Office of Controller of Examinations

Harcourt Butler Technical University, Kanpur

APPLICATION FOR RESULT CORRECTION

IMPORTANT: Please attach all self-attested relevant documents in support of your claim. Generally,
no separate communication is made with students after redressal of complaints, and hence students
are required to check the status of their case themselves through University website.

1) Name of student : _______________________________________

2) Roll No. : _______________________________________

3) S.R. No. : _______________________________________

4) Programme : B.Tech./M.C.A./M.Tech./Ph.D.

5) Semester & Branch : _______________________________________

6) Current Study Session : _______________________________________

7) Contact No. (Mobile No.) : _______________________________________

8) Correspondence Address : _______________________________________

9) Details of documents attached
10) Problem description
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: _______________________________________

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It is to certify that the details furnished above are correct to the best of my knowledge and belief. In
case of any false claim, I shall be liable for punishment as per University rules and University
decision will be acceptable to me.

Date:
Place:
(Signature of Student in Full)