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Registration No.

Examinations Section
Exam-0013
Faculty:_____________________________________
Semester:____________________________________

Date: ________________________

Paper Re-checking / Re-totaling (please tick the relevant)


(please for each paper use separate form)
Name: ____________________________________Cell. No.
________________________
SGPA
__________ CGPA
CCH
Name of Course Instructor and Faculty
_________________________________________
Course Code-with
title:_______________________________________________________
I am not satisfied with the grade ________awarded to me in the above
mentioned course offered by Faculty of ________________________ due to the
following reasons:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
I have paid the requisites fee Rs. 5,500 / 1300 vide receipt no.
____________________
(please tick the relevant)
Dated ________________________
Signature of the student: __________________
Email address:___________________________Mob.#____________________
Postal
Address:_____________________________________________________________
___________________________________
For Faculty
Instructor Remarks:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Name & Signature of the Instructor:_________________
For Rechecking only
Committee
Remarks:______________________________________________________________
_______________________________________________________________________

_______________________________________________________________________
_
Names & Signatures of the Committee Members
1.

____________________________________________________________

2.

____________________________________________________________

3.

____________________________________________________________

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