Panjab University, Chandigarh

Online Examination Form for Under Graduate Examination Dec 2025

No need to submit this form to Panjab University .

Candidate Type Private Candidate (Reappear Candidate)

Application No. 1725479207

Regd./PUPIN NO. 14022000226

Category General

Centre of Examination Ludhiana

Name of Candidate Manish Kumar

Father's Name Mohinder Kumar

Mother's Name Renu devi
Date of Birth 17-01-2003 PaymentType: Bank
Txn No. CPAFQKWSI5
Aadhar NO. 204913534562 Name Manish Kumar
Amount(Rs) 2120
Gender Male 16-09-2025
Deposit Date
20:47:07
Nationality Indian Branch Code 742
Working in Government/Public
Sector
No
Mobile 6239424331
Email ID [email protected]
Correspondence Address Hno118 st no2 Mahatma colony tibaa,141007
Permanent Address Hno118 st no2 Mahatma colony tibaa LDH.puniab,141007
Course Information:
Course Bachelor of Arts
Semester 3
Current Subject(s) 1. English (Compulsory) [ENG]
Previous Information:
Course Bachelor of Arts
Semester 4
Result 182/400
Roll No. 22080464
Passing Year 2023
University Panjab University, Chandigarh
Subject(s) ENG,PBC,HIN,HIS,POL
Other Details:
Applied for Re-Evaluation No
Blind/Permanently disabled
from writing
No
Is UMC No
Is Environment Exam Passed No
Applied For Environment Exam No
I have filled the form after careful study of the University syllabi, structural outlines of the course,rules and
regulations pertaining to the year and session of the examination, under reference. The statements made by
me in the form are correct. I accept full liability for any action against me under the rules/regulations of the
University for any mis-statement or concealment of facts made by me.
Place:
Date: 16-09-2025 Full Signature of Candidate
Form Completion Date: 16-09-2025
 Panjab University, Chandigarh
Certificates
(For College/ Department of Evening Studies/Centre for Distance and Online
Education for Candidates)(Strike out which is not applicable).
Certified That :
1. The candidate has remained on the rolls of this College/Department for the full academic year preceding the
examination.
2. The candidate has passed, at least one academic year previously (except in compartment
cases, appearing simultaneously), the lower examination with the required subjects and % age
of marks on the basis of which he/she is eligible to appear in the exam.
3. The candidate has attended not less than 75% of the full course of lectures delivered to
his/her class in each of the paper being offered for examination.
4. The candidate has attended not less than 75% of periods assigned to practical work in each
science subject or Psychology, Home Science or in the case of Geography, Map work and
Practical and 80% each in the subjects of Physical Education and Defence and Strategic
Studies.
5. The candidate has obtained at least 25% marks in the aggregate of all the combined results
of (a) the house examination held in November/December and (b) the internal assessment
based on three monthly class tests held in August, September and October respectively.
6. This college has duly been granted affiliation by the Panjab University which is valid upto date in the Course(s) being
offered by the candidate in his/her examination form and the number of candidates admitted and being sent for
examination is within the strength sanctioned by the University for the Course/Session.
7. The candidate bears a good moral character, that he/she has filled in and signed this examination form in my presence
and has further satisfied by production of authentic documents, that the statements made by him/her in the form are
correct.

Place:_________________
(Full Signatures of the Principal/Chairperson
Deptt. of Evening Studies/Centre for Distance and
Online Education with official stamp)

Dated:_________________

Full Name of the Principal of the (Name of the College/Department with official
College/Chairperson __________________ Stamp)

Certificate for Late College Students (Colleges/Centre for Distance and Online Education/Evening
Studies)
I certify that the applicant : -
(a) has previously appeared in the examination under Roll No.________________________ in
Session________________ Year _____________.
(b) has completed the prescribed course of lectures/practicals etc in the college or has been on the rolls of the
Department of Evening Studies/Centre for Distance and Online Education from July 20__ to April, 20__ in the subject/s
offered by him/her and has paid continuation fee of Rs. 40/- vide Receipt No.____________ Dated_______________.

(c) bears a good moral character.

(d) has signed the examination form in my presence and satisfied me by production of authentic documents and the
statements made by him/her are correct.

Full Signature of the Principal of the

Date:_________________ College/Chairperson C.D.O.E./D.E.S. (Last Attended)
(With Official Stamp)
 Certificate for Private Candidates (other than late college students) (Items not applicable may be
struck off)
I Certify that :
(i) I know the applicant personally. He/she bears a good moral character. His/her attested photograph is affixed. He/she
has signed this examination form in my presence and has satisfied me by production of authentic documents that the
statements made by him/her in the form are correct.
(ii) The applicant has been in continuous service since ______________________________
and will continue to be as such till the commencement of the examination. He/She has
completed at least 3 year service on 30th November preceding the year of examination
(a) Name of Institution/Organisation/Deptt.___________________________________(b) Date
of Joining ________________ (c) Rank/Designation ________________________
(iii) He/She has not been a regular student of an affiliated college during the academic year
preceding the examination.
(iv) There is no Evening College/Evening Classes in any college at the place where the
applicant is employed OR he was not granted departmental permission to join the Evening
College/Evening Classes by the employer due to the nature of his duties (Attach certificate) OR
that the applicant was not granted admission in the Evening College/Evening Classes by the
Principal. In case there are more than one Evening College/Classes, this certificate may be
obtained from all of them.(This certificate is not needed by women candidates).
(v) For Defence Personnel Only: (a) he/she is a bonafied (permanent) resident of
_______________District in the
State of Punjab/Haryana/Himachal Pradesh/Chandigarh (U.T.)
_________________________
(b) He has been working in the ____________________ State since (Month)______________
(Year)______________ and will continue till the commencement of examination.

Note : Teacher of Govt. Primary/Middle/High School should get their forms attested by the Distt.
Education Officer/Circle Education Officer.

(Signatures & Stamp of the Head of

Institution/Organisation/Deptt. where candidate
is employed or any other attesting authority)
Name of the Attesting Authority(in Capitals)
Designation:_________________
Dated: _________________

CHECK LIST OF DOCUMENTS/INFORMATION (To be supplied by the Private Candidates Only)

If you did not attach the following documents,you may be declared Not Eligible.
1. Have you passed the qualifying examination from this University? Yes/No. If yes, there is no need to attach the original
Detailed Marks Card.
2. (a) Have you passed the qualifying examination from the Board/University/Council other than Panjab University?
Yes/No
(b) If yes,attach the Original Detailed Marks and Migration Certificates from the Board/University/Council.
3. Have you got your examination form attested by a competent authority as prescribed by the Panjab University?Yes/No
4. Have you filled in all the columns of the examination form properly and that no column has been left blank?Yes/No
5. Have you attached three copies of your latest passport size photograph from one and the same negative?Yes/No
6. Have you attached the SC/ST/BC certificate issued by the competent authority (if applicable)?Yes/No
7. Have you paid late fee, additional fee, special fee etc. (if any)Yes/No

Date _________________ (Full Signature of Candidate)

(For Office Use only)

Eligible _________________ Not Eligible_________________

Eligible Subject to_________________ Reasons_________________

Dealing Official A.S.O. O.S.E. Dealing Official A.S.O. O.S.E. A.R.E