Form: RW-1

Application for Review (UG)

Name of Student:

Register Number: Name of Institute:

Programme: Branch:

Mobile No: Email ID:

Name of Exam (as in portal):

Course code: Course Name:

Date of publication of Revaluation result:

Date of receipt of the Answer book copy (through mail - after revaluation result):
result)

Alpha numeric code of the Answer book:

Account details of student:

Account No. IFSC:

Name of bank: Branch:

Payment details:

Payment mode: Amount Paid: Rs.

Transaction ID (Ref. No.): Date of Payment:

Declaration
I am aware that in case of no
o grade change after the review, I will not be eligible for refund of
the fee paid and also that there will not be option for a valuation / re-evaluation
evaluation after review.

Date: Signature and Name of Student:

 Form: RW-1

Recommendation by Faculty member

I hereby certify that I have evaluated the answer book of Sri./Smt. ……………………………………………..

…………………………………………………………………
………………….. with Register No. ……………………………………..
…………………… of

…………………………………………………………………………………………………………………………………………….…………………….

(Course name and code)) bearing barcode: ………………….……………….……………… (alpha numeric code)

and based on my evaluation I recommend that (s)he iis eligible to get marks sufficient for a pass.
pass

Tabulation sheet after my evaluation

valuation is attached herewith.

Recommended by:

Signature, Name,
Name KTU ID

Endorsement by HoD:

PRINCIPAL

(College seal)

Checklist:
ⵔ Application for review (completely
completely filled up and signed)
ⵔ Recommendation by faculty member (completely filled up and signed)

ⵔ Tabulation sheet for review

review(completely filled up and signed)
ⵔ Proof of fee paid
 Form: RW-1

Tabulation sheet for review

Name of Student: Register Number:
Course code: Course Name:
Alpha Numeric code:
Name of faculty: KTU ID:

Q.No. Max. Mark Remarks

Mark awarded

Signature:

Page ……. / …….

 Form: RW-1

Tabulation sheet for review

Name of Student: Register Number:
Course code: Course Name:
Alpha Numeric code:
Name of faculty: KTU ID:

Q.No. Max. Mark Remarks

Mark awarded

Signature:

Page ……. / …….

 Form: RW-1

Tabulation sheet for review

Name of Student: Register Number:
Course code: Course Name:
Alpha Numeric code:
Name of faculty: KTU ID:

Q.No. Max. Marks Remarks

Marks awarded

Total mark: (in words: )

Signature, Name, KTU ID & Designation

 Form: RW-2

Application for Answer book copy to apply for Review (UG)

Name of Student:

Register Number: Name of Institute:

Programme: Branch:

Mobile No: Email ID:

Name of Exam (as in portal):

Course code: Course Name:

Date of publication of Revaluation result:

Payment details:

Payment mode: Amount Paid: Rs.

Transaction ID (Ref. No.): Date of Payment:

Date: Signature and Name of Student