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GURU GOBIND SINGH INDRAPRASTHA UNIVERSITY
SECTOR 16C, DWARKA, NEW DELHI� 11007'3
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EXAMINATION DIVISION

Application Form for Inspection of Evaluated Answer Sheet{sl

Important Note: The filled in application form with the requisite fee@ R�. l,200/· p•!r pap�, 1foly fQm;;r,11-11,1
the Dean of concerned USS or Director/ Principal of concerned affiliated Institute, shotJld bi: �ubmltt,1;(j t.1) offi9·
of the Controller of Examinations, Guru Goblnd Singh lndraprastha Unlw:rslty, SP.ctc,r-1 (.>(, l>'l1lir},,,
New Delhi - 110078, within 15 days from the date of declaration/ notification of th•? fP.�p,;clivP. r•-�•Jlt�,

1 Name of the Student/ Applicant: RAHUL PANDIT

2 Name of Father/ Guardian:
(as stated In the University records) KESHO PANDIT
3 Enrollment Number of Student/ Applicant: 08918001618
4 Name of the USS/ Affiliated Institute: DELHI TECHNICAL CAMPUS
5 Programme/ Course: B.ARCH
6 Year and Month of Examination: 2019.December
7 Date of Declaration/ Notification of Result: 24/06/2020
8 Date of Application: 30/06/2020
9 Address for Correspondence: Near Shiv Mandir ,udaipur ,sanjhauli sasaram bihar
10 Phone Numbers: 8851448874
11 Email ID: rahulpandey7174@gmail.com l
12 Details of the Fee submitted, Amount (In Rs.): 1200
13 Indian Bank Challan No.:
14 Bank account details for refund of re-checking fee, if any, as per clause S(G) of the Re?,ul.ation;
15 Bank Account Number & STATE BANK OF INDIA Account no. 36161748503
Name of the Bank Account holder: Account holder name - RAHUL PANDIT
16 Name of the Bank and the Branch: State Bank Of India , Branch Sanjhauli
17 Description of Answer Sheet requested for Inspection: please check my answers heet carefully
Semester Paper Code & Subj
(i) 3rd 16229
(ii)
(iii)
(iv)
(v)
(vi)
18 Undertaking by the applicant: I do hereby undertake that I shall strictly abide by the Univer�ity rul� �
regulations governing rechecking, Inspection & provision of certified photocopies of evaluatl.!d an�wer
sheets. Further I do hereby undertake that neither shall I indulge in any act which may be prejudid::11 to
the maintenance, preservation, safety and security of the answer sheets nor shall I r�ort to any
unauthorized or improper use of Information received pursuant to this request in any manner which b
likely to prejudicially affect the interests of the University or its functionaries nor shall I engage in any
uncalled for argument with the official facilitating the inspection of answer sheets.

Rahul pandit
Signature of the Applicant
19

Dean/ Director/ Principal of USS/ Institute

20 Space for official use:

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