HIMACHAL PRADESH TECHNICAL UNIVERSITY

HAMIRPUR-177001
(Established under State Legislative Act-16 of 2010)
APPLICATION FOR RECHECKING OF ANSWER SHEET

STUDENT DETAILS
NAME OF THE APPLICANT
FATHER’S NAME
UNIVERSITY ROLL NO.
REGISTRATION NO
NAME OF COURSE:
NAME OF BRANCH

MONTH AND YEAR OF EXAMINATION

CONTACT DETAILS
CORRESPODANCE ADDRESS
NAME OF THE COLLEGE
NAME OF THE EXAMINATION CENTER

MODE OF PAYMENT: POS/NEFT/DD

TRANSACTION NUMBER/DD NUMBER

DETAILS OF SUBJECTS TO BE RE-CHECKED
Subject Code Subject Name Marks/Grade Semester Scheme
Obtained

Signature of Applicant

Instructions for the Students:

1. Students have to submit the form for rechecking within 7 days after the uploading the concerned
result on HPTU website.
2. The fee Rupees 1000/- per paper to be paid at the University fee counter in the form of POS/NEFT
in the University account number 65105867438 IFSC-SBIN0050123 or Demand Draft in the favour
of Finance Officer, Himachal Pradesh Technical University Hamirpur, payable at Hamirpur
(H.P.).
3. Students can submit the filled application form through e-mail at examhptu@gmail.com
along with the fee receipt or submit the application by hand / post in the office of Assistant
Registrar (Exam.) H.P. Technical University Camp Office at Govt. Polytechnic College
Baru, P.O Mohin Distt. Hamirpur (H.P.) 177030 with the receipt of fee.
4. The form received after seven days will not be entertained. The University will not be
responsible for any postal delay. Form received after due date will be rejected straight way.

DECLARATION:
I hereby declare that I have read all the instructions and the entries made by me in the
form are correct and true to the best of my knowledge.

Signature of Applicant