Application Form For Revaluation and Supplementary Examinations

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BHARATHIDASAN INSTITUTE OF MANAGEMENT

Application for Revaluation/Supplementary Examination


From To

Roll No: The controller of Examinations.

Name:

Dear Sir,

I hereby apply for Revaluation/ Supplementary examinations for the following course(s).
Kindly accept and arrange for the same.

Specify the type


Trimester of examination Courses applied for Amount
( R/S1/S2) ( In short form)
Revaluation
(For F grade
only)

Supplementary
Examinations.

Total Amount

Signature of the student

Examinations Department:

Endorsement by the cashier :


With Cash Receipt Number

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