Examination Registration Form EMBA (Jan 2011)

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UNIVERSITY OF PETROLEUM & ENERGY STUDIES

CENTRE FOR CONTINUING EDUCATION


EXAMINATION REGISTRATION FORM – 2011 JANUARY
ALL ENTRIES SHOULD BE IN CAPITAL LETTERS – THIS DOCUMENT HAS TO BE SENT TO [email protected] ONLY

1 Program Name
2 Code
Exam Centre **
:
3 Enrollment No.
4 Name
5 Addre
ss

City PIN
E-
Mob:
mail:
Demand Draft Amou Bank
No: nt Name
Details of the subject(s) for which appearing now.
6 Sem-I 1
2
3
4
5
7 Sem-II 1
2
3
4
5
8 Sem- 1
III
2
3
4
5
9 Sem- 1
IV
2
3
4 Dissertation
* A fee of Rs.1000/- per subject has to be paid for Re-appearing the
examination. The hard copy of the form and Re-appearing fee in Demand Draft
in favour of UPES Fee Account payable at Dehradun should receive at the
following address on or before November 15, 2010:
Mr Sugatharaj Paleri
Section Officer - SR&E
Centre for Continuing Education
University of Petroleum & Energy Studies,
3rd Floor, PHD House, 4/2 Siri Institutional Area, August Kranti Marg, New Delhi 110016.
The fee once paid, will not be refunded or carried over to a subsequent
examination.

You can submit your Semester fee / re-appearing fee through Online as details
given below:

Name of Beneficiary University Of Petroleum & Energy Studies


Bank Name Oriental Bank of Commerce
Account Type Savings Account
Account No 00022010048230
Branch Rajpur Road, Dehradun
IFSC/RTGS Code ORBC0100002
MICR 248022007

You need to e-mail us the following details once you remitted the payment in our account
for follow-up with our bank:
Your Enrollment No. / SAP ID:
Your Name:
Payment Transaction ID :
Amount paid & Date:
Purpose of payment:
Your Bank name :
* Candidates can opt for only one Centre. But, a Centre once selected, should not be
changed under any circumstances. If a candidate writes the examination in a Centre other
than that opted in his Application, his/her Answer Papers will not be evaluated. The UPES
has the rights to change any centre in case of any technical/political issue.
* Candidates must enter their Enrolment No., full Name and Address correctly in the
Application form.
** Please choose your preference of Examination Centre from the locations given below:
Centre Name Code Centre Name Code
Delhi (NCR) 001 Sharjah 201
Dehradun 002 Abu Dhabi 202
Rajahmundry 003 Singapore 204
Chennai 004 Texas, USA 205
Kolkata 005 London 206
Mumbai 006 Muscat, Oman 207
Ahmadabad 007 Doha, Qatar 208
Rai Bareli 008
Hyderabad 009
Kochi 010
Bangalore 011
Raigarh (C.G.) 012
Pune 013

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