4
1/17/14 MAHARAJA GANGA SINGH UNIVERSITY, BIKANER www.univindia.net 1/4 This Bank Challan is valid from 20-Jan-2014 to 20-Jan-2014 CAUTION: USE "FCMBR " MENU OPTION IN FINACLE INSTEAD OF "TM" Challan No: 1327952 Challan No: 1327952 Challan No: 1327952 Bank Copy Date: - -2014 Punjab National Bank | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | University Copy Date: - -2014 Punjab National Bank | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Candidate Copy Date: - -2014 Punjab National Bank Branch Dist No Institute Na m e Maharaja Ganga Singh University Bikaner Institute ID MGSUE Collection Code PRFL3 Branch Dist No Institute Na m e Maharaja Ganga Singh University Bikaner Institute ID MGSUE Collection Code PRFL3 Branch Dist No Institute Na m e Maharaja Ganga Singh University Bikaner Institute ID MGSUE Collection Code PRFL3 Date of Deposit Transaction Id Date of Deposit Transaction Id Date of Deposit Transaction Id DETA ILS OF THE STUDENT DETA ILS OF THE STUDENT DETA ILS OF THE STUDENT Student Name JITENDER GUPTA Father's Name BRAHAM GUPTA Mobile No 9413607790 Last Year Roll No. 1327952 Enrollment No. Class S5P College Code 4036 Challan No 1327952 Student Name JITENDER GUPTA Father's Name BRAHAM GUPTA Mobile No 9413607790 Last Year Roll No. 1327952 Enrollment No. Class S5P College Code 4036 Challan No 1327952 Student Name JITENDER GUPTA Father's Name BRAHAM GUPTA Mobile No 9413607790 Last Year Roll No. 1327952 Enrollment No. Class S5P College Code 4036 Challan No 1327952 Denomination Rs. Ps 1000 * 500 * 100 * 50 * 20 * 10 * 5 * Total Denomination Rs. Ps 1000 * 500 * 100 * 50 * 20 * 10 * 5 * Total Denomination Rs. Ps 1000 * 500 * 100 * 50 * 20 * 10 * 5 * Total Exam Fees Rs. 850 Enrollment. Fee Rs. 100 Eligibility Fee. Rs. 100 Late F ee Rs. 1700 Due Fee Rs. Total amount Rs. 2750 Amount (In words): Rs. TWO THOUSAND SEVEN HUNDRED FIFTY Only Exam Fees Rs. 850 Enrollment. Fee Rs. 100 Eligibility Fee. Rs. 100 Late F ee Rs. 1700 Due Fee Rs. Total amount Rs. 2750 Amount (In words): Rs. TWO THOUSAND SEVEN HUNDRED FIFTY Only Exam Fees Rs. 850 Enrollment. Fee Rs. 100 Eligibility Fee. Rs. 100 Late F ee Rs. 1700 Due Fee Rs. Total amount Rs. 2750 Amount (In words): Rs. TWO THOUSAND SEVEN HUNDRED FIFTY Only Name of Depositor Signature Address Contact No Name of Depositor Signature Address Contact No Name of Depositor Signature Address Contact No For Bank use only AcknowledgementCashier/Officer 56-B.Sc. ADDITIONAL EXAM - 2014 20-Jan-2014 to 20-Jan-2014 For Bank use only AcknowledgementCashier/Officer 56-B.Sc. ADDITIONAL EXAM - 2014 20-Jan-2014 to 20-Jan-2014 For Bank use only Acknowledgement Cashier/Officer 56-B.Sc. ADDITIONAL EXAM - 2014 20-Jan-2014 to 20-Jan-2014 CAUTION: USE "FCMBR" MENU OPTION IN FINANCE INSTEAD OF "TM" Student can deposit fee in Punjab National Bank after 48 Hrs. Of download of Examination Form

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Page 1: Maharaja Ganga Singh University, Bikaner

1/17/14 MAHARAJA GANGA SINGH UNIVERSITY, BIKANER

www.univindia.net 1/4

This Bank Challan is valid from 20-Jan-2014 to 20-Jan-2014CAUTION: USE "FCMBR " MENU OPTION IN FINACLE INSTEAD OF "TM"

Challan No: 1327952 Challan No: 1327952 Challan No: 1327952Bank CopyDate: - -2014

Punjab National Bank |

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University CopyDate: - -2014

Punjab National Bank |

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Candidate CopyDate: - -2014

Punjab National Bank

Branch Dist No InstituteName

Maharaja Ganga SinghUniversity Bikaner

Institute ID MGSUE

CollectionCode

PRFL3

Branch Dist No InstituteName

Maharaja Ganga SinghUniversity Bikaner

Institute ID MGSUE

CollectionCode

PRFL3

Branch Dist No InstituteName

Maharaja Ganga SinghUniversity Bikaner

Institute ID MGSUE

CollectionCode

PRFL3

Date of Deposit Transaction Id

Date of Deposit Transaction Id

Date of Deposit Transaction Id

DETAILS OF THE STUDENT DETAILS OF THE STUDENT DETAILS OF THE STUDENT

Student Name JITENDER GUPTA

Father's Name BRAHAM GUPTA

Mobile No 9413607790

Last YearRoll No.

1327952

Enrollment No.

Class S5P

College Code 4036

Challan No 1327952

Student Name JITENDER GUPTA

Father's Name BRAHAM GUPTA

Mobile No 9413607790

Last YearRoll No.

1327952

Enrollment No.

Class S5P

College Code 4036

Challan No 1327952

Student Name JITENDER GUPTA

Father's Name BRAHAM GUPTA

Mobile No 9413607790

Last YearRoll No.

1327952

Enrollment No.

Class S5P

College Code 4036

Challan No 1327952Denomination Rs. Ps

1000 *

500 *

100 *

50 *

20 *

10 *

5 *

Total

Denomination Rs. Ps

1000 *

500 *

100 *

50 *

20 *

10 *

5 *

Total

Denomination Rs. Ps

1000 *

500 *

100 *

50 *

20 *

10 *

5 *

Total

Exam Fees Rs. 850Enrollment. Fee Rs. 100Eligibility Fee. Rs. 100Late Fee Rs. 1700Due Fee Rs.

Total amount Rs. 2750Amount (In words): Rs.

TWO THOUSAND SEVEN HUNDREDFIFTY Only

Exam Fees Rs. 850Enrollment. Fee Rs. 100Eligibility Fee. Rs. 100Late Fee Rs. 1700Due Fee Rs.

Total amount Rs. 2750Amount (In words): Rs.

TWO THOUSAND SEVEN HUNDREDFIFTY Only

Exam Fees Rs. 850Enrollment. Fee Rs. 100Eligibility Fee. Rs. 100Late Fee Rs. 1700Due Fee Rs.

Total amount Rs. 2750Amount (In words): Rs.

TWO THOUSAND SEVEN HUNDREDFIFTY Only

Name of Depositor

Signature

Address

Contact No

Name of Depositor

Signature

Address

Contact No

Name of Depositor

Signature

Address

Contact No

For Bank use only

AcknowledgementCashier/Officer

56-B.Sc. ADDITIONAL EXAM - 2014 20-Jan-2014 to 20-Jan-2014

For Bank use only

AcknowledgementCashier/Officer

56-B.Sc. ADDITIONAL EXAM - 2014 20-Jan-2014 to 20-Jan-2014

For Bank use only

Acknowledgement Cashier/Officer

56-B.Sc. ADDITIONAL EXAM - 2014 20-Jan-2014 to 20-Jan-2014

CAUTION: USE "FCMBR" MENU OPTION IN FINANCE INSTEAD OF "TM"

Student can deposit fee in Punjab National Bank after 48 Hrs. Of download of Examination Form

Page 2: Maharaja Ganga Singh University, Bikaner

1/17/14 MAHARAJA GANGA SINGH UNIVERSITY, BIKANER

www.univindia.net 2/4

1 OFFICE COPY

MAHARAJA GANGA SINGH UNIVERSITY BIKANER

Examination: S5P-B.Sc. ADDITIONAL EXAM - 2014

NON COLLEGIATE(New Examination Form)

College Form No. 1327952

Exam Center4036 - MAHARISHI DAYANAND (PG)COLLEGE,SRIGANGANAGAR,SRIGANGANAGAR

Roll No. Student's Name JITENDER GUPTA Enroll No :

Name in Hindi Father's Name BRAHAM GUPTA

Mother's Name ASHA GUPTA

Category GEN

Sex MALE

Date of Birth 25-Nov-1987

Phone/Mobile 9413607790

Address

57 RANA PRATAP COLONY, CITYHOSPITAL ROAD, SRIGANGANAGAR SRI GANGANAGAR RAJASTHAN 335001

Roll No. Class & Year of last exam appeared in this Univ ersity

Roll No. Class Year

Signature of Student

Details of Last Qualifying Examination passed (Graduation)

(To be filled in by the College)Examination Fee Rs .................................

Deposited vide Challan No.......................

Date ...............................

Signature

Name of University Roll No Obt. Marks Out of Year Result

Ist YearAMITY UNIVERSITYUTTAR PRADESH

27 2007 PASS

IInd Year 27 PASS

IIIrd

Year27 PASS

Compilationof Marks

PART-I

YEAR ROLL NO MARKS

PART-II

YEAR ROLL NO MARKS

PART-III

YEAR ROLL NO MARKS

COMPULSORY PASSED PT-I SUBJECT PT-II SUBJECT PART-III SUBJECT

137:mathematics 237:mathematics 337:mathematics Year Roll No.

C ertified that all abov e entries are correct to the best of my know ledgeand belief. I am not appearing in any other univ ersity examination andthere is no UM case against me. I hav e deposited Examination fee in bankby challan.

S ignature of Student

For Non Collegiate Candidate OnlyC ertified that the candidate is personally known to me and is residing in thestate of Rajasthan for last two and a half y ears.

S ignature and seal of Gazetted officer

Please check that challan number and form number should be same in all copies. If your form is correctly printed, deposit fee in Punjab National Bank in

time and exam, form with a copy of challan in college. Fee once deposited is not refundable.

C ertified that all abov e entries are checked & v erified by college and student is qualified to appear in abov e-mentioned examination. Examination Fee isdeposited in bank

Signature & seal of Pr incipal

A ll entries hav e been v erified and checked through record and documents prov ided by student. Student is qualified / not qualified to appear inB.Sc. A DDIT IONA L EXA M - 2014 Q uery pending …………………………

Full Signature of Checker in University

Note : P lease Submit enrolment form and enclose O riginal Marksheet of Q ualify ing examination and Migration certificate if y ou are non collegiate andnot enrolled in MGSU Univ ersity , otherw ise Photo state copies of documents is to be enclosed w ith form.T his Examination form is valid from20-Jan-2014 to 20-Jan-2014 कपृया �हदं� म� नाम बोड� �क अकंता�लका के अनसुार �लखकर, यथा�थान पर अपन ेह�ता�र कर पर��ा आवदेन प� को �नधा��रत अव�ध म� स�बि�धत महा�व�यालय म� जमा कराव े|

Page 3: Maharaja Ganga Singh University, Bikaner

1/17/14 MAHARAJA GANGA SINGH UNIVERSITY, BIKANER

www.univindia.net 3/4

2 COMPUTER COPY

MAHARAJA GANGA SINGH UNIVERSITY BIKANER

Examination: S5P-B.Sc. ADDITIONAL EXAM - 2014 NON COLLEGIATE(New Examination Form)

College Form No. 1327952

Exam Center4036 - MAHARISHI DAYANAND (PG)COLLEGE,SRIGANGANAGAR,SRIGANGANAGAR

Roll No. Student's Name JITENDER GUPTA Enroll No :

Name in Hindi Father's Name BRAHAM GUPTA

Mother's Name ASHA GUPTA

Category GEN

Sex MALE

Date of Birth 25-Nov-1987

Phone/Mobile 9413607790

Address

57 RANA PRATAP COLONY, CITYHOSPITAL ROAD, SRIGANGANAGAR SRI GANGANAGAR RAJASTHAN 335001

Roll No. Class & Year of last exam appeared in this Univ ersity

Roll No. Class Year

Signature of Student

Details of Last Qualifying Examination passed (Graduation)

(To be filled in by the College)Examination Fee Rs .................................

Deposited vide Challan No.......................

Date ...............................

Signature

Name of University Roll No Obt. Marks Out of Year Result

Ist YearAMITY UNIVERSITYUTTAR PRADESH

27 2007 PASS

IInd Year 27 PASS

IIIrd

Year27 PASS

Compilationof Marks

PART-I

YEAR ROLL NO MARKS

PART-II

YEAR ROLL NO MARKS

PART-III

YEAR ROLL NO MARKS

COMPULSORY PASSED PT-I SUBJECT PT-II SUBJECT PART-III SUBJECT

137:mathematics 237:mathematics 337:mathematics Year Roll No.

C ertified that all abov e entries are correct to the best of my know ledgeand belief. I am not appearing in any other univ ersity examination andthere is no UM case against me. I hav e deposited Examination fee in bankby challan.

S ignature of Student

For Non Collegiate Candidate OnlyC ertified that the candidate is personally known to me and is residing in thestate of Rajasthan for last two and a half y ears.

S ignature and seal of Gazetted officer

Please check that challan number and form number should be same in all copies. If your form is correctly printed, deposit fee in Punjab National Bank in

time and exam, form with a copy of challan in college. Fee once deposited is not refundable.

C ertified that all abov e entries are checked & v erified by college and student is qualified to appear in abov e-mentioned examination. Examination Fee isdeposited in bank

Signature & seal of Pr incipal

A ll entries hav e been v erified and checked through record and documents prov ided by student. Student is qualified / not qualified to appear inB.Sc. A DDIT IONA L EXA M - 2014 Q uery pending …………………………

Full Signature of Checker in University

Note : P lease Submit enrolment form and enclose O riginal Marksheet of Q ualify ing examination and Migration certificate if y ou are non collegiate andnot enrolled in MGSU Univ ersity , otherw ise Photo state copies of documents is to be enclosed w ith form.T his Examination form is valid from20-Jan-2014 to 20-Jan-2014 कपृया �हदं� म� नाम बोड� �क अकंता�लका के अनसुार �लखकर, यथा�थान पर अपन ेह�ता�र कर पर��ा आवदेन प� को �नधा��रत अव�ध म� स�बि�धत महा�व�यालय म� जमा कराव े|

Page 4: Maharaja Ganga Singh University, Bikaner

1/17/14 MAHARAJA GANGA SINGH UNIVERSITY, BIKANER

www.univindia.net 4/4

MAHARAJA GANGA SINGH UNIVERSITY BIKANER

Enrollment Form for Non Collegiate Student's Only

Name of Examination : 56-B.Sc. ADDITIONAL EXAM - 2014

College4036 - MAHARISHI DAYANAND (PG)COLLEGE,SRIGANGANAGAR

For Office Use Only

Exam Center Form No. 1327952

Student's Name JITENDER GUPTA En No.

Father's Name BRAHAM GUPTA Fee Rs..

Deposited By

Challan No..

Signature

Mother's Name ASHA GUPTA

Category GEN

Sex MALE

Date of Birth 25-Nov-1987

Phone/MobileNo

Address57 RANA PRATAP COLONY, CITYHOSPITAL ROAD, SRIGANGANAGAR

Details of Last Qualifying Examination passed

Class Name of Board / University Year ofpassing

OptionalSubject

TotalMarks

Marksobtained

% Marks

Sr. HigherSecondary

First Year AMITY UNIVERSITY UTTARPRADESH

2007

Second Year 2008

Third Year 2009

P.G. (Prev.)

P.G. (Final.)

Other

List of original documents to be enclosed for the verification

1. Original marksheet of last qualify ing examination2. Original Migration Cerificate3. Any other

Certified that all above entries are correct to the best of my knowledge and belief. I am not apearing in any other university examination andthere is no UM case against me.

Signature of Student

Certified that all above entries have been checked & verified by college and student is eligible for enrollment in the desired class

Signature of Principal

All entries checked and verified through record and documents provided by student. Further student is eligible / not eleigble for enrollmentfor B.Sc. ADDITIONAL EXAM - 2014 . Query pending / Not pending

Full Signature of Checker in university

Note: Non - Collegiate students are informed to remain in contact with principal and must collect their permissionletters and other information’s from the concerned examination center