BHARATHIAR UNIVERSITY : COIMBATORE-46.
O/O THE CONTROLLER OF EXAMINATIONS
SCHOOL OF DISTANCE EDUCATION
Website: www.b-u.ac.in
Ph.No.91-422-2428189, 2428190, 2428191 Fax No.91-422-2427514
APPLICATION FORM TO APPEAR FOR THE UG/PG/MBA/EXECUTIVE
MBA/MCA DEGREE/ALL DIPLOMA/PG DIPLOMA ARREAR
EXAMINATIONS
[FOR THE STUDENTS OF DISTANCE EDUCATION]
MAY 2013
1. Month & year of Examination :
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. Address for communication with Cell No.:
8. Degree & Branch :
9. 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. No._______________________________
2. Date __________________________________
3. Bank __________________________________
4. Rs._____________________________________
DECLARATION
I, hereby, declare 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 Controller of Examinations reserves the right to allot any Centre to
the candidate for appearing the Theory and Practical examinations other than the
Centre specified by the candidate in the application, if there is no sufficient
number of candidates in it.
