nagwan

Roll No. …………………………
(To be filled by the University)

HIMACHAL PRADESH UNIVERSITY
SUMMER HILL, SHIMLA – 171005
FOR PRIVATE AND RE-APPEAR CANDIDATES
For the Examination to be held in Month ………………………… Year 201…………………………
Note : Candidate must quote his/her pervious Exam. Roll No. in column No. 11
Rate of Fee:
M.A./M.Com.
Rs. 80/- per semester
Cash Stamp
M.A./M.Com.
Rs. 40/- Single Paper
All Subjects
Rs. 10/- For Practical
For use in the University Office:
Eligible / ineligible
Eligible subject to the production of (……………………….)
M.A./M/Sc./M.B.A./M.Com/M.Ed./LL.B./B.Ed./PGDPM&LW/DMM and
Diploma / certificate in …………………………
N.B.

1.

Affix latest attested photograph duly attested for all candidates 1 PLEASE FILL IN SEPARATE FORM FOR EACH SEMESTER
2 PLEASE READ INSTRUCTIONS CAREFULLY BEFORE FILLING THE EXAMINATION FORM IN WHICH APPEARING

Examination Centre opted (i) …………………………………………………………… (ii) …………………………………………………………
Class ……………………………………… Subject ……………………………………… Semester ………………………………………

2.

Name of Candidate ………………………………………………………………………………………………………………………
(in capital letters) in English …………………………………………………………………………………………………………
In Hindi …………………………………………………………………………………………………………………………………………

3.

Father’s / Mother’s Name (in capital letters) in English ………………………………………………………………………
In Hindi ……………………………………………………………………………………………………………………………………..

4.

Registration (Enrolment) No. ………………………………… 5. Sex …………… Male/Female……………………….………
(of this University) (Attested Copy should be enclosed)

6.

Date of Birth ………………………… in words and in figures …………………………………………………………………

7.

(i) SC/ST ……………………………… (ii) Blind or permanently handicapped ………………………………….…
(Attach and attested copy of the certificate from competent authority )

8.

Course/Subject in which appearing : 1. ……………….. 2. ………….…….3. ………….…….4. ……….……….

8a. Capacity in which appearing: 1. Late College student
9.

Are your appearing for the improvement of

2.