Application Form For Revaluation/Retotalling in Theory Papers

MADHYA PRADESH BHOJ (OPEN) UNIVERSITY
RAJA BHOJ MARG (Kolar Road), Bhopal-462016
(Tel.No. 0755-2492090,2492091, Ph & Fax No. 0755-2424670)
Course of _____________________Term & Examination Year _________
APPLICATION FORM FOR REVALUATION/ RETOTALLING IN THEORY PAPERS
Note: a) Revaluation can be conducted subjected to a maximum of 2 Papers only;
b) Application for revaluation or/and re-totaling along with Bank Challan/DD and Mark Sheet should reach this within 30 days after deceleration of result.
1 Role No. of Candidate (as given in Admit Card issued for appearing in the last examination)
2. Name of Candidate :
3. Father /Mother/Husband Name :
3. Study Centre Code : Study/Regional Centre Name :
4. I am a candidate of the Courser Name…………………… and I appeared in Term End Theory Examination was held …………………
5. I seek Revaluation or/and Re-totaling in the following Theory Paper(s) :
Revaluation S. No. Paper Code No. Title of the Paper/Paper Name
1
2
Re-totaling 1
2
6. I am enclosing the photocopy of the MPBOU Mark List in support of the above
7. I am enclosing a Bank Chalan/DD in favour of the Registrar, MPBOU payable at Bhopal for Rs...................(in words) Rupees...................................................... only) by Bank Challan/DD No. .................. Dated ............................issued from Bank
.................................................................................as Revaluation Fee @ Rs.265 per Paper for
revaluation and @ Rs 50/- per paper for Re-totaling
Encl : 1, Application Form duly filled
2, photocopy of Mark List
3. Bank Chalan/Demand Draft for Rs…… Signature of Candidate
Date & Place
Signature of Study/Reginoal Centre Co-ordinator
Date & Seal
The APPLICATION along with enclosures should be addressed to:
The Director, Admission and Evaluation,
Madhya Pradesh Bhoj (Open) University,
RAJA BHOJ MARG (Kolar Road), BHOPAL-462016