BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
HEAD'S COPY Form No ........ -.....................
BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
VIDYA VIHAR, RAEBARELI ROAD, LUCKNOW-226 025
EXAMINATION FORM (REGULAR)
Lucknow
ESTABLISHED 1996
Roll No . .. .. ....... .... ...... ...... .
(To be filled in by the COE
office I candidate)
Signature of Dealing Hand
1. Name of the Examination : ................................................ Semester (mention) : ...................... .
[1 , 11, Ill, IV, V, VI]
- 2. Period of Examination : Month(s) ........ ......... ... .. ......... ........ Year ............... ................................. .
3. School : .......... ......................... Deptt. : ............ .................. Class : .. ........................................ .. Photograph
of the
4. Name of the Candidate : I I Candidate
(All in capital letters; Leave one box blank between words)
I I I I I I I I
(To be attested by HOD)
5. Father's Name :@liilll I
7. Address : (i) For Postal Correspondence
(ii) Permanent address
I I
8. Enrollment No. :I I
9. Date of Birth : MM-DD-YYYY I I
10. Catagory : (a) SCI ST I OBC I GEN I (b) Male I Female (mention) c=
11 . Papers in the ............................ Semester in which the candidate is appearing in the Examination for the (MIF)
Session 20 ........... 20 .............. (Give Paper Name and Paper Code No. below)
1. .................. ... ...... ... ... ........... ....... .. ... .......... .......... ... .... 2 .. ..................................... ..... .. ........................................ .
3. ...................... ...... ...................... .. .... .. ... .................. .... 4 ... ..... ...... ......... ....... ............. .. .. .............. ... ......... .. .. .. .... ... .
5. ............ ............................. ........... ... ........ ..... ....... ........ 6 . ....... ...... ... .. ..... ............ ..... ......... ....... .. ............... ..... .... .... .
12. Examination Fee Receipt No. ....... .. ...... ........... ........... ... Date............................ Rs ............................................ ..
13. I undertake to abide by the rules of examination and that in the event of any violation thereof I am willing to
abide by any penalty imposed by the University.
(Signature of the Candidate)
CERTIFICATE OF THE HEAD I COORDINATOR /INCHARGE OF DEPARTMENT
1. It is to certify that the candidate is eligible to appear in the ............................. Semester Examination 20 .... ................ ..
2. Nothing is due against the candidate.
(Signature)
Head I Coordinator /lncharge of Department
BASASAHEB Form No ... _ ,
BHIIIRAO
AIIBEOKAR
UNIVERSITY II. BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
VIDYA VIHAR, RAEBARELI ROAD, LUCKNOW-226 025
Admit Card for Examination
(Regular}
Roll No ................ ... ......... .
(To be filled in by the office)
Photograph
of the
Name Candidate
Father's Name :I Shril
t I I I I I
Mother's Name :ISmt
I I I I I I I
Correspondence Address :
Class : ....... ... .......... ......................... .. .......... Semester : ..... ......................... .
Year of Examination: .............................. .... Month(s): .............. ................. .
[To be attested by
AR(Exam)]
Signature of
Assistant Registrar (Exams)
forCOE
BABASAHEB
BHIMRAO
AMBEDKAR
UNIVERSITY
EXAMINATION SECTION COPY Form No .. ... .... · ·· ··· ', · '.· ··· ·
BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
VIDYA VIHAR, RAEBARELI ROAD, LUCKNOW-226 025
Roll No . ........................... .
EXAMINATION FORM
(Repeat Course I Grade Improvement)
(To be filled in by the COE
office I candidate)
Lucknow

ESTABLISHED 1996
Signature of Dealing Hand
1. Name of the Examination : ......................................... Current Semester (mention) : .. ..... .... .... ..
[1, II, Ill, IV, V, VI]
2. Period of Examination : Month(s) ................ ................. ...... Year .... .. .......................................... .
3. School : ................ ................... Deptt. : .............................. Class : .......................... .. .............. ..
Photograph
of the
4. Name of the Candidate : Candidate ---L.____.L.._.......__.....___.____,_--.....-L-.......__.....___.____,__....-....._......_--'-___.
(Leave one box blank between words; All ·n capital letter) (To be attested by HOD)
7. Address : (i) For Postal Correspondence
8. Enrollment No. :I

9. Date of Birth : MM-DD-YYYY I
10. Catagory
=:=
: (a) SCI ST I OBC I GEN ._I _ _.___....____, (b) Male I Female (mention) c=
11 . If candidate is appearing for Repeat course I Grade Improvement give the following details :
(M/F)
i) Name of Paper & Code No. (i) ........ .. ...... .... .... .... ...................... .. .......... (ii) ................................. .. .................. .... .... .
ii) Grade/Marks obtained (i) ......... ... ........ .... .... .. ..... ........... ................ (ii) .......... .. .. ... ... .. ................................ ....... .
iii) Month & Year in which
Last appeared
12. Examination Fee Receipt No . .. .............. ...... .. .... .. ...... .. .... Date .... .... .... .. .......... ........ ... Rs . .................................. ..... ..
13. I undertake to abide by the rules of examination and that in the event of any violation thereof I am willing to
abide by any penalty imposed by the University.
(Signature of the Candidate)
CERTIFICATE OF THE HEAD I COORDINATOR /INCHARGE OF DEPARTMENT
1. It is to certify that the candidate is eligible to appear. in the ...... .................... .. .. .. .... .. Semester Examination 20 ..................... .
2. Nothing is due against the candidate.
(Signature)
Head I Coordinator /lncharge of Department
U.IWAHEB · Form No .. :-. .. .. -·········
BH IIIRAO
, AIIBEDKAR -'(1 BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY
VIDYA VIHAR, RAEBARELI ROAD, LUCKNOW-226 025
' .
..... ·. ·· Admit Card for Examination . _
. .::!.."! - {Repeat Course I Grade lmprovement)
Roll Nq . ............................ ..
Name
.I I I .1
Father's Name :I Shril
. ' .. I I I I I I
Mother's Name Smt
·1 I I I -1 I I
. CorrespondeD Address :I
I 1 .I I
· Class: ... : .... :. ..... , .... : ............ : ............ : ... .'Semester: '·····················:.·: .. .' ....
· Year of Examination : ............. ; ................... Month(s) : ........ ..................
. ' . .
Photograph
of the
.Candidate
-[To be attested by
AR (Exam)]
- .
. '
.·
Signature of
Assistant Registrar (Exams)
for COE