MBM UNIVERSITY, JODHPUR OFFICE OF THE CONTROLLER OF EXAMINATION No. MBMU/EXAM/2022/ 35, Date: 12 /izJ222— NOTIFICATION Iris hereby notified for the information to all ATKT / EX students of BLE, (CBCS) 1 II/ V) VEL Semester 2022-23 of the All Branches of Faculty of Engineering & Architecture as per mentioned below: T SNe. Particular San date T__[ Filling of Examination ATKT/ EX Students 72.12.2022 + Allconcem students shall have to deposit requisite fee for Examination as per the schedule The students have to deposit the required documents along with the Examination form to Controller of Examination Office latest by 16.12.2022 up to 4:00 PM. ‘s All fee collected shall be deposited in the M.B.M. University Fee Collection Account. wan Controller of Examination Copy for information and necessary action to: 1. PS. to Vice Chancellor, MBM University, Jodhpur 2. Dean, Faculty of Engineering & Architecture, MBM University, Jodhpur 3. P.A.to Registrar, MBM University, Jodhpur Controller of ExaminationM.B.M. UNIVERSITY, JODHPUR B.E.(CBCS)Examination Form (Main) - Session (2022 - 2023) Category (Tick one): ATKT / EX Branch ROLL NO. : 7 | FORM NO. : (To be Filled by Exam Office) _| Enrotiment Now: _| Student Name Student Name(Hindl) | Fathers Name || Father's Name(Hindi) | Mothers Name Photo Mother'sName (Hindi) Gender Is Orphan / Blind Yes/No Medium: English | Signature of Candidate EMailid Mobile No. j Details of Subjects / Papers Fee Details S.No. | Course Code Subject / Paper Name Name ofHead | Amount 1 | | 2 i 2 Examination Fee 750/- ‘ | 5. ] : Sac | 7. (if Not Enrolled) 3 | t 3 | | (ie: ae et i Total 3 | 14 ‘Bank Account Details: Amount Credit in; MB M UNIVERSITY FEE COLLECTION ACCOUNT ICIC BANK Account Number + 683101701477 IFSC CODE 1C1C0006831 Documents to be Enclosed S.No. Panicular S.No, Particular £ Fee Receipt (Proof of Fee Payment) 4 : Copy ofthe Previous Mark sheet Showing ATT i subject 3 6 ‘Certies that il above entries are correct and has been checked through of my knowledge and bel, | am not appearing in any oer examination ‘of any other universty ! nativion wih this course and there is no Unfay Means appear inabove mentioned examinalion of BE case aoa ‘me.I have deposited examination fe, Signature of Student Signature and Seal of Forwarding OfficeCOLLECTION ACCOUNT Account Number: 683101701477 COLLECTION ACCOUNT Account Number: 683101701477, Bank Copy = [ ‘Student Copy re @PiciciBank | AiciciBank | Mercieank Name T Name E z Name Father Name Fee sereee metre Sree i Z |Father Name = [Mother Name : a Mother Name [Mobile No. | = zs Mobile No. ‘Year and Branch] a é Year and Branch BE | Year and Branch! [Course Purse | Course (Category Category ory FTiek One FTiek One Tick One BEXAMINATION FEE (EX / ATKT) BEXAMINATION FEE (EX / ATKT) |BEXAMINATION FEE (EX / ATKT) Fee Deposit Details ~ Fee Deposit Details — Fee Deposit Details — Rs. Rs. Rs. [Amount Credi MB M UNIVERSITY FEE [Amount Credit in MB M UNIVERSITY FEE |Amount Credi MBM UNIVERSITY FEE COLLECTION ACCOUNT /Account Number: 683101701477 (Attach eazypay Receipt / Proof of Payment) [Signature of canduate unk Acknowedgment_| (Attach eazypay Receipt / Proof of Payment) Signatre of candidat Bank Acknowledgment FSC CODE: ICIC0006831 IFSC CODE: ICIC0006831 FSC CODE: 1C1C0006831 [cash Denomination [aroun (Rs) [Cash Denomination [Amount (RS) [Cash Denomination [Amount (Rs) aco x 000 x "| fpecox [ s00x 500 fz [00 x. 200 X [200 x. | [ox i Tox 100% 100% 50x sox 50% 20x fox. pox 10x 10x 10x 5x 5x 5x Frat Amount Figures Fal Amount in Figures Tol Amount in Figures TAmountin Words ammount in Words Amount Words Transaction 1D = [Transaction ID : [Transaction ID = [Transaction Date: [Transaction Date: [Transaction Date: (Attach eazypay Receipt / Proof of Payment) Rank Acknowledgment on tana ‘Non retundahio