Revaluation / Retotaling Form

Please fill out all the details accurately to request a reverification of your examination results.

Name of Constituent Faculty *

Course Name *

Full Name of Candidate *

PRN Number *

Seat Number *

Examination

Mark Statement No. *

Year & Month of Exam *

Center of Theory Examination *

Result Declared On *

Final Result *

Subject Name	Marks Obtained	Marks Out of

D.D. Amount (₹) *

Name of Bank *

D.D. Number *

D.D. Date *