Page No. 1

Name of Student I I I (fcmr~ cf;T "llll)

I I I Sex (&<r) (~) ;~ f • F-ti- I Date of Birth I ' ~~) ! I I I I I Father's Name I

J (fqm cITT '1T+1) I .r

Mother's Name I : I {+,rm cnr ~) i l Category (cflf} ! I Nationality I I I I (-<l~~m) ! l

I I I i ! ~ ; ! BPL Card No. I BPL Status ! (if! cfl (? c1 ~) ! No Rtt) ! i~m I !

Yes (ITT) i I (Please mark your answer) I : fflsm) I I I ~r <ll'r"'1 vmii ~11 ~ I l I I I I I i : I ! I I

Permanent Address . I l ~ tIBT) I

I I i ! ! I

I I

I I

Correspondence I I Address t I

(tf:H '41 x cITT 1IBT) ! I

I I Name of College I I (~tilfcle:J I i:1~ q;r ,;r:r) i l Roll Number 1 I (~) I

I

Aadhar Number : (3l'lUR) I

t

Contact Number I ~~) Email ID I ~ "CRIT) I

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Faculty~) . Session (~) .

STUDENT INFORMATION ~ <6t GI Hcf> t.ft

PHOTO ~

UNDER GRADUATE EXAMINATION FORM -Ft Id cf> ~m 'Cf>Tlf

Rs. 50/- RANCHI UNIVERSITY, RANCHI TITfi f4 ~ q f4 El I cl ll, ~Tft

Page No. 2

Note: The students are instructed to deposit Rs. SO/- as form fee in the Bank through DD/Bank Challan.

Instructions~~ : 1. It is requested to the College Controller of Examinations to ensure that the candidate has filled up

his examination form properly in all respect. ~~ cf; "Qftm ~:;ra) ~ ~ fimIT vTIBT ~. ~ a ~ ~~llt1a cfJx ~ c61 fcml~ -)' 3fQ"fT ~ ~ ~ "ci'lT ~ ~ t I)

2. The registration number, name and date of birth of thP. candidate must be verified with utmost care. (f<mr2ff ~ q'Gfjq,'(Ul msm, ~ ~ ~ fcrfe:r iffi 3Wrcf ~ ~ fkql~d f$m '1fFlT ~t)

Signature of the Principal ~cnr~)

Verified and Signed by the College C.E. : --------·-----­ (1-it:lfcltll&ill <Fi ~m Ptd?lcb <fi GRT tklllfcla ~ i5ffilffi)

Candidate Signature (xiufl~41x cl>T ~ITT)

Class Attendance (~ ii ~) 75% i Exam Fee (ll~ffl ~) I 250/- l Non-practical subjects (~-!;:m:tlf?1q; ~) I i Exam Fee {tRTlITT ~) 350/- I Practical subjects (~ fir~) I

l Mark sheet (ar<n ~) SO/-! peal levy ~ W"l') I 200/- 1

I 400/- l late Fine ~&iii! ~)

i Total (ifi~) Rs. I

EXAMINATION FEE IN RS. ('«Rtffl ~)

...

Course ID (%:~llst>J.f .,

j Core Course I ,. .... -,

3lT:tr.) '•, .... (lft>f q I q llw;i) ' i I

Registration No, Semester I I ~~~) (~) I I

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· SKILL ENHANCEMENT l

l Core course ID COURSE • (~ Ql~4sf>"I ~- I

~ wr$i Qlq4wi:t) I ' ~-) ! i l I t

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Generic Elective -----·- .. - --, (~~ I

1 ~) I . Discipline Specific

I •

Course ! ' . • (~j~lltFl ~ !

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q1q_llm~) ! I

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Academic Information ll~ ~'qo'ff :