#132, AECS Layout, IT Park Road, Kundalahalli, Bangalore – 560 037 :+9180 28524466 / 77

CMR

INSTITUTE OF

TECHNOLOGY

VTU EXAMINATION APPLICATION FORM Sdfsdfb

B.E. /M.Tech./M.B.A. M.C.A VTU Theory Examination ofB.E. /M.Tech./M.B.A. M.C.A VTU Theory Examination ofB.E. /M.Tech./M.B.A. M.C.A VTU Theory Examination ofB.E. /M.Tech./M.B.A. M.C.A VTU Theory Examination of �

�

�

�

�

�

Exam Fee to be paid: For BE Candidates (1

st to 8

th Semester) For M.B.A/M.Tech/M.C.A Candidates (1

st to 6

th Semester)

1) Regular Subjects - Rs. 550 + 10/- Application Fees

2) Arrear Subjects - Rs.125/- Per Subjects

Rs. 50/- Marks card Per Semester

Rs. 10/- Application Fees

1) Regular Subjects - Rs. 1050/- + 10/- Application Fees

2) Arrears Subjects - Rs. 250/- Per Subjects

Rs. 50/- Marks card Per Semester

Rs. 10/- Application Fees

1. NAME OF THE CANDIDATE (IN BLOCK LETTERS)

2. UNIVERSITY SEAT NUMBER :

3. CONTACT No.:

4. SUBJECTS APPLIED:

A) CURRENT SEMESTER:

SEM SUBJECT CODE OF REGULAR SUBJECTS ONLY FEES PAID

B) PREVIOUS SEMESTER:

SEM SUBJECT CODE OF ARREAR SUBJECTS ONLY FEES PAID

Penal Fee :

Total Fees Amount (in Words) _________________________________________

____________________________________________________________________

Total Fee :

Receipt No. with Date: ....................................

Date of submission: ........................................

Signature of the Candidate Signature of the Mentor Signature of HOD