You are on page 1of 4

Logout UNIVERSITY COPY

(Saturday, March 1, 2014 10:59:43)

PRIVATE (MAIN)

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT Examination Form for Traditional Course (Private/Division Imp.) Session 2013 - 14 (Single Subject Not Allowed For Private Student)

Roll No.

ID No

Form No :: 25779942

Name of the Class: Name of College / Institute: Enrolment No.: 1. Name of the Candidate: 2. Father's Name: 3. Mother's Name: Org. Migration Attach:

M.A. EDUCATION PART I Exam -2014 Shree Draunacharya Degree College, Dankaur (Gautam Budh Nagar)

Code of College / Institute: 038

M0600284
BHAGWATI PRASAD BACHI RAM GHUNGRI DEVI No Nationality: INDIAN

Signature of Student

4. Date of 08/06/1973 Birth : 6. GEN Category : 8. Permanent Address :

5. Sex : 7. Medium of Examination : 9. Present Address :

MALE ENGLISH

94 B, MAYUR VIHAR PH-II, MAYUR VIHAR, 94 B, MAYUR VIHAR PH-II, MAYUR VIHAR, DELHI, Distt.: EAST , - 110091 DELHI, Distt.: EAST , - 110091 Mobile No. :9910752169 Phone No . : Email ID :

10. Name of the Subject : (Only for P.G. Course) 11. Name of the Papers :Sr. No.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Name of the Papers


102 103 202 203 204

Code No.

PSYCHOLOGICAL FOUNDATION OF EDUCATION PHILOSOPHICAL FOUNDATION OF EDUCATION METHODOLOGY OF EDUCATION RESEARCH AND EDUCATIONALSTATISTICS SOCIOLOGICAL FOUNDATION OF EDUCATION ESSAY ON ANY PAPER I TO IV

Form No ::25779942 Class Name & Part /Sem. PART-I Name of the Class cbse cbse ROLL NO Year Result Obtained Marks Roll No. 401176 6648752 Year 1990 1992 Division first first Marks obtained 346 295 Maximum Marks 500 500 Obtained Marks Maximum Marks

Give Details of Previous Examination Result :


Name of Board/ University cbse cbse

Details of punishment if punishment Is given in any examination :- :Name of the Class : Punishment Details : Roll No. : Year : 0 Name of Centre: 16. If you are employed, give the details of "No - Objection certificate" 17. If Migration certificate is enclosed from another University/board, mention its no. Detail of attached documents :1 Bank Challan

Participation in Sports ::LEVEL OF GAME / SPORTS :: 0 Declaration I BHAGWATI PRASAD/BACHI RAM 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, if any particular submitted are found to be untrue / false, the university can cancel my degree. Detail of Registration and fee Deposited in the College. 1. Amount of Registration .......... 2. Date of Registration .......... 3. S.No. of Registration .......... Detail of fee deposited through net Banking 1. Amount Deposited .......... 2. Name of the Bank .......... 3. Date .......... 4. Journal No /Transaction ID ..........

(Signature of the student)

Certificate of the Principal

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.
Date : Sig. of the checker : ............. (Signature of the Principal with stamp) ..........

Saturday, March 1, 2014 10:59:43 Student copy PRIVATE (MAIN)


CHAUDH ARY CHARAN SINGH UNIVERS ITY, MEERUT

Saturday, March 1, 2014 10:59:43 University Copy PRIVATE (MAIN)


CHAUDH ARY CHARAN SINGH UNIVERS ITY, MEERUT

Saturday, March 1, 2014 10:59:43 Bank`s Copy PRIVATE (MAIN)


CHAUDH ARY CHARAN SINGH UNIVERS ITY, MEERUT

PNB Bank

PNB Bank

PNB Bank

Note : Branches are requested to collect the fees by using FCMBR menu option only. Name of branch: Date of Deposit: Account to be credited: Institution ID : Collection Code : Student Name:

Note : Branches are requested to collect the fees by using FCMBR menu option only. Name of branch: Date of Deposit: Account to be credited: Institution ID : Collection Code : Student Name:

Note : Branches are requested to collect the fees by using FCMBR menu option only. Name of branch: Date of Deposit: Account to be credited: Institution ID : Collection Code : Student Name:

..........................
__/__/__ 4007002100056094 CCSU CCSU BHAGWATI PRASAD

..........................
__/__/__ 4007002100056094 CCSU CCSU BHAGWATI PRASAD

..........................
__/__/__ 4007002100056094 CCSU CCSU BHAGWATI PRASAD

ID Reference no / Application no.

25779942 08/06/1973
M.A. EDUCATION PART I Exam -2014

ID Reference no / Application no.

25779942 08/06/1973
M.A. EDUCATION PART I Exam -2014

ID Reference no / Application no.

25779942 08/06/1973
M.A. EDUCATION PART I Exam -2014

Date of Birth
Class/Sem/Year: Roll No. : Course: Cash Details:

Date of Birth
Class/Sem/Year: Roll No. :

Date of Birth
Class/Sem/Year: Roll No. :

11003

Course: Cash Details:

11003

Course: Cash Details:

11003

FEE DETAILS NAME OF THE CLASS Denominatio Amoun -M.A. EDUCATION n t PART I Exam -2014 AMOUN 1000 X FEE HEAD T Examination 500 X 1940 Fee 100 X Enrolment Fee 0 50 X Viva Voice Fee 0 10 X Marks Fee 0

FEE DETAILS NAME OF THE CLASS Denominatio Amoun -M.A. EDUCATION n t PART I Exam -2014 AMOUN 1000 X FEE HEAD T Examination 500 X 1940 Fee 100 X Enrolment Fee 0 50 X Viva Voice Fee 0 10 X Marks Fee 0

FEE DETAILS NAME OF THE CLASS Denominatio Amoun -M.A. EDUCATION n t PART I Exam -2014 AMOUN 1000 X FEE HEAD T Examination 500 X 1940 Fee 100 X Enrolment Fee 0 50 X Viva Voice Fee 0 10 X Marks Fee 0

5X 2X Coins

Total Signature/ Stamp PNB Bank Journal/ Transaction ID No.

Affilation Fee Sports Fee Cultural Fee Registration Fee Permission Fee Bank Processing Charges TOTAL AMOUNT

0 5X 0 2X 0 Coins 120 120 17

2197

Total Signature/ Stamp PNB Bank Journal/ Transaction ID No.

Affilation Fee Sports Fee Cultural Fee Registration Fee Permission Fee Bank Processing Charges TOTAL AMOUNT

0 5X 0 2X 0 Coins 120 120 17

2197

Total Signature/ Stamp PNB Bank Journal/ Transaction ID No.

Affilation Fee Sports Fee Cultural Fee Registration Fee Permission Fee Bank Processing Charges TOTAL AMOUNT

0 0 0 120 120 17

2197

Signature of Depositor

Signature of Depositor

Signature of Depositor

................

................

................

Note 1:Please deposit the fees onwards Tuesday, March 4, 2014 after 11 AM. Note 2:Fees once deposited shall not be refunded.

You might also like