JU/Exam. Sty/Feb.
- 2005/40 pad/NP
UNIVERSITY OF JAMMU
ISO Certified 9001: 2000
Form of application for Refund of Admission Fee
The Controllerof Examinations, Universityof Jammu
I
Examination Session Annual/Bi-annual 200 Roll No......................
(Note: All the columns must be filled in correctly. If this form is submitted incomplete in any respects, It will
not be entertained). I request you to refund the admission fee whose name (s), and particulars given below:
Initials of Amount Reason
Name of the I Amount University Cashier/Acctt.
claimed with draw
S. candidate
Roll I SubjecVs ct in token of
No. No/s fee receipt as (see rule
with full Address offered Fee Paid No. & Date verification
of fee refund overleaf)
Total No. of candidate in whose favour Signature of the Candidate Total amount claimed as refund
refund is claimed (in words) (For private candidate only) in words Rs.
I certify that the above statement is correct....................................... ..........................................................
Principal the Institution.
To be filled in the University office.
Reference No ln the case of private candidate Signatureof Principal/Headof
the same authority who signed the College/Deptt.
Dated.......................... permission-cum-admissinform should
sign this form ..................................................................................
Note:- Indicate both the Roll Nos. in case refund is claimed on account of amendment of
result of the Re-evaluation of scripts.
Certificate by the Examination Branch
The reasons given in'each case have been verified and found correct.
1. Candidate whose particulars is/are given in the refund claim was/were not permitted to the Examination
(Annual/Bi-annual) 200 in accordance with Statutory Provision Le. refundable
under statute 8 (i) or (ii)...........................
2. Refund claim for Rs. m may kindly be sanctioned in favour of the candidate as he/she
has been declared pass after re-evaluation vide notification No Date........................
3. .........................................
.. .. . .. . .. .. .. .. .. . .. .. .. ... .. .. .. .." ,0
Head Assistant Superintendant Dealing Assistant
The amount claimed may be refunded, if received.
Assistant Registrar (Exams) Controller of Exams
To be filled in by the cash Accounts Branch
DoesORDER
PAY Budget provision exist ' , '."""""""""" ""'1""""""""'" 'ACCC)UNTANT
Rupees in words Budget Head..........................................
ACCOUNTANT Asstt/DY. REGISTRAR (ACCOUNTS) REGISTRAR/CONTROLLER
OF EXAMINATIONS
RVLES REGARDING REFUND OF ADMISSION FEE
1. Admission fee refundable only:-
(i) When a candidate dies before he/she finished his/her part of examination. Fee is refundable to l'1is/
her legal heirs.
(ii) When a candidate is debarred from appearing at the examination,in compliance with provision of
University Statutes and Regulations.
(iii) Candidate informed regarding his adjustment of fee towards next §ession vide No..........................
Dated .
Dealing Assistant/Despatcher