MZU/Ex.IX(A) REGULAR / REPEATER
Mizoram University
SPO : MIZORAM UNIVERSITY, AIZAWL - 796 004
B.A/ B.Sc./ B.Com./B.Sc.(H/Sc) 1st / 2nd / 3rd Year Examination
(The form must be submitted within the last date fixed for the purpose)
APPLICATION
To
The Controller of Examinations,
Mizoram University,
Aizawl.
Sir,
May I request you to present myself at the ensuing Three Years B.A./B.Sc./B.Com./B.Sc./B.Sc. (H/Sc) 1st / 2nd / 3rd Year Examination 20........
The fees of '........................(Rupees....................................................................)
is submitted herewith. If any of the statements made in the application are found to be not true, or if I am found to have concealed any relevant facts or if it appears that in the opinion of the University, I have in any way contravened the provisions of the University rules and regulations for the above Examinations, my admission to the Examination will be liable to be cancelled by the University.
Yours obediently,
Signature : ................................................
Name (in full) : ................................................
Regn. No. : ........................ of .................. Date : .................................................
CERTIFICATE
I certify that the above named candidate has satisfied me as Regular/Repeater
Candidate and has fulfilled all the requirements under the regulations to appear at the above
Examinations. I know nothing against his / her moral character.
Principal
Dated the ........................ ........................................... College
(Office Seal)
* Strike off the one that is not applicable.
PARTICULARS TO BE FILLED BY THE CANDIDATE
1. Name in full (Block letters)...................................................................................................
2. Registration Number.......................................................... of ..............................................
3. Nationality............................... Sex................. Category (Gen/OBC/SC/ST) .....................
4. Date of Birth (as per HSLC / HSSLC) ................................................................................
5. Father’s / Guardian’s Name .................................................................................................
6. Home Address (in full) ..........................................................................................................
...........................................................................................................
Ph. No. ..............................................................................................
7. Last Examination appeared :
Examination Name of the Year Roll No. Result
Institutions / College
8. Subject(s) in which he / she desires to be examined :
Subject General Honours
a. English 1st / 2nd
b. Elective - I
c. Elective - II
d. Elective - III
e. Elective - IV
f. MIL / Alt English for 2nd / 3rd Year
g. Environmental Studies
(for 3rd year only)
Paper No Name of Optional Paper
Name of Optional Paper, if any, should clearly be mentioned.
Principal Signature of the candidate
N.B :- Attested copy of the last Board / University Examination Mark Sheet passed /
appeared & University Registration Card should be enclosed.