Panjab University, Chandigarh

Online Examination Form for Post Graduate Examination May 2024

No need to submit this form to Panjab University .

Candidate Type College Candidate (Full Subjects)

National Institute of Technology Teachers Training & Research, Sec-26,
College/Deptt.
Chandigarh
College Roll No: 211310
Application No. 1824048051
Regd./PUPIN NO. 52421005101

Category Scheduled Tribe

Gender Female

Name of Candidate MAYANGCHILA JAMIR

Father's Name T TOSHI JAMIR

Mother's Name BENDANGLA
Date of Birth 09-01-1994
Aadhar NO. 410464806585
Nationality Indian
Working in Government/Public
Sector
No
Mobile 8837444575
Email ID puskijam@gmail.com
Correspondence Address kevijau colony lane14A, dimapur,797112
Permanent Address kevijau colony lane14A, dimapur,797112
Course Information:
Course M.E. in Civil (Construction Tech. & Mgt.) Modular programme
Semester 6
Current Subject(s) 1. Construction Costing and Financial Management
2. Foundation Design and Construction
3. Foundation Engineering Lab
4. Preliminary Thesis
Previous Information:
Course M.E. in Civil (Construction Tech. & Mgt.) Modular programme
Semester 5
Result Result Awaited
Roll No. 211310
Passing Year 2023
University Panjab University, Chandigarh
Subject(s) MCT6102,MCT6104
Other Details:
Applied for Re-Evaluation No
Blind/Permanently disabled
from writing
No
Is UMC No
I have filled the form after careful study of the University syllabi, structural outlines of the course,rules and
regulations pertaining to the year and session of the examination, under reference. The statements made by
me in the form are correct. I accept full liability for any action against me under the rules/regulations of the
University for any mis-statement or concealment of facts made by me.
Place:
Date: 13-04-2024 Full Signature of Candidate
 Panjab University, Chandigarh
Certificates
(For College/ Department of Evening Studies/Centre for Distance and Online
Education Candidates)(Strike out which is not applicable).

Certified That :
1. The candidate has remained on the rolls of this College/Department for the full academic year preceding the
examination.
2. The candidate has passed, at least one academic year previously (except in compartment
cases, appearing simultaneously), the lower examination with the required subjects and % age
of marks on the basis of which he/she is eligible to appear in the exam.
3. The candidate has attended not less than 75% of the full course of lectures delivered to
his/her class in each of the paper being offered for examination.
4. The candidate has attended not less than 75% of periods assigned to practical work in each
science subject or Psychology, Home Science or in the case of Geography, Map work and
Practical and 80% each in the subjects of Physical Education and Defence and Strategic
Studies.
5. The candidate has obtained at least 25% marks in the aggregate of all the combined results
of (a) the house examination held in November/December and (b) the internal assessment
based on three monthly class tests held in August, September and October respectively.
6. This college has duly been granted affiliation by the Panjab University which is valid upto date in the Course(s) being
offered by the candidate in his/her examination form and the number of candidates admitted and being sent for
examination is within the strength sanctioned by the University for the Course/Session.
7. The candidate bears a good moral character, that he/she has filled in and signed this examination form in my presence
and has further satisfied by production of authentic documents, that the statements made by him/her in the form are
correct.

Place:_________________
(Full Signatures of the Principal/Chairperson
Deptt. of Evening Studies/Centre for Distance and
Online Education with official stamp)

Dated:_________________

Full Name of the Principal of the (Name of the College/Department with official
College/Chairperson __________________ Stamp)

Certificate for Late College Students (Colleges/Centre for Distance and Online Education/Evening
Studies)
I certify that the applicant :
(a) has completed the prescribed course of lectures/practicals etc in the college or has been on the rolls of the
Department of Correspondence/Evening Studies from July 20__ to April, 20__ in the subject/s offered by him/her and has
paid requisite continuation fee of Rs. 40 vide Receipt No. Dated.
(b) has previously appeared in the examination under Roll No. in Session Year.
(c) bears a good moral character. (d) has signed this form in my presence and satisfied me by production of authentic
documents, that the statements made by him/her are correct.

Full Signature of the Principal of the

Date:_________________ College/Chairperson C.D.O.E./D.E.S. (Last Attended)
(With Official Stamp)
 Certificate for Private Candidates (other than late college students)
(Items not applicable may be struck off)
Certified that :
(i) I know the applicant personally. He/she bears a good moral character. His/her attested photograph is affixed. He/she
has signed this examination form in my presence and has satisfied me by production of authentic documents that the
statements made by Him/her in the form are correct.
(ii) The applicant has been in continuous service since ______________________________
and will continue to be as such till the commencement of the examination. He/she has
completed at least 3 year service on 30th November preceding the year of examination
(a) Name of Institution/Organisation/Deptt.
(b) Date of Joining (c) Rank/Designation
(iii) He/she has not been a regular student of an affiliated college during the academic year
preceding the examination.
(iv) There is no Evening College/Evening Classes in any college at the place where the
applicant is employed OR he was not granted departmental permission to join the Evening
College/Evening Classes by the employer due to the nature of his duties )Attach certificate) OR
that the applicant was not granted admission in the Evening College/Evening Classes by the
Principal. In case there are more than one Evening College/Classes, this certificate may be
obtained from all of them.
(v) For Defence Personnel Only: (a) He is a bonafied (permanent ) resident of District in the
State of Punjab/Haryana/Himachal Pradesh/Chandigarh (U.T.) (b) He has been working in the
State since (Month) (Year) and will continue till the commencement of Examination.

Note : Teacher of Govt. Primary/Middle/High School should get their

forms attested by the Distt. Education Officer/Circle Education Officer.

(Signatures & Stamp of the Head of

Institution/Organisation/Deptt. where candidate
is employed or any other attesting authority)
Name of the Attesting Authority(in Capitals)
Designation:_________________
Dated: _________________
Full Name of the Principal of the College/Chairperson (Name of the College/Department with
__________________ official Stamp)

CHECK LIST OF DOCUMENTS/INFORMATION (To be supplied by the Private Candidate Only)

1. Have you passed the qualifying exam. from the University? If yes, do not attach the original Detailed Marks Card.
2. If you have passed the qualifying exam. from the University/Council other than Panjab University attach the Original
DMC & Migration Certificates from the University/Council.
3. Have you got your examination form attested by a competent authority as prescribed by the Panjab University?
4. Have you filled in all the columns of the Exam. Form properly and that no column has been left blank?
5. Have you attached three copies of your latest passport size photograph from one and the same negative?
6. Have you attached the SC/ST/BC certificate issued by the competent authority (if applicable).

Dated _________________ Full Signature of Candidate

(For Office Use only)

Eligible _________________ Not Eligible_________________

Eligible Subject to_________________ Reasons_________________

Dealing Official A.S.O. O.S.E. Dealing Official A.S.O. O.S.E. A.R.E