BHARATHIAR U1{IUERSITY I 641 046.

GOIMBATORE
SGHOOLOF DISTANGEEDUGATION
APPLIGATION FORM FOR THE DEGREEEXAMINATIONS

NAMEANDCODEOF THE STUDYCENTRE

EXAMINATION

Candidates

write the Name

Code Number of Centre com

YEAR/SEMESTER

C O D EN U M B E R O FT H ES U B J E C T R SEGISTERED

A B B E R E V I A T I O:N AS = F I R SA TPPEARANCR E =REAPPEARANCE FEESPAYMENT PARTICULARS : TOTAL FEESRs ADDRESS F O RC O M M U N I C A T I O : NS

THEORY: PRACTIGAL: PROJECT & VIVA-VOCE

CONTACT No.
(CENTRE S P E C I AF LEES FEES)C O S TO F A P P L I C A T I O N STATEMENTOF MARKS PROVISIONAL CERTIFICATE & CONSOLI DATED MARKSTATEMENT PENAL FEE: F O FO I FFICE U S EO N L Y DATE: STATION

Signature of the Candida

DEMAND DRAFT No. DATE: " Foroutside Tamil Naducandidates onlv

(ForInstructions see(

INSTRUCTIONS 1.

TO THE CANDIDATE

conditions that the eligibility that are laid Before submitting the application, are advised to satisfythemselves the candidates d o w nb y t h e U n i v e r s i t t yo a p p e a r f o r t h e e x a m i n a t i oa nr e f u l f i l l e d . f e ew i l l n o t b e e n t e r t a i n e d . A n y a p p l i c a t i o in n c o m p l e t eid n a n y r e s p e c ta , n d n o t a c c o m p d n i eb dy t h e p r e s c r i b e d Centre) in the column of centre(Exam. Candidates appearing for the examinations shallwritethe nameandthe codenumber provided therein N o c h a n g eo f c e n t r ew i l l b e a l l o w e du n d e ra n y c i r c u m s t a n c e s . i. ii. iii. has to appearfor as on date are printedin this application. Code numbersof all the subjects,which candidate f o r w h i c hh e / s h e w i s h e st o a p p e a r . of thesubject C a n d i d a t e s h a l lm a k ea t i c k m a r k ( r / ) a g a i n s t h e c o d en u m b e r h e / s h es h a l lm a k ea c i r c l ea r o u n dt h e c o d e n u m b e ro f t h a t s u b j e c t as lf a candidate i s n o t t o a p p e a rf o r a s u b j e c t , s h o w nn e r e @

2 3. 4. 5.

6.

UNIVERSITY, , HARATHIAR Filledin application O F E X A M I N A T I O N SB shall be sent to THE CONTROLLER 6 4 1 0 4 6 a s g i v e ni n t h e i n s t r u c t i o n t f e e s b e f o r et h e l a s t d a t e a l o n gw i t h n e c e s s a r y so t h e c a n d i d a t e s COIMBATORE prescribed by the University shallbe entered the codenumberof suchsubjects lf any subjectin whichhe/shehas failedis not printedin this application, year. againstthe respective A n yc h a n g e of address s h a l lb e c a r r i e d o u t i n t h i sa p p l i c a t i o n . for Finalyear/Semester Students. of marksis onlyapplicable The feesfor provisional certificate & consolidated statement Specialfees are to be paid by the studentsotherthan TamilNaducenlres.

7. 6. 9. 10