F O R M 3 R E S U L T R E - E V A L U A T I O N

Name
Address
Address
Pin Code
Tel No.
Email Id
Note :Application should reach our office within 15 days of result declaration

Subjects for which re-evaluation is requested
Registration Number Paper Code Internal Assessment(IA)/
Term End Examination(UE)
Marks Scored Exam Month &
Year











Details Of The Demand Draft(Rs. 250 for Internal Assessment(IA)/Term End Examination(UE)& Rs.
500 for both IA & UE in favor of Sikkim Manipal University-DE)
Demand Draft no. DD date Amount (in Rs.) Bank Name Payable at
Udupi/Manipal

I hereby certify that the information given above has been verified and found correct in all
aspects.



Date Signature of the Student
FOR OFFICE USE ONLY
Updated results will be announced in the results page of student login within 15 days
from the date of receipt of application. No separate communication will be sent to the
student in this regard




The form should reach the Office of Student Evaluation, Sikkim Manipal University-DE,
I Floor, Corporation Bank Building, Manipal-576104,Karanataka,India