CENTRAL UNIVERSITY OF KARNATAKA

Kadaganchi, Aland Road, Kalaburagi Dist-585367

APPLICATION FORM FOR REPEATER

(BACKLOG PAPER/S)

Name of the Student

Enrolment Number
Programme
Semester (currently studying)
List of the *backlog paper/s which you want to write
No. of
S.N. Title of the Paper Semester Reason for having backlog paper
attempts

Details of the fees paid ( Rs. 100/- per Transaction Number /Challan No:...................
paper) Dated:.................
NOTE:
1. As per Ordinance No.24 (IV) of CUK “a student with arrears can repeat End semester
examinations for a maximum of three times (excluding the first appearance), along with
the subsequent End semester examinations”.
2. Filled inform to be submitted through email to the concerned HOD/Co-Ordinator.
3. For online Payment the Bank Particulars are
(1). Account No: 5109101008186 (2). Name of the Account: Examination Section, CUK
(3). Name of the Bank: Canara Bank (4). IFS Code: CNRB0005109
(5). Branch: Kadaganchi Branch.

DATE: SIGNATURE OF THE STUDENT

Forwarded by the HOD / Co-Ordinator