Attested Hon’s Subject

Colored National University Hon’s Sub. Code

Photo of the Gazipur Examination code 2 0 3
Examinee
should be
pasted Honours Third Year Examination – 2009
Application Form for Regular/Irregular Examinee
(To be filled up by the Examinee)

College Code: Name of the College:

1. Reg. No: Roll No Session 20..... – 20.....

2. Name of the Examinee :

3. Father’s Name :
4. Mother’s Name :
5. Present Address :

6. Permanent Address :

7. Subject Codes (To be appeared) :

Sl. Subject Subject Title Sl. Subject Subject Title
Codes Codes

I seek permission to sit for the Honours Third Year Examination – 2009. If any of information
given in this application form proves false or if I ever violate the examination regulation of
Honours Third Year, my application would stand cancelled. I further promise that if any
question arises about my legality as an examinee, I shall remain bound to comply with the
action/decision taken by the Syndicate or the relevant body empowered by the Syndicate.

Your most obedient

Date:

Signature of the Examinee

CERTIFICATE
(To be filled up by the College authority)
This is to certify that the above mentioned examinee got admitted in session 20...... – 20...... in Honours Third
Year studied as a regular/Irregular student. I think him/her eligible to sit for the examination, considerly his/her
performance during the study period. All the information given by the examinee is correct. If any of these is
proved to be false, his/her examination will be cancelled.

Date: Head of the Department Principal

Seal & Signature
 Attested Hon’s Subject
Colored National University Hon’s Sub. Code
Photo of the Gazipur Examination code 2 0 3
Examinee
should be
pasted Honours Third Year Examination – 2009
Application Form for Improvement Examinee
(To be filled up by the Examinee)

College Code: Name of the College:

1. Reg. No: Roll No Session 20..... – 20.....

2. Name of the Examinee :

3. Father’s Name :
4. Mother’s Name :
5. Present Address :

6. Permanent Address :

7. Subject Codes (To be Appeared) (Theoretical courses in which he/she was absent or
obtained less than 45% marks and in Practical/Tutorial courses if obtained less than 40%
marks)
Subject Previous Subject Title Subject Previous Subject Title
Codes Marks Codes Marks

I seek permission to sit for the Honours Third Year Examination – 2009. If any of information
given in this application form proves false or if I ever violate the examination regulation of
Honours Third Year, my application would stand cancelled. I further promise that if any
question arises about my legality as an examinee, I shall remain bound to comply with the
action/decision taken by the Syndicate or the relevant body empowered by the Syndicate.

Your most obedient

Date:

Signature of the Examinee

CERTIFICATE
(To be filled up by the College authority)
I have seen the Result/Tabulation of the above mentioned examinee & certify that this examinee took part in
Honours Third Year Examination of 200... year and was promoted to Fourth Year. All the information given by
the examinee is correct. If any of these is proved to be false, his/her examination will be cancelled.

Date: Head of the Department Principal

Seal & Signature