MZU/Ex.IX(B) REGULAR / REPEATER
Mizoram University
SPO : MIZORAM UNIVERSITY, AIZAWL - 796 004
B.A/ B.Sc./ B.Com./B.Sc.(H/Sc) ......... Semester 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.(H/Sc) ......... Semester 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) : ................................................
Regd. No. : ........................ of .................. Date : .................................................
CERTIFICATE
I certify that the above named candidate has satisfied that he/she has passed
the * +2/Science/Commerce & Equivalent Examination and has fulfilled all the requirements
under the regulations to be eligible to appear at the above Examination. I know nothing
against his/her moral character. He/She has also earned the required attendance percentage
in accordance with the regulations.
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. Examination passed :
Examination Name of the University/Board Year Roll No. Result
N.B :- Attested copy of the last Board / University Examination Mark Sheet passed /
appeared & University Registration Card should be enclosed.
8. Subject(s) in which he/she desires to be examined :
Subject
Compulsory Paper
Core Paper
Elective - I
Elective -II
Signature of Principal Signature of the Candidate