repeaters - Kuvempu University - Directorate of Distance Education

KUVEMPU UNIVERSITY
Office of the Director
DIRECTORATE OF DISTANCE EDUCATION
Jnana Sahyadri, Shankaraghatta – 577 451, Karnataka.
Ph: 08282-256450, Fax: 08282-256370, e-mail:info@kuvempuuniversitydde.org
BSc.(IT) / MSc.(IT) REGISTRATION FORM FOR
REPEATERS
Photo
Note: 1) Please carefully read the information given at the back of this Form before filling up.
2) Fill – up all details correctly & legibly.
1) Name of the Applicant :
(In block letters as registered by KU)
2) Roll No / Register No. :
(As given by KU)
3) Name of the Study Centre / Place :
Study Centre code No. :
4) Address for Communication :
Mobile / Telephone No. :
5) Subjects / Papers for Repeaters Registration
Course: BSc. (IT) / MSc.(IT)
(Tick whichever is applicable & Strike out whichever is not applicable)
Month & Year of Exam: (in which appearing)
SL.
No.
Semester
Subject
Code
Name of Subject/Paper/Exam
Fees (Refer
instructions)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Important : Please attach Xerox copy of Marks Card(s) with attestation.

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6) Fees to be paid by D.D Payable to the “Finance Officer . Kuvempu University”
SHANKARAGHATTA (For State Bank D.D’s, or SHIMOGA (for other Scheduled
Banks)
Sl
No
1
2
Name of Bank/Place DD No. Date Amount
I declare that the information furnished by me is correct.
Enclosures: (1) DD
(2) Marks Card (Xerox/original)
Place:
Date: Signature of the Student
CENTRE Checked & Verified
Date: Seal of Centre Signature of Co-ordinator
KU (For University entry only) No. of Subjects :
DD Amount :
Registered by Verified by
Instructions to Candidates:
1) The Examination fee for each subject for a repeater is Rs. 400/- (Four hundred only)
for Theory, Practicals or Project work.
2) If a Student is appearing for all the subjects of a Semester, the total fee is Rs. 1600/-
(One thousand six hundred only)
3) The examination fee is to be paid only through a DD which should be attached to the
application & sent through the Study centre to The Directorate of Director, Distance
Education, Kuvempu University.
4) Fees once paid will not be refunded or readjusted.
5) Please enclose Xerox copy of your Marks Card with attestation.
6) Last date for submission of exam applications (Repeater) is 08-04-2011 and with
penal fees of Rs. 500/- (Five hundred only) 15-04-2011.