PUNJAB TECHNICAL UNIVERSITY

Performa for Confidential Result for Examination May-11

Name : : ________________________________

Father’s Name: :_________________________________

University Roll No. :_________________________________

Branch :____________________ Semester : ________________________

Mobile No :___________________________ Email: ____________________

Subjects in for which applying for confidential result and appeared in Examination May-11

Subject Subject Code Paper-ID

Purpose of Confidential Result:

1. Higher Study.

a. Name of the University/Institute: ________________________

b. Date of Counseling____________________________________

c. Contact Person ______________________1. Mobile _______________ 2. Land Line____________

d. Fax No(with STD Code):______________________e. Email ________________________________

(Attach proof e.g. counseling schedule, Merit list etc) 2. Job or other Purpose

a. Name of the Company/ Organization: ________________________

b. Date of Counseling____________________________________

c. Contact Person ___________________1. Mobile _____________ 2. Land Line__________________

d. Fax No(with STD Code):______________________e. Email ________________________________

(Attach proof e.g. Appointment Letter etc ) Dated:______________________ (Signature of candidate)

Note: 1. Students are required to fill Performa and send it through email: ptucres@gmail.com at least 15 days from the date of submission for said purpose. 2. The fee should send through Demand draft in favour of Registrar, Punjab Technical University payable at Jalandhar @ Rs. 300 per semester for one copy.