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 I.IC GUJRAL PT,INJAB TECHMCAL UMVERSITY.
JALAI\DHAR
EXAMINATION FORM FOR IMPROVEMEM OF DlvlSON ! MAY.l9
(To be filled by strdent in BLOCK Letters)

Roll No, Cum Regishation No.

Course
Afixed a
photograph to be
Narne ofthe Candidate
attested by
Father's Name Molher's Name Principal
Name of the lnstitute

Mobile No.
Examination Fee(Rs.5000 p€r Subject):Amount_ DD No./Cash
Have you ever been disqualified? YeJNo. If Yes, giv€ details
Total Obtained Mad6 (All Senesters): Maximum Marks (All S€mesters)

SUBJECTS WITH CODE [It is compulsory for the studentl

S.No. Scmester Subject Name Subject Prper ID Already Mrrks
Code obtrined
I
2

10
I have gone through the Syllabus and Regulations Certified that the Candidate has completed the
of the exam and understood the same for my prescribed course of all
study and fulfilled the
eligibility for the exam. In case of any discrepancy conditions laid down in the Regulation for the
filled in by me in the form, I shall solely Examination and is eligible to app€ar in Improvement
responsible for the cons€quences. Division Examination as an ex-student of IKC Punjab
Technical Univenity, Jalandhar. The candidale bears
a good moral chamcter and particulars filled by
him/her are conect

Pcfm.ncna Addrca! oflhc Crldidat.

Signrlure of thc Crndidrae Signaturc ofthc Prircipru Compet.nt

Drae Authority (With Serl rnd Drtc)

 I.K, GUJRAL PUNJAB TECIINICAL UNIVERSITY,
JALAI\DHAR
EXAMINATION FORM FOR IMPROVEMEM OF DMSON I MAY-19

ADMIT CARI)
(To bc filled by stud€nt in BLOCK Letters)

Roll No. Cum Regist ation No.

Cours€ Afued a
photograph to be
Name ofthe Candidate attested by
Falher's Name Mother's Name Principal
Examination Centrp
(To be filled by TKGPTU)

SUBJECTS WffH CODE [It is compulsory for the studentl

S.No. Semester Subject Name Subject Code Paper II)

I
t
3

9
t0

Signature of the Candidate

Signature of the PrinciprV Competent Controller of Examinrtions

Authority (With Seal 8nd Date)