2/12/2019

Tribhuvan University
Insitute of Engineering
Examination Control Division
Regular/Back Exam Application Payment Confirmation Slip
Student Name: INDRA BAHADUR KHANDULUK IOE Unique Roll
Number: PUR072BME015
Exam Name: BE/BArch All Year 1st Part 2075 Chaitra (Regular & Back) No. Of Subjects: ___
Year/Part: 4/1
Token Number: __________________ Voucher No: ______________ Voucher Date:
_________________
---------Below area will be filled by ECD/Campus/College officials only----------------------
Deposited Exam Fee: _______ Late Fee(Fine): ___________ Officer's Signature
______________
This form should be declared for every semester exam.
Student should submit the copy of payment voucher slip with this form to campus/college within
application deadline.
Campus/College won't approve the online form if this form is not submitted in the prescribed
application deadline.

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