THE PUNJAB STATE BOARD OF TECHNICAL EDUCATION & INDUSTRIAL TRAINING
PLOT NO. 1-A, SECTOR 36-A, CHANDIGARH - 160 036
EXAMINATION FORM
Note : Use Block Capitals only.
- For Subject Codes visit Subject Code List under Diploma link on Board’s websites : www.punjabteched.net OR www.punjabteched.com
- Failure to fill in any of the columns may result in non-issue of roll number or delay in declaration of result. Candidate shall be permitted to
appear only in those subjects which are listed in this form.
- No addition/alteration shall be allowed after the data has been uploaded on the Board’s Website.
- Add Rs. 50/- as the cost of form in the prescribed fee failing which the form is liable to be rejected.
May
1. Registration No. 2. Session Year : ________
December
3. Name
4. Father's Name
5. Institute
6. Course
7. Regular Class 8. Reappear Class 9. Reappear Class
Subject : 1 Subject : 2 Subject : 3 Subject : 1 Subject : 2 Subject : 3 Subject : 1 Subject : 2 Subject : 3
Subject : 4 Subject : 5 Subject : 6 Subject : 4 Subject : 5 Subject : 6 Subject : 4 Subject : 5 Subject : 6
Subject : 7 Subject : 8 Subject : 9 Subject : 7 Subject : 8 Subject : 9 Subject : 7 Subject : 8 Subject : 9
Subject : 10 Subject : 11 Subject : 12 Subject : 10 Subject : 11 Subject : 12 Subject : 10 Subject : 11 Subject : 12
10. Reappear Class 11. Reappear Class 12. Reappear Class
Subject : 1 Subject : 2 Subject : 3 Subject : 1 Subject : 2 Subject : 3 Subject : 1 Subject : 2 Subject : 3
Subject : 4 Subject : 5 Subject : 6 Subject : 4 Subject : 5 Subject : 6 Subject : 4 Subject : 5 Subject : 6
Subject : 7 Subject : 8 Subject : 9 Subject : 7 Subject : 8 Subject : 9 Subject : 7 Subject : 8 Subject : 9
Subject : 10 Subject : 11 Subject : 12 Subject : 10 Subject : 11 Subject : 12 Subject : 10 Subject : 11 Subject : 12
13. Fee Deposited : Rs. ______________ (in words) ________________________________________________________Date ________________
I solemnly declare the information as supplied by me in form is correct and true and nothing has been concealed and that I understand that any wrong
statement on my part will result in disqualification for all future examinations to be conducted by the Board
(Signature of Candidate)
Certified that the particular given above by the candidate are correct, duly checked and verified by me.
(Signature of Class In-charge)
CERTIFICATE BY THE PRINCIPAL
1. Certified that ______________________ is /was a bonafide student of this Institution and the particulars given above by the candidate are correct to
the best of my knowledge and office record.
2. Certified that the conduct of the candidate is/was _______________ and he/she has not been barred from sitting in the examination(s).
3. The Admit Card shall be delivered to the candidate only if he/she is eligible to appear in the Examination under the relevant Examination Rules.
4. The institute is responsible for any wrong/incorrect information in the form.
Date : __________________ (Seal of the Institution) Signature of the Principal
