Central University of Himachal Pradesh (Established under Central Universities Act 2009) PO BOX: 21, DHARAMSHALA, DISTRICT KANGRA – 176215, HIMACHAL PRADESH Website: www.cuhimachal.ac.in Examination Form for Students Awarded ‘F’ Grade (Examination Form should be submitted to Head of Department before the expiry of last date mentioned for the purpose) To The Controller of Examination CUHP, Dharamshala Kindly register me for End-term Examination to be held in Dec/May 20…. as per the following details: 1. Registration Number :………………………………………………….. 2. Name of Student:……………………………………………………….3. Father’s Name:………………………………………………………….. 4. Programme of Study:………………………………………………….5. Name of Department………………………………………………… 6. Name of the School:……………………………………………………7. Year…………………… 8. Semester: Monsoon/Spring 9. Permanent Address ................................................................................................................................................. …...................................Pin.......................................Email.............................................................................................. Mobile................................................................. Sr. No. 10. Particulars of the courses in which to appear: Course Name of the Credits Mention Code Course Whether Department or School or University Wide Particular of the Person Examination in Concerned Course When Last Marks Name of Appeared Give & Teacher Month & Year Grade Whether Fee @ 50/per credit deposited* 1 2 3 4 5 6 7 *Important instruction to the student: 1. Mention the particulars of the Fee Deposited: Amount Rs………………. Receipt Number……………………. Dated……………… 2. Get the form stamped from the fee clerk that the fee has been deposited in the University. Full Signature of the Student Particulars of the student as mentioned above are verified he/she is eligible to take the examination as per CUHP Norms, hence this form is forwarded to CoE, CUHP for necessary action. Head of the Department Dealing Assistant, CoE Controller of Examinations