BHARATHIAR UNIVERSITY : COIMBATORE – 46.

APPLICATION FORM TO APPEAR FOR THE UG/PG/MBA/MCA DEGREE/ALL DIPLOMA

ARREAR EXAMINATION
[FOR THE STUDENTS OF DISTANCE EDUCATION]
MAY 2020
1. Month & year of Examination : MAY 2020
2. a) Examination Centre Code :

3. Name of the Candidate [In capital letters) :

4. Date of Birth :

5. Enrolment Number :

6. Examination Register No. (Allotted in the previous appearance):

7. Month and year of last examination appeared:

8. Address for communication: Cell No.:

9. Degree & Branch :

10. Subjects to which the candidate takes up the examination appearing in this appearance:
Title of subjects (Theory and / or Practical] Subject code

[PTO]
 ….. 2 …..

Details of Payment & Fee:

1. D.D. / Challan No._____________________

2. Date __________________________________

3. Bank __________________________________

4. Rs._____________________________________

DECLARATION

It is, hereby, declared that the particulars furnished above are true to the best of my
knowledge. I have read the instructions and understood that my candidature will be cancelled
if any of the information furnished is found false.

Station :

Date : Signature of the Candidate

*** NOTE :

THE CANDIDATE SHOULD SUBMIT THE APPLICATION AND THE

CHALLAN (OR) DD IN THE OFFICE OF THE SDE EXAM SECTION TO ISSUE THE
HALL TICKET & ALLOW TO ATTEND THE EXAM.