EXAMINATION FORM
Instructions: Affix passport
1. This Examination form should be filled by the candidate in his/her own size photo duly
handwriting. attested by
2. Use Capital Letters in Boxes. Faculty Head
3. If application is not on prescribed form or incomplete, it will be rejected.
4. Separate examination form should be filling up for each Semester/ Exam.
5. UID/Aadhar No.
_____________________________________________________________________
EXAMINATION: DECEMBER JUNE 2023-24
REGULAR EX
SEMESTER COURSE BRANCH NAME
ROLL NO. ENROLLMENT NO.
Name of Examinee (Name in English, should be as per mark-sheet of qualifying exam)
SURNAME:
NAME:
IN HINDI: .………………………………………………………………………………………………
FATHER’S
NAME:
MOTHER’S
NAME:
ADDRESS:
Mobile No/Tel.:
Mention Subjects (Theory & Practical) in which appearing with Code No.
Appearing in Semester/Year ………………………………………. All Theory/Practical/Sessional
Theory Practical
SN Subject Code Title of the Subject SN Subject Code Title of the Subject
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
CANDIDATE’S DECLARATION:
1. I certify that this examination form has been filled by me and the information given therein is
correct and I shall be personally responsible for the same if proved false later on.
2. I also certify that I am appearing as a candidate, only in the examination being conducted by
SCOPE Global Skills University, Bhopal (M.P.)
3. I further declare that I am neither a regular student of any other Education Institution nor
appearing in any other Examination as regular candidate.
4. I understand that if it is found later on that the information furnished above is false then my
result of examination will be cancelled.
5. I assure you that I will complete the requirement of attendance and sessional work prescribed for
the course of my registration. Kindly permit me to appear in the examination to be held in
(sem.)……………………………………………I accept to abide by all the rules and regulations
of study and examination as prescribed by the Dept./institution and Scope Global Skills University,
Bhopal (M.P.)
6. I have read the relevant ordinance applicable to be and have completed all the requirements as
given in it. I have completed my studies and have no objection in appearing in examination on
the date declared by the University.
7. I have enclosed last passed/ attended examination marksheet with this form.
Place: ………………………… ………………………………….
Date: ……………………….. Candidate’s Signature
Candidate’s Full Name…………………
_______________________________________________________________________
(To be certified by the Faculty /HOD)
CERTIFIED THAT:
1. The entries in the examination form have been examined and verified properly and found
correct. The candidate is eligible to appear in the examination as per relevant ordinance and rules
of SCOPE Global Skills University, Bhopal (M.P.).
2. The candidate had deposited the requisite fees.
3. The aforesaid candidate is not debarred from appearing to the above examination. (Due to
rustication, expulsion, attendance, practical’s, illness etc.) and has completed the academic
requirement as per ordinance of the University.
4. If due to any reason the student does not complete the academic requirement up to the time of
exam his admission card will be returned to the University and the candidate will be debarred
from appearing in the examination.
Signature of Dean of Faculty/HOD with Name………………….and with date…………………
Note: The form should be signed by the Head of the Faculty only. Authorization to office Staff
or putting signature/ seal is not allowed.
