General SC

ST

OBC Permanently Disabled

1. O LD / N EW S YLLABUS 2. R EGULAR / Suplimentary 3. PLEASE TICK MARK ( ) WHERE APPLICABLE

Please Tick Mark ( ) Where Applicable

EXAM FEES RS.

JADAVPUR

UNIVERSITY
MUSTER ROLL SECTION ONLY
Verified

EXAMINATION APPLICATION FORM ( to be filled in by the applicant)

FOR CASH OFFICE USE ONLY

Received Rs. .............................................Receipt No................................. Date ...................................
Receiving official cash section with Seal

M.R. Section with Seal

TO BE VERIFIED BY THE MUSTER ROLL SECTION BEFORE SUBMISSION TO CASH SECTION

........................................................Examination 20............... Examination Roll No......................................................................

(EXAMINATION ROLL NUMBER TO BE GIVEN BY THE OFFICE)

Stamp Size Photo

To The Controller of Examinations, Jadavpur University, Kolkata - 700 032. Sir, I request your permission to appear in the undermentioned papers of the above-referred Examination of the University to be held in ................................................. The requisite fee of Rs...........................................(Rupees........................................................................) only is being submitted alongwith. My brief particulars are furnished underneath. Yours obediently, Date.............................. Full Signature of the candidate. 1. Name in full......................................First...........................................Middle..............................................Surname
( In block letters & according to Registration Certificate)

SUBJECTS OF EXAMINATION (to be filled in by the candidate)

Theoritical Paper Practicals / Sessionals

Sex..................(male/female).................................................... 2. 3. Son/Daughter of ........................................................................ Address for all Correspondence in future.......................................... ............................................................................................... .............................................................................................. 4. 5. 6. 7. Phone No. ......................................Mob. No. .......................... Present class....................................Department....................... Class Roll No................................................of.......................... University Regn. No.........................................of........................

I solemnly declare that my admission to the said Examination is liable to cancellation in the event of omission of any information / submission of any incorrect information, on my part, in respect of this application, if detected at any stage. Enclo : 1) Xerox Copy of Money Receipt (Must) 2) Xerox Copy of Latest Grade Card of preceeding Semester (Must) Yours obediently,

Full Signature of the candidate.

EXMINATION ROLL NO.

(to be filled in by off)

JADAVPUR UNIVERSITY
Kolkata -700 032, India ADMIT CARD
Stamp Size Photo

*ADMIT Sri/Smt. *Registration No. *following subjects of the *Subject of Examination : Theoretical *to be filled up by Candidate
Checked by
J.U.P.-99/12-13/10,000

having Examination Roll No. of in the Examination Hall, for appearing in the Examination

and

Issued by

Asstt. cont. o f Examinations

Signature of Candidate

(i) (ii)

(iii) (iv) (v)

(vi)

Candidates are to write their Examination Roll and Registration Number on the cover of the answer book. A candidate, while sitting for the examination ,shall not help or try to help any other candidate, nor obtain or try to obtain any help from any other candidate or person. Communication of any sort or in any form is strictly forbidden between a candidate and other person, whether inside or outside the Examination Hall during the examination hours. A candidate must not leave the Examination Hall before an hour from the time of the commencement of Examination. A candidate found guilty of copying / changing his / her seat or room / adopting any other unfair means in the Examination Hall will render himself / herself liable to be expelled from the Hall Disciplinary action will be taken against a candidate found adopting unfair means during examination and all the papers in which he / she has already appeared are liable to be cancelled. The disciplinary action may even entail the cancellation of the entire examination of the concerned candidate. CARRYING OF MOBILE PHONE (ON OR OFF) IN EXAM HALL IS STRICTLY PROHIBITED

(i) (ii)

(iii) (iv) (v)

(vi)

Candidates are to write their Examination Roll and Registration Number on the cover of the answer book. A candidate, while sitting for the examination ,shall not help or try to help any other candidate, nor obtain or try to obtain any help from any other candidate or person. Communication of any sort or in any form is strictly forbidden between a candidate and other person, whether inside or outside the Examination Hall during the examination hours. A candidate must not leave the Examination Hall before an hour from the time of the commencement of Examination. A candidate found guilty of copying / changing his / her seat or room / adopting any other unfair means in the Examination Hall will render himself / herself liable to be expelled from the Hall Disciplinary action will be taken against a candidate found adopting unfair means during examination and all the papers in which he / she has already appeared are liable to be cancelled. The disciplinary action may even entail the cancellation of the entire examination of the concerned candidate. CARRYING OF MOBILE PHONE (ON OR OFF) IN EXAM HALL IS STRICTLY PROHIBITED