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Makeup Registrationform

This document is an application form for students at the National Institute of Technology, Agartala, to request a make-up examination for mid-term or end-term assessments. It requires personal details, reasons for the application, and consent from faculty members. Additional comments and signatures from guardians, medical officers, and academic coordinators are also needed for verification.

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ersumant2021
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274 views1 page

Makeup Registrationform

This document is an application form for students at the National Institute of Technology, Agartala, to request a make-up examination for mid-term or end-term assessments. It requires personal details, reasons for the application, and consent from faculty members. Additional comments and signatures from guardians, medical officers, and academic coordinators are also needed for verification.

Uploaded by

ersumant2021
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

National Institute of Technology, Agartala

Agartala, Tripura, India, Pin -799046

Make-up for Mid -Term


Application form for Make-Up Examination
Sl. No. Make-up for End -Term
Name of the Student: ____________________________________________________________________________________
Enrollment No. / Registration No.: ____________________________________________________________________________________
Degree: ____________________________________________________________________________________
Current Semester: ____________________________________________________________________________________
st
Department / Section (if 1 Year): ____________________________________________________________________________________
Reason for applying Makeup Exam: ____________________________________________________________________________________
Contact No. & e-mail of the Applicant: ____________________________________________________________________________________
Sl. Name of the Subject with Subject Code Whether ‘I’ Grade is entered in MIS by Consent of the concerned faculty for
No. the concern faculty (Mandatory)** taking Make-Up Exam (Signature)
01

02

03

04

05

06
** Faculty concern has to enter ‘I’ grade in the respective subject before giving consent of taking makeup exam as per regulation 17.1 - 17.3.

(Signature of the Applicant with Date)


Comment Signature with date
Comment from Guardian / Hostel
warden

Comments / verification from


Medical Officer NITA (if applied on
medical ground)
Comment from Academic Co-
ordinator (UG / PG)
(Not applicable for 1st year Students)
Comment from Head of the
Department / First Year
Coordinator

Dean (Academic)

Associate Dean (Examinations)

Dean (Academic)
Head of the Department / First Year Co-ordinator

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