Sigaature of ReceiPt Cle*

Sr.No.
KURUKSHETRA UNII'ERSITY, K1I,'RI]KSEETRA
(Esiablished by lhe Slale Lesisralure Aot xllof 1956)
(Aa Grade, NAAC Accrsdded)
EXAMINATION FORM (Privrte /Ex-Student) Annurl./Supplementary/Semester Exemitrations (Four Pages)
UNDER-GRADUATE CLASSES
t@ RollNo (to b€ slluncd b rheoflice)
lsru h wit fa d€tail in c(
Batrk Draft No. Onlv For Accounts Brrnch PNB rM.No. onlv' OBC I'U.K
Bank Draft No O.B.C. Scroll No
Dated..........
FormDepositNo..-..-...................Date..... (To be assigned by the Office)
1. Examinationforwhichappearing(Class)..................ANNUALE SEMESTER SYSTEM E
(write the narne ofclass in which you have to appear othenvise your €xarn form will be rejected)
Session: April/May/Oct.,Dec./20......-
(i) E Full papers E Imfrror ement E AddJ. Paper! Compartment
(ii) Category: Regular/Private /Correspondence. .. .. .........

2. K.U.K- Registration No.. . ... .. . . .. ... ... ... ... .

3. Name ir Erglish
(Capital Letters)
Name in Hindi
Attested
4. Father's Name
Photo be
In English pasted
here
Name in Hindi
5. Mother's Name
(ln 4glish) (capital L€ns)
6. Male/Iemale...... . Ruralrurban.. ...... ..
7. Category to which you belong (Ceneral/SC/ST/BC/P.H.) ......
8. Capacrry lor appearing..............
(women/Sc/ST,4ermaf,ent Physically Handicapped/Military Persns,€x Defoce Service Persons belonging 1o Haryana State)
a. Stale lo u hich you belong . ... ... ... ... ... .

l0.ChoiceofCentre(0...........................(i0.........................(seerhrorc le6 in rnst.otions€lcrose{t wnh r;ml

I1. Pa culars ofPrevious Examination(s) oo the basis ofwhich applying for the preMt Examination and proofbe axached. The
tne colums for each availed chance Session wise.
Roll No. Subjects
Obtained) Board

12. Subjects offered:-

'tn addiiion of English and Hindi,Punlabi/Sanskrit compulso.y subjsl1 pnvaie cmdidates(s) shall offer two elective subjects in
B A. Examination lro

Mathmalics. Pub. Adm.. Sciolosy. Psycholog/. Hislory. A.l.H.

Music (vmal), Muic (ltrtromfllal), Music
(T,bla), Dam., Hmlth &Pbysical

Noter Lanela8e ofTered as Compulsory subje€t shall not be offered as Elec.ive subject.
 Page No. 2

14 Indicate ifblirtd or d€af or permanently

disabled from writing wilh his fter hands
15. Wlether appearing simultaneously in low€r examination: Yes/l.io

University/Board
16. Ifthe applicant was ever disqualified or any enquiry is pending against hirr/her in an Unfair Means Case,
this fact should clearly be stated with tull particula$:
NameoftheBxamination..........................................-.....-...Year/Session.

11. For Improvement Candidates only : Class Sassion Roll No. Result
(i) Session & Roll No- for passing
final Examination
(iD Chances availed

18. Please write one sentence in Hindi,/English each for specimen

In Hindi...................
In English ...............

Declarrlioni
I solemnly declare ard afiirm that the paniculars given above are correcl and fue to rhe besr of my tnowledge and
nothing has be€n concealed therein. I am eligible for lhe Examioation as per rul€s and regulations of the Udversiry. I have
consulted Syllabus. Scheme, Eligibilily conditions and have gone tkough general ruley inskuctions of Kurukshetra Univcrsity.
Km*shetra, b€fore filling it and I undertake to abide by the same in all respects.

Dated. SIGNATT]RE OF THE CANDIDATE

ATTESTATION
(i) Cenifi€d that I have passed the Examination of under Roll No.
Supplementary Examination which is a qualirying lower /Examination for appearing in rhe €xaminatioD of
to be held in Anluarsupplenentary Exarnination.
(i, I am eligible to appear in lhe examination of in the capacity of Ex-studen/womad
Sc/ST.4landicapp€d/Defens€ PelsotrAl of Har,"na witl dale ofjoining. (TicL whichever is applicable).
(iii) Cenifi€d that I was a regularstudentof College/Directorate of Distance Education. KUK
during the session

Dated: FULL SIGNATI]RE OF THE CANDIDATD

bears a good moral character and has signed this form in my presence. Particulars of
the Candidate and his/her photo are correct.

Dated: SIGNATURE OF ATTESTINC ATITIIORITY

With of6ce serl
For ollice use onlv

Not Eligible due to Clerk Assistant Superintendent AR/DR

NOTE : Candidare b required to at ach tbo selfaddressed envclopes of size 9x4 inches with Exarn. Fornt
 Pase No. 3

FOR CENTR-E SUPERINTE}IDEI{T rOR STUDENT

Kurukshetra Urf versity, Kurukshetra Kurukshetra University, Kurukshetra
tisishturc Acl Xtt of t 956)
(Established by thc Srale
(Esr,blist'ed by tlr.SllIe t gislane Act X[ of t956)
CA+'Cnd€, NAAC Ac.ftr r.d) (1A+' Grrd.r NAAC A..rcdn.d)

Roll No.aum-Admit Car.l Roll No.aum-Adrnit Cat.l

Under-CEduate Examination Under-Graduate Examination
To be filled in by the Candidate To be filled in by the Candidate
Class:
Class:
Annual or
Senester System Annual or
Sernester System
April MaylocL/Dec.
April ,May/Occ/Dec.

Roll No. Roll No.

Regn. No. Regn. No.

Name Name

Father's Name : Sh. Father's Name : Sh.

Centle ofExam. Ceiltre of Exam.

Signature of Candidate Signature of Candidate

Controller ofExami.

Controller of Er.ms- Ihi-t slip at to be presened by the candidate and show on

dendnd on any da, of the dMination.

Imporaatrh Mobile Phone?ager etc. in the Important Mobile Phone/Pager etc. in the
Examination Centre is strictly. Examination Centre is stricdy
Prohibited. prohibited.

KURUKSHETRA UNIVERSITY, KURUKSHETRA

(Establlsh€d by he State Legistature Act x ot 1950t
('A ' Grado NAAC AccEdllod)
STUDENT COPY
1. Name Exam Enquiry Stamp
2. Fatheis Name
J- Class (Annual/Sem.)
4. Fee Rs-

5. Fee Receipt No.

6. Date
7. Exam to be held in ApriuMay/Oct./Nov. lDec.l 20 _ Sign. of Clerk
 Paqe No. 5
Serial No.
KURUKSIIETRA T'NIVERSITY, KURI'KSIIETRA
(E3teblished by th€ St.te Legislaturc Act XII of 1956)
('A*' crad€, NAAC Accredtted)

(This form dulv fiu€d in bv the candidate in his,tEr own handwiting must be a(ached with the examinarion form)
TNCOMPLETE ADMTSSION FORM WILL BE REJECTED
Roll No. (to be allotted by the ofEce)
Computer Form

l. Examination for which appearing (Class)

SessioD: AprilMay/Oct.lDec.l20...... .

(i) Full papers/ Improvemen/Addl.Paper / Compartment/Re-appear .....................................

(ii) Category: Regular/Private /Correspondence.........-....
2. K.U.K. Registfttion No
3. Name in English
(Capital latters)
Name in Hindi
Unattested
Photo be
4. Father's Name
pasted
ln English
here
Name in Hindi

5. Moth€r's Name
(ln Enslish) (Carirll tln6
6. Malo/Female..................................... RurayUrban.
7. Category to which you belong (General/SC/ST/BC/p.H.)
8. State to which you belong

9. Choice of Centre (i) . .............. (ir)

10. Particulars of Previous Examination(s) passed

Narne ofcla-ss Session Roll No. Result (Marks Unive6ity/ Subje€ts

Obtained) Board

I I . Subject offered (alongwith Subject Code ofPapers)

(l).............................-.----..--..(2).........................................................(3)
(4) ...... ........-...-..- - -.--..-.....(5) ................................................ (6)
t2.

13. Fee Detail: B.D./OBC/PNB Scrolltuniv. Receipt No. Dared...................

De.krrdoll:
I solemnly d€clarc and afErE th6l tte paniculaE given above are correct and aue ro the b€sl ofmy knowledge and norhing
has been concealed th€rein.

Date: Signature of the Applicant

 Pase No 7
DrREcroNS AND GUTDAN.E FoR pRrvATE .ANDTDATES
lmportant instructions, (Read carefully before filling the examination form)
I.AST DATE FOR RECEIPT OF EXAMINATION ADMISSION FORM AND FEE IN THE
UNIVERSITY OFFICE EXCEPT MEDTCAL & ENGTNEERTNG COURSES W.E.F October 2015
Session Examinatlons Without Late Fee With Late fee of With Late fee of
{ 500 ? 1000
UG (Reoular & CC) Dec., 11 December,20 December,3l
Annua UG (Private & Ex, Nove.,21 December, 10 December, 20
Student)
Supplementary UG (Pvt., Ex- Aug., 16 Au9ust,25 September, 10
Student & Reoular)
Annual PG (Regular, December, 11. December, 31 January, 15
Private/ Ex-student
& cc)
Supplementary PG (Pvt, Regular & September,30 October, 10 October,20
Ex- Student)
SEMESTER SYSTEM
Odd Semester UG, PG
(Regular, September, 15 September,30 October, 15
Ex-student & Pvt.)
Even Semester UC. PG (RegulEi.l
I Ex-student & Pvt) |

Note : No ad misslon form will be a ccepted aftqr the last date with late fee of a IOOO/-
EXamtnaI lon fees W.e.I. examrnation tar be held in Dec em be f 20 I
Sr. Examinations
No. regular regular (fresh/ re-appear/
Ex-
(fresh) (re'appear) compaftment)
students students*
1. Under-qraduate traditional courses. r 500/- 1650,/- r 850/- I 1400/-
including Certificate and Diptoma
2. Under Graduate Professional Courses, ? 600/- r 800/- { 1250/- ? t.300/-
including Certificate and Diploma, 8.Ed.
(Except 2.(a) & 2.(b) below)
2.(a) Bachelor of lnternational Hospitality & ? 800/- ( 1100/- I1250/- t 1300/-
8us;ness i4anaqement,
2.It Eachelor of Hostel Manaqement < 1250/- t 125( t 1250/- t 1300/-
3. Post-qraduate traditional courses I 500/" r 800/- t 1000/- ? 1800/-
4. Post-graduate Professional and Post- r 700/- t 950/- r 1250/- a 1300/-
graduate Professaonal Diploma courses
includjnq 14.Ed. (ExceDt 5) below.
5. Master oF Hotel Management & Master of t 1250,/- ? 1250/- t 1250/- ? 1300/-
Tourism I\4anaqement
6. B.Tech. & 14.Tech. Enoo. < r500/- I 150( r 1500,/-
7. All Medical Dental Ayurveda ? 1500/- 11500/- { 1500,/-
Physiotherapy, Nursina €tc.
8. Dissertataon fe€
(A) M.Tech Engg. 4 3500/- r 3500/- r 3500/-
(B) All other discipline classes/courses I 1250/- i 1250/- I 1250/-
9. { 1800/-

NgtC, * (i) * Fee for Private students at Column No. 6 includes Registration and continuation fees. However,
for regular Ex-students continuation fee amounting to I 1.00/- will be charged extra only once
during an academic year.
(ii) Afine of 1500/- (Rupees five hundred only)shall be charged from the candidates who are
Defaulter of actual examinataon fee by less than 20olo. tf the fee due is more than 2oolo a fine
of I 1000/- (One thousand only) shall be charged.
(iii) The Exam. Form will be accepted without late fee within 25 days of publication of result or
15 days from the date of dispatch of DMC which is later.
lll. The candidates desirous of appearing privately under the ordinance for private candidate of
Kurukshetra University, Kurukshetra in various Under-Graduate/Post Graduate examinations will
submit their examination forms complete in all respects. They will deposit the required
examination fee at any of the C.B.S, authorised branch of Punjab national Bank and will attach
original receipt thereof with the examination form. The comoartmental/re-apoear candidates
who are reqular students of hioher classes shall submit their examination forms throuqh the
colleoe/Deoartment concerned.
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 Page No. 10
KURUKSHETM UNIVERSTTY, KURUI€HETRA

No examination form will ordinarity be entertained after the date with late fee of < 5OO/- and in
abnormal circumstances it will be accepted with rate fee of I looo/-, if appeaflng simultaneously in
lower examinatron, submit form and fee for each separately.

20, Mode of Payment:

F€e to be paid in any CBS Branch of pNB in tndia or Oriental Bank of Commerce, K.U.K. Branch or
through Bank Draft. preferabry drawn on state Bank of rndia or rpos ih ravour ot nelisirar,
KLrrukshetra University, Kurukshetra.

The candidate shourd keep the postar receipt and the Acknowredgement, university Receipt ti
he/she gets Roll No. from the University.

21.
For UG Exam. (Annual Examlnations) :

Panchkula, Kalka, Ambala Cantt., Ambala City, Barara (only for Girls), Saha, Naraingarh, yamuna
Nagar, .Jagadhri, Radour, Sadhaura, Kurukshetra, Ladwa, pehowa, Shahabad(M).-Lohar Majra,
Kaithal,- Kaul, Pundri, Kamal, Panipat, Samalkha, Madlauda, lsrana,
,ind, Narwana, Safidon, Hi;ar,
Mandi Adampur, Hansi, Iohana, Ratia, Mandi Dabwali, Sri Jiwan N;gar, Ellenabad, OOnan
tonfy
for Girls)

For UG Supplement'ary Examinations:

Panchkula, Ambala Cantt,, Ambala City, yamuha Nagar, Jagadhri, Kurukshetra, Kaithal, Karnal,
Panipat, Jind, Narwana, Hisar. Hansi, Bhodian Khera lonty ioiCirtsl.

Unlversity reserves the right to create or abolish any centre(s) at any stage.

Examination admission forms can be had from the Manager, printrng & publishings, K.U.
Kurukshetra on payment of I 1O/- (Ten in cash) at the counte; qnd { 2Ol: Owenty) by i'he post
and t 45/- (Forty Fice) if required by Regd. post or can be downloaded by the lnternet.-

22. Private candidates of B.A./8.5c-/B.Com. etc. registered for the Academic Session 2OO4-05 will
have to.offer the subject of Environm€ntal Studies inthe llid or llld year of Bachelor Degree
Course during the Academic Session 2005-06 and 2006-07 respectivety; if otherwise etigible.-