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Form No.

Done ( )

Registration Done (

) / Not

Registration Form for Re-appear (Theory) Exam July11

(To be filled by the concerned Student only)


Name of the Student : _______________________________________________________________________________ Registration No. : _________________________________ :______________________
p

Batch Year

Program Name : __________________________________ Program Code :______________________ Sr. No. 1 2 3 4 5 6 Course Code Course Title Semester/Term

Signature of Student______________ Contact No._____________________

Verified By: COD/HOD

Note: * The re-appear examination fee is Rs 250/- per course code. * The completed form along with the original receipt/coupons should be deposited to the Examination Division, LPU in Block 32, Room No. 101 latest by 29 th June, 2011 without late fee. * The form may also deposited after last date till 2nd July, 2011 with a Late fee of Rs.250/- per form. * In any case, the filled form and fee coupon retained by the student itself will not be accepted later than the date mentioned above.

Entry not permitted without Admit Card

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