ALAGAPPA UNIVERSITY

(Accredited with ‘A’ Grade by NAAC)

KARAIKUDI – 630 003.TAMILNADU
DISTANCE EDUCATION
APPLICATION FOR EXAMINATIONS

1. Course : 2. Exam Centre with

Centre Code :
3. Name of the Study Centre : 4. Month & year of Exam :

1. Name of the applicant(in Block letters) :

2. Father’s Name :

3. Sex : M F

4. Enrolment No. :

5. Permanent Address with Pincode :

6. Year/Semester for which you are appearing

(Both Regular and Arrears) :

7. EXAMINATION FEES PAYMENT DETAILS Total

Details Nos Amount
Rs.
a) Amount paid : Rs. 1. Subject(s) fee

2. Practical(s) /
b) D.D. Number : Dissertation fee

c) Date of payment : 3. Certificate fee

(including Exam
d) Name and place of : Application fee,
issuing Bank Mark Statement fee,
Provisional
Certificate fee,
8. *Have your paid the course : Yes/No Degree Certificate
fees due to the University fee) to be paid only
during first
Station: appearance.
4. Late fee

Date: Total Rs.

Signature of the Candidate

Verified by:

CONTROLLER OF EXAMINATIONS
* Those who have not remitted Second / Third year Course fees will not be permitted to
appear for the examination
 9. Subjects in which you are appearing

Title of the Paper

Subject FIRST YEAR / FIRST SEMESTER Subject FIRST YEAR / SECOND SEMESTER
Code Code

SECOND YEAR / THIRD SEMESTER SECOND YEAR / FOURTH SEMESTER

THIRD YEAR / FIFTH SEMESTER THIRD YEAR / SIXTH SEMESTER

Score out the letters and numerals which are not applicable to you

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ALAGAPPA UNIVERSITY
(Accredited with ‘A’ Grade by NAAC)
KARAIKUDI – 630 003
DISTANCE EDUCATION EXAMINATIONS, 200
HALL TICKET
(To be filled in by the candidate)
Name of the Candidate :
Photo to be
Course : affixed
Enrolment Number : here
Examination Centre :
SUBJECTS APPEARING (Write the subject code only)

Signature of the Candidate Controller of Examinations