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( to be sent through Institution only )

State Board of Technical Education, Bihar, Patna

FORM OF APPLICATION FOR SCRUTINY OF MARKS

To,
Controller of Examinations
S.B.T.E., Bihar,
4th Floor, Technology Bhawan,
Patna – 800 015

Sir,
I hereby apply for Scrutiny of marks, appeared in Semester-………. Exam 20……. (Odd/Even)
held in …………..………. 20…..….. in the subjects vide particulars mentioned below:

BOARD ROLL NO. ……………………………. NAME ………………………………….…………...

Institution ……………………………. Subject Code Subject(s) Marks obtained

Exam Centre ………………………….

Fees Paid Rs …………… DD / Cash

Receipt No. ……………..

Date ……………………..

I hereby undertake to accept the lower marks the same is established on the basis of Scrutiny.

Yours faithfully,

(Signature of Applicant)
Registration No.- …………………….…………

Mobile No.- …………….………………………

Forwarded by Principal

Verified above details from T.R. and recommended for Scrutiny.

Letter No. :- Date :-

Signature of Principal

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