PUNJAB TECHNICAL UNIVERSITY, DISTANCE EDUCATION PROGRAMME

REAPPEAR EXAMINATION FORM MARCH 2012

(To be filled by student in Block Letters)
RC Code : __________________________________________LC Code :_____________________________________
LC Name:__________________________________________ Roll /Registration No. __________________________
Name: ___________________________________________________________
&E ____________________________________________________

Affix

Course:___________________ Semester____ ______Scheme_______________

Photograph

Sr. No.
1.
2.
3.
4.
5.

Paper ID

Attested

Subject Name

by Centre Head

Fee Details
Receipt No. : ____________
Date of Payment: _________
Have you ever been disqualified? (Yes / No), If YES, Give Detail ___________________________________
I have gone through the Syllabus and Regulations of the University and understood
the mapping of course subjects for my examination. In case of any discrepancy
filled by me in the examination form, I shall be responsible for the consequences

_____________________
Signature of the Candidate

Certified that the Candidate has completed all eligibility requirements and
has paid all requisite fee of the University as a student of Distance
Education Mode of Punjab Technical University, JALANDHAR

_______________
Date

__________________________
Signature of the Centre Head
(With Seal and Date)
-------------CUT HERE --------------------------------------CUT HERE -------------------------------- CUT HERE -----------------------------

PUNJAB TECHNICAL UNIVERSITY, DISTANCE EDUCATION PROGRAMME

ADMIT CARD (REAPPEAR) MARCH 2012
(Particulars to be filled by student in Block Letters)
Exam Centre Name _______________________________________________________________________________
RC Code : __________________________________________LC Code :_____________________________________
LC Name:_________________________________________ Roll /Registration No. ___________________________
Name: ___________________________________________________________
&E ____________________________________________________

Affix

Course :__________________ Semester____ ______Scheme_______________

Photograph

Sr. No.
1.
2.
3.
4.
5.

Paper ID

Subject Name

_____________________
Signature of the Candidate

Attested
by Centre Head

__________________________
CONTROLLER OF EXAMINATIONS

Note: In case form is loss/theft please send to: COE, Punjab Technical University, Jalandhar-Kapurthala Highway, Kapurthala