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Bahria Institute of Management and Computer Sciences

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Bahria Institute of Management and Computer Sciences Powered By Docstoc
					Controller of Examinations
University of Gujrat


                               APPLICATION FOR FEE REFUND

Candidate’s name:           ______________________________________________________

Father’s name:              ______________________________________________________

Reason:           Ineligibility        Excess Amount             Passed after Revision of Result

                  Medical Certificate               Expired before/during the course of Exam

Total Deposited Amount: ______ (Original or Copy attached) Bank Challan Receipt #. ____

Designated Bank Branch: ___________________Claimed Amount for Refund: Rs. ______/-

Program: Annual/Supplementary: ______ B.A/B.Sc                            B.Com        M.A/M.Sc

Latest Result Intimation Card (photocopy attached):                       Yes          No

Postal Address: ___________________________________________________________

________________________________________________Contact #: _______________


                                                                          ___________________
Dated: _____________                                                      Candidate’s Signature
(For official use)
Recommendations: _______________________________________________________

________________________________________________________________________
(Examination rules section-A clause i, ii & iii (page#07) refers in this regard).

                                                                    Sig: __________________________
Approved/Not Approved

Comments: ________________________________________________________________
__________________________________________________________________________



                                                                 Controller: ______________________

Treasurer

				
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posted:9/1/2011
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