BHARATHIAR

U1{IUERSITY
I 641 046.
GOIMBATORE
SGHOOLOF DISTANGEEDUGATION
APPLIGATION FORM FOR THE DEGREEEXAMINATIONS

NAMEANDCODEOF THE STUDYCENTRE

EXAMINATION

Candidates write the Name Code Number of Centre com

YEAR/SEMESTER C O D EN U M B E RO FT H ES U B J E C T R
SEGISTERED

A B B E R E V I A T I O:NAS= F I R S A
TPPEARANCR
E =REAPPEARANCE
FEESPAYMENT
PARTICULARS
: TOTALFEESRs ADDRESS
F O RC O M M U N I C A T I O :N S

THEORY:

PRACTIGAL:

PROJECT& VIVA-VOCE
CONTACTNo.
L E E S( C E N T R E
S P E C I AF FEES)-

C O S TO F A P P L I C A T I O N
STATION

STATEMENTOF
MARKS
DATE:
PROVISIONAL
CERTIFICATE
&
CONSOLIDATEDMARKSTATEMENT

P E N A LF E E : Signatureof the Candida

F O FO
I F F I C EU S EO N L Y

D E M A N DD R A F TN o .

DATE:

" ForoutsideTamilNaducandidates
onlv (ForInstructions
see(
 INSTRUCTIONS TO THE CANDIDATE

1. Beforesubmittingthe application, the candidatesare advisedto satisfythemselvesthat the eligibilityconditionsthat are laid
d o w nb y t h e U n i v e r s i t tyo a p p e a rf o r t h e e x a m i n a t i o an r e f u l f i l l e d .

2 , n d n o t a c c o m p d n i ebdy t h e p r e s c r i b e d
A n y a p p l i c a t i o inn c o m p l e t eidn a n y r e s p e c t a f e ew i l l n o t b e e n t e r t a i n e d .

3. Candidates shallwritethe nameandthe codenumberof centre(Exam.Centre)in the column

appearingfor the examinations
providedtherein

4. N o c h a n g eo f c e n t r ew i l l b e a l l o w e du n d e ra n y c i r c u m s t a n c e s .

5. i. Code numbersof all the subjects,which candidatehas to appearfor as on date are printedin this application.

ii. C a n d i d a t e s h a l lm a k ea t i c k m a r k ( r / ) a g a i n s t h e c o d en u m b e ro f t h e s u b j e c tf o r w h i c hh e / s h ew i s h e st o a p p e a r .
iii. l f a c a n d i d a t ei s n o t t o a p p e a rf o r a s u b j e c t ,h e / s h es h a l lm a k ea c i r c l ea r o u n dt h e c o d e n u m b e ro f t h a t s u b j e c ta s
s h o w nn e r e @

6. F i l l e d i n a p p l i c a t i o ns h a l l b e s e n t t o T H E C O N T R O L L E RO F E X A M I N A T I O N SB, H A R A T H I A RU N I V E R S I T Y ,
C O I M B A T O R -E6 4 1 0 4 6 a s g i v e n i n t h e i n s t r u c t i o n tso t h e c a n d i d a t e sa l o n gw i t h n e c e s s a r yf e e s b e f o r et h e l a s t d a t e
prescribedby the University

7. lf any subjectin whichhe/shehas failedis not printedin this application,

the codenumberof suchsubjectsshallbe entered
againstthe respectiveyear.

6. A n y c h a n g eo f a d d r e s ss h a l lb e c a r r i e do u t i n t h i s a p p l i c a t i o n .

9. The feesfor provisionalcertificate& consolidatedstatementof marksis onlyapplicablefor Finalyear/Semester

Students.

10 Specialfees are to be paid by the studentsotherthan TamilNaducenlres.