Annexure-X Page 1 of 1 Annexure-X 4/10/08 Himachal Pradesh University, Shimla - 171 005. Application Form for Re-evaluation/Re-checking Cost: Rs. 2/- at HPU CounterRs. 5/- by Ord. Post. Note: Please read the rules and instructions as contained in Paragraphs 6.69 and 6.70 of the First Ordinances of the University, if so desired. This application form must be filled in by the candidate himself/herself. Original result card must be enclosed with this form. IPOs/Bank Drafts should be drawn in favour of the Finance Officer, H.P. University, Shimla-5 on account of Re-evaluation/re-checking fee as prescribed by the University. Pleas enclose self addressed envelope 4"x 9" along with this form. (For detailed instructions, please refer to overleaf). Name of the candidate _______________________________________________________________ (in Block letters). Father's Name ______________________________________________________________________ Name of the Examination ______________________________________________________________ Examination Roll No. _____________________ year and session _____________________ Subjects offered marks obtained Particulars of the subject in which Re-evaluation is sought :-SUBJECT/PAPER PAPER/COURSE (with option) 7. Date of issuance of the Marks-sheet by the University________________ Sr. No. of Marks-sheet____________________ which is enclosed. Amount of the Re-evaluation fee Rs. ________________ dated_ ___________ Serial No. of IPOs/Bank Draft _________________ dated ________________ Amount of the Re-evaluation fee Rs. _________________________________ Serial No. of IPOs/Bank Draft __________________ dated _______________ Specimen handwriting of the candidate _______________________________ Address for correspondence ________________________________________ Signature of the candidate (Name in Block letters) Dated: ______________ Place:_______________ http://hpuniv.gov.in/form6.htm
