ONLY FOR REGULAR STUDENTS

RASHTRASANT TUKADOJI MAHARAJ NAGPUR UNIVERSITY, NAGPUR

EXAMINATION FORM
(PRINT THIS FORM AND FILL IN HANDWRITTEN ALL THE DETAILS NEATLY)

NAME OF EXAMINATION _ _ _ _ _ _______________________

ENROL. NO. (NOT APPLICABLE FOR FIRST SEM STUDENTS)
SUMMER (S) / WINTER (W) EXAMINATION
MEDIUM: ENGLISH (E) MARATHI (M)
FIRST NAME (BLOCK):
MIDDLE NAME (BLOCK): _________________________________________________

ANDROID MOBILE NO. FOR LAST NAME (BLOCK):

UNIVERSITY
MOTHER’S NAME (BLOCK) ______________________________________________
WRITE SUBJECT/S, PAPER’S PRACTICALS, SESSIONAL AS PER CURRENT SYLLABUS IN WHICH
TO APPEAR AT THE EXAMINATIN (MENTION NAME OF OPTIONAL PAPER, IF ANY)

1.
2. 3.

4. 5. 6.

7. 8. 9.
WHETHER ADMITTED TO HIGHERCLASS UNDER A.T.K.T. RULES? *YES/NO (strike out which is not applicable)
** WHTHER THE APPLICANT WANTS TO ACCEPT EXEMPTIONS? *YES/NO (IF YES, GIVE DETAILS IN THE FORMAT)
ATTACH ATTESTED COPIES OF MARKLISTS

SR. SUBJECT/PAPERS/PRACTICALS/SESSIONALS MARKS ROLL NO. SUMMER/WINTER COLLEGE

NO. OBTAINED YEAR 201 CODE NO.
1 NOT APPLICABLE FOR FIRST SEM STUDENTS 011

2 011

3 011

4 011

5 011

6 011

PARTICULARS OF EXAMINATION TO BE FILLED IN BY THE EX-STUDENTS (I.E. FAILURE

STUDENTS INCLUDING STUDENTS REMAINED ABSENT AT THE EXAMNATION)

NAME OF LAST EXAM _SUMMER/WINTER _ ROLL NO.______ _ _

NAME OF COLLEGE. __ _ __ _ _ __ _ __ _ _ __ _ __ _ _ _ _________