Year of Admission ………………….. Roll No ……………………………………………....
KARNATAKA STATE OPEN UNIVERSITY
MANASAGANGOTRI, MYSORE - 570 0006
SUPPLEMENTARY REPEATERS APPLICATION FORM
B.A / B.Com and MA/MCom:- …………………………………………
(WHICHEVER IS APPLICATION) EXAMINATIONS OF ………………………..
Note: 1) Please read carefully the instructions given overleaf before filling up the applicationForm As
2) Strike off whichever is not applicable.
- Program
- Year
3. Name of the Candidate
(In block letters as registered in KSOU)
4. Name of the Father / Husband / Guardian
5. Address in full (In block letters)
6. Telephone (O / R) No.
7. Name of the Study Centre / Exam Centre
8. Subjects / Papers r which to appear – (Indicate Year and Month of passing previous examinations if any) “A” for appearing.
A / Paper Code / Title of the Paper( 1st Yr) / Year & Month / A / Paper Code / Title of the Paper(2nd Yr) / Year & Month / A / Paper Code / Title of the Paper (3rd Yr) / Year & Month
9. Payment Details / DD No. / DD Date / DD Amount / DD Bank
I declare that the information furnished above by me is correct to the best of my knowledge.
Place
DateSignature of the Candidate
Study center (Checked and forwarded)
DateSealSignature of the Study Center
IMPORTANT INSTRUCTION TO BE FLOOLOWED BY THE CANDIDATE
1. Late date of filing up this form is 17/03/2013 for all BA/BCom and MA/MCom.
2. The fee structure per semester is as follows –
S. No. / Course / Whole Exam / One Paper / Two Papers / Three Papers / Four Papers / Five Papers & Above1. / I & II Yr.
B.A/ B.COM / 750/- / 400/- / 450/- / 500/- / 600/- / 750/-
2. / III BA/B.COM / 850/- / 400/- / 450/- / 500/- / 600/- / 850/-
Submission charge Rs.300/-
10. Mode of payment:
The Fees is too paid only through Demand Draft drawn in favour of the Finance Officer, KSOU, Payable at Delhi. Mention your Roll Number, Name, and Semester
& Study Centre Code onThe back of Demand Draft without fails.
11.Method of submitting the application for examination:
a. Fill in Repeater Application form.
b. Enclose the Demand Draft of the required fees.
c. Attach Xerox copies of previous Semester marks cards (as applicable).
d. Submit the completed repeater application form to your Study Centre on or before the due
Date.
e. The Study Centre in turn, shall forward all repeaters the applications the next day to the Director, Virtual Education Trust, UU-11, PitamPura, Delhi – 110034 only. Kindly super scribe “Supplementary Repeaters Application – April 2013 Examination” at the top of the Envelope.
f. Students shall not send the applications directly but should send them through their study
Centers to VET, Delhi.
12.Examination fee once paid will not be refunded or adjusted under any circumstances.
13.Incomplete applications are liable to be rejected.
14.Student who have applied for Revaluation / Re-totaling / paper seeing are also required to pay
15.Examination fee within one month after declaration of result and submit application form without waiting For the marks cards.
16.No request for the post – ponement of Examination shall be entertained.
17.Application received after the last date will be rejected without any correspondence.
18.Cheque & Money orders will not be accepted towards Examination fees.
19.Change of Examination Centre will not be allowed under any circumstances. However, if it is genuine case as special consideration, permission will be granted to seek change of Examination Centre through a separate requisition to Registrar(Evaluation) KSOU, Mysore on payment of Rs 1000/- through Demand draft. This should be submitted the same.