Examination Form With Challan

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 :
[email protected]
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
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

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
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

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

|
|
: -

:
/ :
/ - | -

|
:
01.
02.
03.
04.
05.
06.
07 .
08.
09.
10.
11.
12.
13.
14.
15.
16.
,
|
- , |
, , / |
, ,
|
- , - - |
- (Roll No.) (Enrollment No.)
|
- / / /
|

|
|
- - -
|
, - / ,
|
- ,
-
( ) , , ,
|

, - - ' '
|
- (Identity card) / |
- ,
|
|

|
, |
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

Examination Form With Challan

Uploaded by

Copyright:

Available Formats

Examination Form With Challan

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Examination Form With Challan

Uploaded by

Copyright:

Available Formats

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

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

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

8. Address (IN BLOCK LETTERS)

Name of the Paper

10. Academic Record

Max Marks Marks Obt. Exam Stream

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

U.P. Board of High

Amount Deposited : 906.00

Certificate by the Principal

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

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

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

Art(Without Maths GENERAL

(Signature of the Student)

1 : Migration Certificate No.

Full Sign. of Clerk Who

Signature of the Clerk receiving the Migration certificate

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

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

Wednesday,February, 11 2015 12:24:26

Wednesday,February, 11 2015 12:24:26

CHAUDHARY CHARAN SINGH

B.A. Ist Year 2014 - 2015

CHAUDHARY CHARAN SINGH

Submit Date : 11 Feb 2015 12:24:26

B.A. Ist Year 2014 - 2015

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

Print Date : 11 Feb 2015 12:47:02

You might also like