Beruflich Dokumente
Kultur Dokumente
0000/9-'16
Encl. 1) 6)
2) 7)
3) 8)
4) 9)
5)
Note: Please send this covering letter only on the letter head of Theory Examination Center
(e.g. College/Institute/Department).
Uni.P. 2000/09-'16 THEORY EXAM FORM No.10
Session: (Morning/Evening)_______________________________________________
Month/Year: ___________________________________________________________________________________________________________
Examination for______________ (sessions/days) at the rate of Rs. _____________ per session/days as,
Date of Session Total Rs. Paise
Examination Morning Evening Session
Total Rs.
Signature ________________________________
Name : _________________________________
Address: ________________________________
________________________________
________________________________
Date: ___________________________________
Rs._____________________________________
Payment Received
Please
Sign on
Rev. stamp
If amount
Exceeds
Rs. 5000/-
Session
Sr. No. Name of Hamals (Peons) Total No. of Amount of Signature
Morning Evening Session Remuneration
(Name______________________________) (Sign________________________________)
Sr. Supervisor Stamp
(Name______________________________) (Sign________________________________)
(Name & Sign. of the Sr. Supervisor with stamps) Sr. Supervisor Stamp
2
3
7
8
10
11
12
13
14
15
16
Total No. of Session
Session
Sr. Name of Sweeper Total No. of Amount of Signature
No. Morning Evening Session Remuneration
Total Rs.
(Name______________________________) (Sign________________________________)
Sr. Supervisor Stamp
(Name & Sign. of the Sr. Supervisor with stamps)
Session
Sr. Name of Centre Co-ordinator Total No. of Amount of Signature
No. Morning Evening Session Remuneration
of exam centre_____________________________________________________________________
Examination___________________________________Semester_______________
Total Bundle/Cover
Vallabh Vidyanagar
Name ______________________________________________________________________________
* __________________________ at the _______________________________of ______________201
Examination for_______________ (sessions) at the rate of Rs. _____________ per session as,
Signature :_______________________________
Name : __________________________________
Address: ________________________________
________________________________
________________________________
Date: ___________________________________
Sr. Supervisor/Co-ordinator Sign__________________________________
Rs._____________________________________
Payment Received
Please
Sign on
Rev. stamp
If amount
Exceeds
Rs. 5000/-
Session: (Morning/Evening)_______________________________________________
Month/Year: ___________________________________________________________________________________________________________
Date: ______________________
Name : ________________________
Address: _______________________
_______________________
_______________________
Date:_________________________
Sr. Supervisor/Co-ordinator Sign____________________
Rs.____________________________
Re-arranging 100=00
Total Amount Rs.
Payment Received
Please
Sign on
Rev. stamp
If amount
Exceeds
Rs. 5000/-
Sr. No. Date Name of Examination Total No. of Student Total Amount to be claimed