CENTRAL UNIVERSITY OF KASHMIR
Transit Campus: Sonwar, Srinagar – 190 004
RE-EVALUATION FORM
(Session : 20__ Semester : ___ Batch : ___ )
This form shall be filled by the candidate in block letters and in blue or black ink only for seeking Admission in Second
PERSONAL INFORMATION
Programme Code Enrolment No.
Name
( Exactly as it appears in Qualifying Examination Certificate )
Address for Correspondence
_________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________
Phone No. __________________________ Mobile No. __________________________ e-mail id __________________________________________
COURSES FOR RE-EVAULATION
S. No.
Course Code
Course Title
1.
2.
3.
4.
5.
6.
REASONS FOR RE-EVALUATION
1. ………………………………………………………………………………………………………………………………
2. ………………………………………………………………………………………………………………………………
3. ………………………………………………………………………………………………………………………………
DDEECCLLAARRAATTIIOONN BBYY TTHHEE AAPPPPLLIICCAANNTT
I hereby declare that the result declared after re-evaluation shall be final and binding upon me. I undertake that I shall abide by the rules & regulations of the University.
Place :
Date : ( Signature of the Applicant )
FOR USE IN EXAMINATION SECTION
The Re-evaluation Fee of Rs________________(in words) ________________________________________________ paid vide University Reciept No. ___________ dated __________________.
The above particulars have been verified and found in order. As such, the re-evaluation may kindly be accorded in favour of the applicant.
UDC(Exam)
Assistant Registrar
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