NETAJI SUBHAS UNIVERSITY
Pokhari, Jamshedpur
APPLICATION FOR RECHECK REVALUATION OF ANSWER SCRIPTS FOR ODD SEMESTER / EVEN SEMESTER
EXAMINATION ……………………………………………………
To,
The controller of Examination
Netaji Subhas University, Jamshedpur
Through the Head of the Department (Department Name)______________
Dear Sir,
I am a student of ……………………………………………………… (program) session …………………………… recently Odd / Even Final
term end examination held in the month of …………………………….. 20…… The result of the examination were published
on ……………………………….20……………..
The marks secured by me in the following course(s) and paper(s) are not up to my expectation. Therefore, I request
you for arranging Re-check / Re-evaluation of the same according to the rules of the university. I am enclosing
herewith the original copy of mark sheet / Tabulation report for your necessary further needful.
The required fees of Rs ……………………………… (Rupees…………………………………………………………………….) has been paid by
me vide UTR No…………………………………………….
1. Name of the candidate ……………………………………………………………
2. Registration number: ……………………………………………. Roll No: ………………………………………..
3. Name of the examination with year: ……………………………………………………………………………
4. Course(s) and paper(s) to be evaluated:
a. ……………………………………………………………
b. ……………………………………………………………
c. ……………………………………………………………
d. …………………………………………………………..
To be filled by Finance Department Yours Faithfully
Received an amount of Rs …………………. (Rupees …………………………
(Full Signature of the Candidate)
……………………………………………………..) only on dated ………………………
Mobile:……………………………………….
Signature and Seal
N.B.:
i. The fees for recheck is Rs. 500.00 per paper.
ii. The decision of evaluation committee will be final.
Remarks of head of the department
…………………………………………………………………
Signature of Dean / Head of the Department / Principle
…………………………………………………………………
………………………………… Department of ……………………………….
Date: …………………………………
Encl. as above
(Completed form is to be submitted before the due date with the Exam Cell)