name
Semester
Year
a. Failed b. Short of attendance c. Study Centre closed a. Copy of Marksheet with marks highlighted b. Attendance proof Signature : .. (of the student) Address: . .... Phone.. VERIFICATION BY REGIONAL CENTRE Exam Centre Allotted
6. Enclosed Proof
1. Point 5 (a)/(b)/(c) verified and found : Correct / Wrong 2. On the basis of verification : Eligible / Not eligible
Signature of Assistant