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Form Rs. 10/-
North Maharashtra University, Jalgaon
Application form for Exam. to be held in _____________________________
Name of the College : College Code :
Course Name:- SYBA SYBCOM SYBSC SEM-I/II TYBSC SEM-I OTHER COURSE ________________________
Name of the Student : M/N :
F.Y. Seat. No. : P.R.N.:
S.Y. Seat. No. :
To,
The Controller of Examinations,
North Maharashtra University, Jalgaon Form No. :
Sir,
I request permission to present myself for the ensuing examination. I have remitted the prescribed fee for the same. I hereby declare that all statement made in this application are true, complete and correct to the best of my knowledge and belief. I have gone through the syllabus and the list of books prescribed for the examination for which I am appearing. I shall not request for any special concession such as change in time or day fixed for university Examination etc. on religious or any other ground. I understand that in the event of any information being found false or incorrect, my candidature is liable to be cancelled or rejected. I wish to appear for the followng Subjects.
Write down carefully below the name of subject with computer code which you desire to appear
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| Exam | . Fee Detai | ls : Exam. F Exam. F | orm Fee. – ee - | ,M.S. Fee.- CAP Fee - GK-,Late Fee- Total Fee – |
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Place: Date: Student’s Signature
Amount Received : Date : College Staff Signature
Declaration by Principal: This form is carefully scrutinized by the College/Institute staff and by me. The information written in the form is correct to the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information. He/she is regular/ repeater student of this college and has completed the required attendance and practical course/term work(if any) according to university rules.
Place :
Date : Seal and Signature of Principal