Sacred Heart College (Autonomous), Tirupattur, Vellore Dt.

- 635601
Application for Revaluation of Answer Script(s)
Month & Year of Exam: APRINOV

S.N Sub. Code Title of the Subject RIA Register No.

1. ........................................

2. Name of the Candidate

3. . .......................................

Name of the Course

4.

5.
Contact Numbers

1. +91
6.
2. +91
7.
Total Subjects :

8. Total Fees ~.
Date of Submission:
9.

10.
Signature of Candidate

(Office Copy) - Revaluation (Bank Copy) - Revaluation , (Student Copy) - Revaluation

Catholic Syrian Bank ,Gandhi pet , Catholic Syrian Bank, Gandhipet , ,, Catholic Syrian Bank, Gandhipet ,
Tirupattur - 635 601 TirupaUur - 635 601 Tirupattur - 635 601
,
Date: ,, Date: Date:
Examination Fees ,, Examination Fees Examination Fees
SB Alc No : 745-2629658-190001 SB Alc No : 745-2629658-190001 , SB Alc No : 745-2629658-190001

Register No : Register No : Register No :

Name: Name: Name:

Paid into the Credit of the Sacred Heart Paid into the Credit of the Sacred Heart Paid into the Credit of the Sacred Heart
College S8 Account College S8 Account College S8 Account

A Sum of ~. A Sum of ~. A Sum of ~.

(Rupees (Rupees (Rupees

only) . only) only)

beinq the exam fees. being the exam fees .. being the exam fees ..