Form 12 - Supplementary Exam Form Final
Form 12 - Supplementary Exam Form Final
For
Supplementary Exam Form (PGDM)
To, Batch: PGDM
The Controller of Examinations Academic Session: 2019-2021
G.L. Bajaj Institute of Management & Research Trimester: 2nd
Plot No.-2, Knowledge Park-III,
Greater Noida-201306
Sir,
Kindly allow me to appear in supplementary exam of following subject.
[KINDLY FILL IN BLOCK LETTERS]
1. Name of Student: _PRACHI MITTAL
2. Father’s / Husband’s Name: MR. MK MITTSL
3. Admission No.: PGDM19104
4. Roll No.: GM19120
5. Mobile: 8502966873 Email: [email protected]
Prachi mittal
Student Signature
Supplementary Exam fee is Rs. 500per subject. The student has deposited total of Rs.2500 through Bank UPI
Transaction ID dated for 5 no. of subjects.