Direct Final Exam
Direct Final Exam
Direct Final Exam
Tel. : 26863069
26512469
Passport Size
photograph
to be affixed
1.
: ........................................................................................................
2.
Studentship No.
: ........................................................................................................
3.
: ........................................................................................................
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4.
Telephone No.
Office .............................
Resi. ..............................
Mobile ............................
5.
6.
Date of Birth
: ........................................................................................................
Details of Examination and Group(s) Subject(s) in which the applicant intends to appear :
Sub-Division
Group(s) / Subject(s)
Remarks
(also see Sl. No. 7)
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7.
Date : .............................
Note : 1.
Attestation shall be got done from a Gazetted Officer.
Receipt No. .........................
Rs. ...................
Exam. Fee
Rs. ...................
Mark Sheet
Rs. ...................
Postage
Rs. ...................
Rs. ...................
Late Fee
Rs. ...................
Total
Rs. ...................
I Preference ...................................
II Preference ..................................
I Preference ...................................
II Preference ..................................
Signature of applicant ...................................
2
(Applicable to Sub-Division I a, I b, II and III)
8.
* I Certify that I appeared in the Direct Final Examination (Sub-Division ......................) in the subjects as listed
below and was declared as passed in the subjects as indicated.
Year of
appearing
Roll No.
Subject(s)
appeared
Subjects(s)
passed
* I certify that I have passed the Final/Direct Final Examination in Sub-Division in the year .................. my Roll No.
being .................... and therefore I request that I may be exempted from appearing for the undermentioned subject.
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* Delete as not applicable
10.
Note : All payments are to be made in faovur of The Institution of Surveyors by Bank Draft payable at Delhi. Cheques &
Postal orders will not be accepted.
(b) Certified true copies of Certificates listed below :
(i)
(ii)
(iii)
Date : .......................................
Note : (1)
(2)
(3)
(4)
(5)
.....................................................
(Signature of Applicant)