ALAGAPPA UNIVERSITY

(Accredited with A+ Grade by NAAC (CGPA 3.64) in the Third Cycle,

Graded as Category - I University and Granted Autonomy by MHRD – UGC,
2019: Asia Rank – 216, QS BRICS Rank – 104, QS India Rank – 20)
KARAIKUDI – 630003, TAMIL NADU

Examination Section - Affiliated Colleges

EXAMINATION APPLICATION FORM
1. Course Name: 3. Name of the College through which enrolled.

2. Month & Year:

1. Name of the Applicant(In Capital) :

2. Father’s Name :

3. Sex : Male Female Transgender

4. Register Number :
Address for Communication & Pin code
5. :
Mobile Number (Mandatory) :
E.Mail ID (Mandatory) :

6. Semester for which you are appearing : I II III IV V VI

(Arrears only)

7. Subject in which you are appearing :

Sl. Subject Sem. Title of the Paper

No. Code No.

8. Last Appearance : Month:___________________ Year: _____________

…………………………………………………………………………………………………………………………………………………………………………………….…

ALAGAPPA UNIVERSITY
(Accredited with A+ Grade by NAAC (CGPA 3.64) in the Third Cycle,
Graded as Category - I University and Granted Autonomy by MHRD – UGC,
2019: Asia Rank – 216, QS BRICS Rank – 104, QS India Rank – 20)

KARAIKUDI – 630003, TAMIL NADU

HALL TICKET
(To be filled in by the candidate)
1. Name of the Candidate : Affix recent
passport size
2. Course : Photograph duly
attested by the
3. Reg. No. :
College Principal
4. Name of the College :

5. Subject Codes :
SUBJECTS APPEARING
9. Examination Fees Payment :
Details Details No. of Fee per Total
Papers Paper Amount
(a) Amount Paid ( ₹)( : ( ₹)
(

1. Subject (s) fee Theory

(b) D.D. Number : 2. Practical (s)

(c) Date of Payment : 3. Project

4. Cost of application fee
(d) Name and place :
of issuing Bank 5. Mark Statement fee
6. Late fee
Grand Total ( ₹)
(

I declare that the particulars furnished above are true to the best of my knowledge and belief.

Signature of the Candidate

Certified that the particulars furnished above by the candidate are correct

Signature of the Principal

For Office Use Only

Verified By: EXAMINATION SECTION CONTROLLER OF EXAMINATIONS

INSTRUCTION
1. Application should be filled in only by the Candidate neatly.
2. The Photograph should be duly attested by the Principal of the concerned college.
3. The fee should be paid by Demand Draft / Bank Challan favouring THE REGISTRAR,
ALAGAPPA UNIVERSITY, KARAIKUDI and payable at Karaikudi. (Money Orders, Cheques &
Postal Orders will not be accepted)
4. The Original Bank Challan should be enclosed with this application. Photo copy of Bank Challan will
not be accepted.
5. Examination Application should be sent through the Principal of the college
addressed to The Controller of Examination, Alagappa University, Karaikudi - 630 003.
6. Original Statement of Marks Should not be enclosed along with the application. Only photo copy of
the mark statement Should be enclosed.

Fee Details

Amount ( ₹)(

Fee Details
UG PG MBA /MCA/ PG M.Phil
M.Sc (C.S)
Diploma
1. Subject (s) fee Theory 75.00 150.00 350.00 150.00 400.00
2. Practical (3 Hours) 90.00 190.00 For Dissertation
and Viva-Voce
Practical (6 Hours) 150.00 300.00 350.00 200.00
1000.00
3. Project 150.00 350.00 400.00 300.00 300.00
4. Cost of application fee 50.00
5. Mark Statement fee (IMS) 100.00
6. Cumulative Mark Statement (CMS) 250.00
7. Provisional Certificate (PC) 250.00