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PT.

RAVISHANKAR SHUKLA UNIVERSITY


RAIPUR (C.G.)
ONLINE APPLICATION FOR REVALUATION OF ANSWER SCRIPTS
APPLICATION NO. : 18702927

APPLICATION DATE : 30/08/2014

This Application Form is to be signed by the candidate only.


To,
The Registrar,
Pt. Ravishankar Shukla University.
Raipur (CG)
Sir,
I request you to permit me to get my answer book(s) revaluated in the applied subject paper.
The necessary particulars are as follow :
1. Name of Exam: B.ED.

Exam Period: MAR-APR.2014

2. College Name: DISHA COLLEGE OF MANAGEMENT STUDIES, CHANDKHURI MARG,RAIPUR


3. Center Name:

PT. HARISHANKAR SHUKLA MEMORIAL COLLEGE,SHANKAR NAGAR,RAIPUR

4. Roll No.:

781987

5. Name of the Candidates:

Enrollment No./Registration No.:


VANDANA KUNWAR

6. Father's Name:

SHRI KUNWAR PRADEEP SINGH

7. Mother's Name:

SMT BHANUMATI SINGH

8. Address For Correspondence In Case Required:

9.

S.

KUNWAR WADA , VIJAY WARD NO 2 JAGDALPUR , BASTAR

Paper(s) In which Revaluation Is Desired

No.
1

XX/ 47937

Marks Obtained/Out of
(Only Revaluated Subject)

Subject :

117 - METHODOLOGY - I OF TEACHING ENGLISH - TH Paper


-1

020 / 100

Your Payment Of Rs. 150.00 Has Been Done Sucessfully Through Online Payment.
Transaction ID : MSBI3467671022

Transaction Date : 30-08-2014 13:36:34

DECLARATION

18702927

1. I here by declare that I have gone through the provisions of Revaluation as mentioned in Ordinance 5 and 6 and they
shall be binding on me.
2. I hereby further declare that the result of the Revaluation shall be binding on me and I shall accept the revised marks of
Revaluation and will not hold the University for the same.

Signature of the Applicant

REVALUATION

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