APPLICATION FOR RECTIFICATION OF CLASH(ES) IN THE SUBJECTS OF DATE SHEET

Name of Student: ______________________________________________ Reg. No.: ___________________ Contact #: ________________________

Program: _____________ Section:_______ Semester: _______ Session: ______________ Date: ____/____/___________ Exam.: MID / TERMINAL

DATE SHEET TIME CLASH SUBJECTS DETAIL

Paper OFFICIAL USE ONLY -
Date of Time of Status
S.# Name of Subject Prog. Sem. Sect. Teacher Name ACTION TAKEN BY EXAM. DEPTT.
Paper Paper (Regular/
Repeat)

_____________________ ______________________ __________________________________________

Signature of Student Signature of Exam. Officer Signature of Additional Controller of Exam.