COMPUTER COPY (Monday, October 14, 2013 10:14:12) PRIVATE (BACK)
CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT
Back Paper Examination form of Main Exam. - 2013 Roll No. Form No :: 24135176 PA475876 Name of the Class: B.A. PART II Exam -2013 Name of College / Institute: Dr. Ambedkar Degree College, Meerut Code of College / Institute: 046 Enrolment No.: M11324447 1. Name of the Candidate: SATISH KUMAR Nationality: INDIAN 2. Father's Name: RISHIPAL SINGH 3. Mother's Name: KAUSHAL DEVI Signature of Student 4. Date of Birth : 12/12/1990 5. Sex : MALE 6. Category : OBC 7. Medium of Examination : 8. Permanent Address : 9. Present Address : EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.: MEERUT, Uttar Pradesh - 250001 Phone No . : EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.: MEERUT, Uttar Pradesh - 250001 Mobile No. :8865883088 Email ID :satishdaksha534@gmail.com 10. Regular / Private : PRIVATE (BACK) 11. Name of the Papers : Sr. No. Name of the Papers Code No. 1. LANGUAGE COMMUNICATION AND WRITING SKILL:HINDI 011 2. AN OUTLINE HISTORY OF WESTERN POLITICAL THOUGHT 238 3. COMPARATIVE GOVERNMENT 239 4. 5. UNIVERSITY COPY (Monday, October 14, 2013 10:14:12) PRIVATE (BACK) CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT Back Paper Examination form of Main Exam. - 2013 Roll No. Form No :: 24135176 PA475876 Name of the Class: B.A. PART II Exam -2013 Name of College / Institute: Dr. Ambedkar Degree College, Meerut Code of College / Institute: 046 Enrolment No.: M11324447 1. Name of the Candidate: SATISH KUMAR Nationality: INDIAN 2. Father's Name: RISHIPAL SINGH 3. Mother's Name: KAUSHAL DEVI Signature of Student 4. Date of Birth : 12/12/1990 5. Sex : MALE 6. Category : OBC 7. Medium of Examination : 8. Permanent Address : 9. Present Address : EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.: MEERUT, Uttar Pradesh - 250001 Phone No . : EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.: MEERUT, Uttar Pradesh - 250001 Mobile No. :8865883088 Email ID :satishdaksha534@gmail.com 10. Regular / Private : PRIVATE (BACK) 11. Name of the Papers :- Sr. No. Name of the Papers Code No. 1. LANGUAGE COMMUNICATION AND WRITING SKILL:HINDI 011 2. AN OUTLINE HISTORY OF WESTERN POLITICAL THOUGHT 238 3. COMPARATIVE GOVERNMENT 239 4. 5. Give Details of Previous Examination Result : Name of the Class Name of Board/ University Roll No. Year Division Marks obtained Maximum Marks Declaration I SATISH KUMAR/RISHIPAL SINGH hereby declare that the information given in the exam form is true to the best of my knowledge and belief. In case any information is found false / untrue, cancel my admission / exam form, for which no claim of refund of fee would be raised by me, in future also. Detail of Registration and fee Deposited in the College. Detail of fee deposited through net Banking 1. Amount of Registration .......... 1. Amount Deposited .......... 2. Date of Registration .......... 2. Name of the Bank .......... 3. S.No. of Registration .......... 3. Date .......... 4. Journal No /Transaction ID .......... (Signature of the student) Certificate of the Principal SATISH KUMAR/RISHIPAL SINGH has been registered for Regular examination. All the entries in the exam form, marksheets and other certificate attached have been duly checked and this is certified that he/she is eligible for examination as per university rule and his/her examination form is being forwarded. Sig. of the checker : ............. Date : .......... (Signature of the Principal with stamp) Monday, October 14, 2013 10:14:12 Student copy
Monday, October 14, 2013 10:14:12 University Copy
Monday, October 14, 2013 10:14:12 Bank`s Copy PRIVATE (BACK) CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT ICICI Bank Name of branch: .......................... Date of Deposit: _ _ / _ _ / _ _ Account to be credited: 0036SLFEECOL Institution Name: F C C C S U Student Name: SATISH KUMAR ID Reference no / Application no. 24135176 Class/Sem/Year: B.A. PART II Exam -2013 Roll No. : PA475876 Course: 10002 Cash Details: FEE DETAILS Denomination Amount NAME OF THE CLASS -B.A. PART II Exam -2013 1000 X FEE HEAD AMOUNT 500 X Examination Fee 610 100 X Enrolment Fee 0 50 X Viva Voice Fee 0 10 X Marks Fee 0 5 X Affilation Fee 0 2 X Sports Fee 0 Coins Cultural Fee 0
Registration Fee 120
Permission Fee 0
Bank Processing Charges 17 Total TOTAL AMOUNT 747 Signature/ Stamp ICICI Bank Signature of Depositor Journal/ Transaction ID No. ................
PRIVATE (BACK) CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT ICICI Bank Name of branch: .......................... Date of Deposit: _ _ / _ _ / _ _ Account to be credited: 0036SLFEECOL Institution Name: F C C C S U Student Name: SATISH KUMAR ID Reference no / Application no. 24135176 Class/Sem/Year: B.A. PART II Exam -2013 Roll No. : PA475876 Course: 10002 Cash Details: FEE DETAILS Denomination Amount NAME OF THE CLASS -B.A. PART II Exam -2013 1000 X FEE HEAD AMOUNT 500 X Examination Fee 610 100 X Enrolment Fee 0 50 X Viva Voice Fee 0 10 X Marks Fee 0 5 X Affilation Fee 0 2 X Sports Fee 0 Coins Cultural Fee 0
Registration Fee 120
Permission Fee 0
Bank Processing Charges 17 Total TOTAL AMOUNT 747 Signature/ Stamp ICICI Bank Signature of Depositor Journal/ Transaction ID No. ................
PRIVATE (BACK) CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT ICICI Bank Name of branch: .......................... Date of Deposit: _ _ / _ _ / _ _ Account to be credited: 0036SLFEECOL Institution Name: F C C C S U Student Name: SATISH KUMAR ID Reference no / Application no. 24135176 Class/Sem/Year: B.A. PART II Exam -2013 Roll No. : PA475876 Course: 10002 Cash Details: FEE DETAILS Denomination Amount NAME OF THE CLASS -B.A. PART II Exam -2013 1000 X FEE HEAD AMOUNT 500 X Examination Fee 610 100 X Enrolment Fee 0 50 X Viva Voice Fee 0 10 X Marks Fee 0 5 X Affilation Fee 0 2 X Sports Fee 0 Coins Cultural Fee 0
Registration Fee 120
Permission Fee 0
Bank Processing Charges 17 Total TOTAL AMOUNT 747 Signature/ Stamp ICICI Bank Signature of Depositor Journal/ Transaction ID No. ................