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PBC-Form-09 (Review)

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12 views1 page

PBC-Form-09 (Review)

Uploaded by

mahadevdhara36
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PANSKURA BANAMALI COLLEGE (AUTONOMOUS)

NAAC Re-accredited
Panskura R.S. ● Purba Medinipur ● W.B. – 721152 ‘A’ grade PG College

Form-09
APPLICATION FOR REVIEW/RE-EXAMINATION OF ANSWER SCRIPTS
Date :
TO
The Controller of Examinations
Panskura Banamali College (Autonomous)

Dear Sir,
Kindly allow me to avail myself of the provision for RE-EXAMINATION / REVIEW of answer scripts, as per the academic
regulations of the institute. The relevant details are as follow:

1. Name: ___________________________________________________________ Gender: _________________ Date of Birth: _________________________

Mobile: ______________________________________

2. Class: UG / PG (please tick); Discipline: Arts / Science / Commerce / B.Ed. / B. P. Ed / M.P. Ed (please tick);

Current Semester (1st/2nd/3rd /4th /5th /6th): ______________

3. Details of Examination (ESE) last appeared for:

a) Examinations held in the Month/s of ______________________________________________Year: _______________________

b) Registration number (with year): _________________________________ of Year/session: ______________________________

c) Exam. Roll: _____________________________ No.: ___________________ (attach copy of the Admit Card)

4. Results in the ESE for which you want RE-VIEW : Total Papers (including backlog) you sat for

(attach photocopy of Mark sheet/result sheet) Number of Paper/s in which you failed

5. Paper/s being applied for RE-VIEW / RE-EXAMINATION:


Sl. Paper/s Title/s Backlog Full Marks
%
nos. (code/no.) Paper? Marks Obtained
1
2

I have deposited the prescribed fees of Rs. _______________________ and attached the Bank Challan no. ________________________ ,
dated _____________________________ . Kindly take necessary action.
Your Sincerely,

(Sign here)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FOR OFFICE USE Sl. Paper (Code/No.) Eligible / Not Eligible Other Remarks
Subject: 1

_________________________________ __________________________________
Signature of the dealing assistant with date Signature of the Controller of Examinations

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