BHARATHIAR UNIVERSITY - COIMBATORE - 641 046.

SCHOOL OF DISTANCE EDUCATION

(Approved by Distance Education Council, New Delhi)

Application form for the M.B.A. Degree Examinations - July 2022

Name and Code of the Study Centre Appln. No.:

TN0201 - BHARATHIAR UNIVERSITY (CAMPUS CENTRE) 8045
Year/Se
Name of the Candidate Enrol.No.:20ABHRN0045
Sex m.
DINESH A Register No.: 20NHR5045
2

Exam*
Name of the Examination Centre Centre Branch
TIRUPUR (Tamilnadu) Code HUMAN RESOURCES MGMT.
14

Year/Semester Code of the subjects Registered

1 13A 13B 13C

2 23A 23B 23C 23D 23E 23F 23G 23H 23J

Fee Payment Total Total

Address for Communication
Particulars Papers Fee Rs.

Theory 12 6000
DINESH A
Practical 0 0 5/462
SRI NAGAR, JEEVA STREET
Project & Viva-
0 0 PATCHAM PALAYAM PUDUR
Voce
TIRUPPUR 641603
Exam. Centre Fee 300
Mobile No.: 9042630463
Cost of Application 150

Statement of Marks 250 PARTICULAR OF REMITTANCEE

Provisional & Consolidated

900 Payment Reference ID 20NHR50451362022074811JUL22
fee (Final year stud. only)

Postal Expenses 400 Bank Transaction ID 1820723135

Penal Fee 0 Name of the Bank 2010

First Attempt Fee 0 Date of Remittance 13-06-2022 13:19:08

TOTAL (INR) 8000 Total Amount Paid Rs.8000/-

DECLARATION

I DINESH A, hereby declare that the information furnished above are correct. I also assure that, I have fullfilled the eligibility prescribed
by the University and I do not have any due to the University till now. If any information given to the university found incorrect/wrong. I will
accept the decision taken by the University.

Signature of the Candidate

Place :

Date :6/13/2022 7:55:11 AM (DINESH A)

Note: Candidate need not send the application to the University. However, they shall keep this copy for their reference.