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15EC441

This document is a revaluation application form containing details of a student named Shashiraj R who is applying for revaluation of the subject 10EC71. The form provides the student's details like name, USN, email, mobile number, college and bank account information. It also lists the subject code applied for revaluation along with application and total fees of Rs. 420. At the bottom, the student declares that he has verified all the details provided in the application and understands only the listed subject will be revalued.

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Pallavi Jayram
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28 views

15EC441

This document is a revaluation application form containing details of a student named Shashiraj R who is applying for revaluation of the subject 10EC71. The form provides the student's details like name, USN, email, mobile number, college and bank account information. It also lists the subject code applied for revaluation along with application and total fees of Rs. 420. At the bottom, the student declares that he has verified all the details provided in the application and understands only the listed subject will be revalued.

Uploaded by

Pallavi Jayram
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
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10/4/2019 Reval Application Form

Student Details

USN Student Name RV Application ID Branch Code Student Type


4VM15EC441 SHASHIRAJ R RVVM2019102223 EC UG
Email ID [email protected] Mobile No. 9844106144
College VIDYA VIKAS INSTITUTE OF ENGINEERING & TECHNOLOGY,
MYSORE
Bank Name STATE OF INDIA
Bank Account 64213299321 IFSC Code SBIN0040066
No.

Applied Application & Fees Details

Sl No Subject Code Revaluation PhotoCopy Amount

1 10EC71 Yes No 400

Application Fees : 20

Grand Total : 400 + 20 = 420

DECLARATION

 I have verified the Subject Codes applied for Revaluation / PhotoCopy / Both and the Same are
correct.
 I have verified My Bank Account Details and the Same are correct.
 This is my Final Revaluation Application for this round and I understand, the only subjects that will
Revalued are all listed in this Application.

Date: 04-10-2019 Signature of the Student

https://prexam.vtu.ac.in/reval/College/StudentAppliedApplicationsView.php 1/1

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