CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Examination Form for Traditional U.G/P.G. Courses

Main(Regular) Paper Examination, Session: 2014 - 2015
Registration No. : 14G7092411

Roll No. :

Submit Date : 11 Feb 2015 12:24:26

Form No. : 1268455

Last Submit Date : 11 Feb 2015 12:24:26

Print Date : 11 Feb 2015 12:47:02

Name of Examination : B.A. Ist Year 2014 - 2015 (Geography, Political Science, Economics)
Name of College : K.D. COLLEGE, SIMBHAOLI (GHAZIABAD)
Enrollment No. :
1. Name of the Candidate (IN BLOCK LETTERS) :
KM MALIKA
2. Father's Name (IN BLOCK LETTERS) :
NAEEM AHMED
3. Mother's Name (IN BLOCK LETTERS) :
NASEEM
4. Date of Birth :

01/01/1998

5. Category :

GEN

6. Gender :

FEMALE

7. Email :

mdsuhailtomar@gmail.com

8. Address (IN BLOCK LETTERS)

Permanent Address

Address of Correspondence

Address :
VILL-SAROORPUR
POST-SIMBHAOLI, HAPUR, Uttar
Pradesh-245207

Address :
VILL-SAROORPUR
POST-SIMBHAOLI, HAPUR, Uttar
Pradesh-245207
Mobile :

9837481669

9. Details of Paper & Paper Code for Main Semester/Ex- student/P.G. Courses
Sr.No.
1
2
3
4
5
6
7
8
9
10

Paper Code
111
112
711
138
139
145
146
009
A 008
A 001

Name of the Paper

Physical Geography
Human Geography
PRACTICAL
Political Theory
National Movement and Constitution of India
Principles of Economic Analysis
Indian Economic Problems
Bhartiya Sanskriti Evam Rashtra Gaurav
Environmental Studies
Sports & Physical Education

10. Academic Record

Sr.No. Examination Passed

Year

Max Marks Marks Obt. Exam Stream

Matriculation

2012

600

408

Intermediate

2014

500

340

Art(Without
Maths &
HomeScience)

11. At Graduation/P.G. level, Give Details of marks obtained in previous semester :

Subjects Taken

Board/University

HINDI,URDU,HOME
SCIENCE,SCIENCE,
SOCIAL
SCIENCE,ENGLISH
GENERAL
HINDI,ENGLISH,CIVI
CS,URDU,ECONOMI
CS

U.P. Board of High

School & Intermediate
Education, Allahabad.
U.P. Board of High
School & Intermediate
Education, Allahabad.

12. Details of Punishment for U.F.M.(Unfair Means) if any, imposed in any previous examination. : No
Name of Examination:
Year:
Roll No:
Name of Centre :
Punishment Details :
13.If last examination passed from the other university give detail of migration certificate from that university
14. If you are employed, give the details of "No - Objection Certificate"
15. If Migration certificate of another University/board enclosed, mentioned it's number
16. Details of attached Document :
Sr. No.
1
2
3

Document
Class 10th Certificate
Class 12th Certificate
Payment Receipt

Declaration
I KM MALIKA S/o, D/o Sh. NAEEM AHMED hereby declare that the information given in the application form is true
to best of my knowledge and belief. In case any information is found false/untrue, cancel my exam form, for which
no claim of refund of the 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.

Amount Deposited : 906.00

Date : 11/02/2015

(Signature of Applicant)

Certificate by the Principal

Shri/Smt./Km. KM MALIKA S/o / D/o NAEEM AHMED 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 and his/her examination form being forwarded.
Signature of the Principal with Stamp

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Enrollment Form for (Regular) Student Session 2014 - 2015
The Candidate who have already enrolled not need to fill the entries of this form
To,
The REGISTRAR,
CHAUDHARY CHARAN SINGH UNIVERSITY,
MEERUT

Enrollment No.

Sir,
I Request you for permission to be enrolled as a member of the University.
Imp: Name of the Candidate, Father's and Mother's Name should be written strictly as per High School certificate.
1. Name of the Candidate (Female Candidate should write Km./Smt. after her Name) : KM MALIKA
2. Father's Name : NAEEM AHMED
3. Mother's Name : NASEEM
4. Date of Birth ( as recorded in High school certificate) : 01/01/1998
5. Category : GEN
6. Permanent Address: VILL-SAROORPUR
7. Length of residence in U.P. :
8. Year of Admission to Degree Class in the College : 2014
9. Name of Board or University conducting the Intermediate Examination :
10. Year of Intermediate Examination :
12. Details of exam passed :
Sr.No. Examination Passed

Year

11. If already Enrolled in CCSU, mention enrollment number :

Max Marks Marks Obt. Exam Stream

Subjects Taken

Board/University

Matriculation

2012

600

408

HINDI,URDU,HO U.P. Board of High

ME
School & Intermediate
SCIENCE,SCIEN Education, Allahabad.
CE,SOCIAL
SCIENCE,ENGLI
SH

Intermediate

2014

500

340

Art(Without Maths GENERAL

U.P. Board of High
& HomeScience) HINDI,ENGLISH, School & Intermediate
CIVICS,URDU,EC Education, Allahabad.
ONOMICS

13. Whether doing Ph.D. or any other degree of any other University in India/Abroad, you may please state full
Particulars:
14. Examination for which studying / appearing at the time of filling the form : B.A. Ist Year 2014 - 2015 (Geography,
Political Science, Economics)
15. If enclosed Migration Certificate of another University / Board, mention following :
Migration No :
University & Board Name:

Date of Issue:
Your's faithfully.

Class :

Year :

(Signature of the Student)

I Certify that the above named candidate is not enrolled in Chaudhary Charan Singh University, Meerut earlier and has
filled the form himself / herself and I believe the above information is true. The Fee of Rs 120/- is forwarded herewith.
(College Seal)

Principal's Signature
TO BE FILLED VERY ACCURATELY & LEGIBLY BY THE UNIVERSITY OFFICE:

Enrollment No.

Year

Examination

Roll No

Result

1 : Migration Certificate No.

Dated
2 : Duplicate Migration Certificate No.
Dated
3 : Migration Certificate No.
Dated
University Received and Enrollment number renewed

College/Center

Issued
Issued
of

Full Sign. of Clerk Who

Posted the entries

Signature of Clerk
Signature of Clerk
Signature of Clerk

Signature of the Clerk receiving the Migration certificate

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

ENROLLMENT CERTIFICATE
Examination :

B.A. Ist Year 2014 - 2015 (Geography, Political Science, Economics)

Roll No. :

N.B. (All entries except that of Enrollment No. should be filled by the candidate)
Shri/Smt/Km. KM MALIKA S/o / D/o NAEEM AHMED College K.D. COLLEGE, SIMBHAOLI (GHAZIABAD) has been
enrolled as a student of University at
No. M --------------------- Date------------------------- resident of VILL-SAROORPUR
POST-SIMBHAOLI, HAPUR, Uttar Pradesh-245207 .
Note: This form must be enclosed along with examination form of the candidate who are to be enrolled.
Registrar

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Wednesday,February, 11 2015 12:24:26

Wednesday,February, 11 2015 12:24:26

Student Copy

University Copy

CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination

Online Payment
11/02/2015
033
KM MALIKA
1268455
01/01/1998

B.A. Ist Year 2014 - 2015

(Geography, Political Science,
Economics)
FEE DETAILS
Amount

1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins

Total

FEE HEAD
Cultural Activity
Enrollment Fee
Practical Fee
Rovers Rangers
Viva Fee
Sports Fee
Mark-Sheet Fee
Examination Fee

Total Amount

AMOUNT
5.00

120.00
60.00
6.00
0.00
45.00
60.00
610.00

906.00

CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination

Submit Date : 11 Feb 2015 12:24:26

8198422251250420

KM MALIKA
1268455
01/01/1998

B.A. Ist Year 2014 - 2015

(Geography, Political Science,
Economics)
FEE DETAILS
Amount

1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins

FEE HEAD
Cultural Activity
Enrollment Fee
Practical Fee
Rovers Rangers
Viva Fee
Sports Fee
Mark-Sheet Fee
Examination Fee

Total

Total Amount

Signature of Depositor
Journal/ Transaction
ID No.

Online Payment
11/02/2015
033

AMOUNT
5.00

120.00
60.00
6.00
0.00
45.00
60.00
610.00

906.00

Signature of Depositor
Journal/ Transaction
ID No.

Last Submit Date : 11 Feb 2015 12:24:26

8198422251250420

Print Date : 11 Feb 2015 12:47:02