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Examination Application

This document is an application form for examinations from Alagappa University's Distance Education program. It requests information such as the applicant's name, father's name, sex, enrollment number, address, exam center, course, month and year of exam, subjects, and exam fees payment details. The form also provides instructions to applicants, such as noting that final year candidates must pay degree/diploma certificate fees and that those who have not paid second or third year course fees will not be permitted to sit for the exam.

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157 views2 pages

Examination Application

This document is an application form for examinations from Alagappa University's Distance Education program. It requests information such as the applicant's name, father's name, sex, enrollment number, address, exam center, course, month and year of exam, subjects, and exam fees payment details. The form also provides instructions to applicants, such as noting that final year candidates must pay degree/diploma certificate fees and that those who have not paid second or third year course fees will not be permitted to sit for the exam.

Uploaded by

anon-185476
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ALAGAPPA UNIVERSITY

(Accredited with ‘A’ Grade by NAAC)


KARAIKUDI – 630 003 TAMIL NADU
DISTANCE EDUCATION
APPLICATION FOR EXAMINATIONS

1. Course : 2. Exam Centre:


with centre code :
3. Name of Study Centre: 4. Month & Year of Exam :

1. Name of the applicant (in BLOCK letters) :

2. Father’s Name :

3. Sex : M F

4. Enrolment No. :

5. Permanent Address with Pincode :

6.Year / Semester for which you are appearing Details Nos Amount Total
(Both Regular and Arrears) Rs.
1.Subject(s)fee

7. EXAMINATION FEES PAYMENT DETAILS 2. Practical(s) /


Dissertation fee

a) Amount paid : Rs.


3. Cost of
application form
b) D.D. Number :

c) Date of payment : 4. Mark statement


fee
5. Provisional
d) Name and place of Certificate Fee *
issuing Bank : 6. Degree/Diploma
Certificate fee *
*8. Have you paid the course fees due 7. External Centre
to the University Yes/No fee

Station : 8. Late fee


Date: Grand Total Rs.
Signature of the Candidate
*To be paid by the final year Candidates only

Verified by: CONTROLLER OF EXAMINTIONS

*Those who have not remitted Second / Third year Course fees will not be
permitted to appear for the examination
9. Subjects in which you are appearing
Title of the Paper
Subject FIRSTYEAR/ FIRST SEMESTER Subject FIRST YEAR / SECOND SEMESTER
Code Code

SECOND YEAR / THIRD SEMESTER SECOND YEAR / FOURTH SEMESTER

THIRD YEAR /FIFTH SEMESTER THIRD YEAR / SIXTH SEMESTER

Score out the letters and numerals which are not applicable to you
- - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - --
Alagappa University
Karaikudi- 630 003
DISTANCE EDUCATION EXAMINATIONS, 200 Photo to be
HALL TICKET affixed here
(To be filled in by the candidate)

Name of the Candidate :

Course :

Enrolment Number :

Examination Centre :

SUBJECTS APPEARING (Write the subject code only)

Signature of the Candidate Controller of Examinations

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