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Chaudhary Ranbir Singh University, Jind: Examination Form For Regular Candidates Session

This document contains an examination form for regular candidates of Chaudhary Ranbir Singh University. The form requests information such as the candidate's name, father's name, department/college, registration number, subject codes, medium, fee details, and a declaration signed by the candidate and HOD/principal. Important notes are provided at the bottom regarding incomplete forms and examination fees.

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lalitbhushan gotan
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© © All Rights Reserved
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58 views

Chaudhary Ranbir Singh University, Jind: Examination Form For Regular Candidates Session

This document contains an examination form for regular candidates of Chaudhary Ranbir Singh University. The form requests information such as the candidate's name, father's name, department/college, registration number, subject codes, medium, fee details, and a declaration signed by the candidate and HOD/principal. Important notes are provided at the bottom regarding incomplete forms and examination fees.

Uploaded by

lalitbhushan gotan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Chaudhary Ranbir Singh University, Jind

(Established by the State Legislature Act 28 of 2014)

EXAMINATION FORM FOR REGULAR CANDIDATES SESSION ___________


Paste
TO BE FILLED IN ENGLISH AND IN BLOCK LETTERS ONLY unattested
photo
Deptt./College Roll No. Roll No.
(Do not staple)
Department/College ..............................................................................................................

Regn. No.

1. Name of the Examination Part/Semester

2. Appearing in Category (F) Full, (R) Reappear, Signature of the Candidate


(A) Additional Subject/ (E) English/ (I) Improvement

3. Name of Candidate (English)

Name of Candidate (Hindi)

4. Father's Name (English)

Father's Name (Hindi)

5. Mother's Name (English)

Mother's Name (Hindi)

6. Date of Birth
(As per matriculation)

7. Address
Name/Father's Name
(May not be mentioned here)

Pin Code Phone No.

District State

Urban (U) / Rural (R)

Sex SC/ST/BC/PH/Blind

Subject Code

Medium Previous Roll No.

Year/Month of Last Exam. Result

8. Fee Remitted :Rs. …………………….. Dated:………………………………………………………….


Name of Bank:………………………...... PNB Branch Distinctive No.:……………………………………
Draft No/OBCs Scroll No. .: ………………………

Signature of the Candidate


9. The details of last qualifying examination in which appeared/passed.
Name of Name of the Year/Session Roll No. Subjects Overall Result
Exam. Board/Univ.

10. Are you appearing in any other examination from this university or any other university simultaneously? Yes/No
11. If answer to Item No. 10 is Yes write Particulars of all such Exam. below.

Name of Class Board/Univ. Subject in which Full subjects/


to appear Reappear/Improvement/Additional

12. Have you ever been disqualified in any Exam, or any UMC registered against you, if yes give details.
i) Exam./Class.................................................ii) Session...................................iii) Roll No......................
iv) Punishment awarded................................................................................................... .........................

DECLARATION
I have carefully read all the relevant rules/instructions etc. of the University for this examination and I
undertake to abide by the same in all respects. I solemnly declare that the particulars filled in by me are
correct and nothing has been concealed. In case of any discrepancy found t herein, I shall be responsible
for the consequences.

Dated:

Place: Signature of the Candidate

ATTESTATION
Certified that the candidate has completed the prescribed course of lectures (theory and practical) as
well as other requirements as laid down in the rules for the abo ve mentioned class under Deptt./College
Roll No.______________ as a regular students and is eligible to appear in the examination.
He / She bears a good moral character and has signed this form in my presence.

Paste
Attested Photo
Dated: Signature of the H.O.D/Principal
(Do not staple)
(with office seal)

Checked by University Officials Clerk......................... Assistant.........................

IMPORTANT NOTE:
1. INCOMPLETE ADMISSION FORM WILL NOT BE ENTERTAINED
2. EXAMINATION FEE – AS NOTIFED BY THE UNIVERSITY

To be filled by the candidate

1. Address or Correspondence 1. Address or Correspondence

Exam..................................Roll No............................... Exam...........................Roll No...............................


Name............................................................................. Name.....................................................................
Address......................................................................... Address................................................................
................................................................................. .............................................................................
Pin Code.................................................................... Pin Code...............................................................

Phone No.................................. Phone No.....................................

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