COMPUTER COPY (Monday, October 14, 2013 10:14:12) PRIVATE (BACK)

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Back Paper Examination form of Main Exam. - 2013
Roll No.
Form No :: 24135176
PA475876
Name of the Class: B.A. PART II Exam -2013
Name of College / Institute:
Dr. Ambedkar
Degree College,
Meerut
Code of College /
Institute:
046
Enrolment No.: M11324447
1. Name of the Candidate: SATISH KUMAR Nationality: INDIAN
2. Father's Name: RISHIPAL SINGH
3. Mother's Name: KAUSHAL DEVI
Signature of Student
4. Date of Birth : 12/12/1990 5. Sex : MALE
6. Category : OBC 7. Medium of Examination :
8. Permanent Address : 9. Present Address :
EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.: MEERUT, Uttar
Pradesh - 250001
Phone No . :
EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.:
MEERUT, Uttar Pradesh - 250001
Mobile No. :8865883088
Email ID :satishdaksha534@gmail.com
10. Regular / Private : PRIVATE (BACK)
11. Name of the Papers :
Sr.
No.
Name of the Papers Code No.
1. LANGUAGE COMMUNICATION AND WRITING SKILL:HINDI 011
2. AN OUTLINE HISTORY OF WESTERN POLITICAL THOUGHT 238
3. COMPARATIVE GOVERNMENT 239
4.
5.
UNIVERSITY COPY (Monday, October 14, 2013 10:14:12) PRIVATE (BACK)
CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT
Back Paper Examination form of Main Exam. - 2013
Roll No.
Form No :: 24135176
PA475876
Name of the Class: B.A. PART II Exam -2013
Name of College / Institute:
Dr. Ambedkar Degree
College, Meerut
Code of College /
Institute:
046
Enrolment No.: M11324447
1. Name of the Candidate: SATISH KUMAR Nationality: INDIAN
2. Father's Name: RISHIPAL SINGH
3. Mother's Name: KAUSHAL DEVI
Signature of Student
4. Date of Birth : 12/12/1990 5. Sex : MALE
6. Category : OBC 7. Medium of Examination :
8. Permanent Address : 9. Present Address :
EU-06 GANGA NAGAR, MAWANA ROAD,
MEERUT, Distt.: MEERUT, Uttar Pradesh -
250001
Phone No . :
EU-06 GANGA NAGAR, MAWANA ROAD, MEERUT, Distt.: MEERUT, Uttar Pradesh - 250001
Mobile No. :8865883088
Email ID :satishdaksha534@gmail.com
10. Regular /
Private :
PRIVATE (BACK)
11. Name of the Papers :-
Sr. No. Name of the Papers Code No.
1. LANGUAGE COMMUNICATION AND WRITING SKILL:HINDI 011
2. AN OUTLINE HISTORY OF WESTERN POLITICAL THOUGHT 238
3. COMPARATIVE GOVERNMENT 239
4.
5.
Give Details of Previous Examination Result :
Name of the
Class
Name of Board/ University Roll No. Year Division Marks obtained Maximum Marks
Declaration
I SATISH KUMAR/RISHIPAL SINGH 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.
Detail of Registration and fee Deposited in the College. Detail of fee deposited through net Banking
1. Amount of Registration .......... 1. Amount Deposited ..........
2. Date of Registration .......... 2. Name of the Bank ..........
3. S.No. of Registration .......... 3. Date .......... 4. Journal No /Transaction ID ..........
(Signature of the student)
Certificate of the Principal
SATISH KUMAR/RISHIPAL SINGH 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 as per university rule and his/her examination form is being
forwarded.
Sig. of the checker : ............. Date : ..........
(Signature of the Principal with stamp)
Monday, October 14, 2013
10:14:12
Student copy

Monday, October 14, 2013
10:14:12
University Copy

Monday, October 14, 2013
10:14:12
Bank`s Copy
PRIVATE (BACK)
CHAUDHARY CHARAN SINGH
UNIVERSITY, MEERUT
ICICI Bank
Name of branch:
..........................
Date of Deposit: _ _ / _ _ / _ _
Account to be credited: 0036SLFEECOL
Institution Name: F C C C S U
Student Name: SATISH KUMAR
ID Reference no /
Application no.
24135176
Class/Sem/Year:
B.A. PART II Exam
-2013
Roll No. : PA475876
Course:
10002
Cash Details: FEE DETAILS
Denomination Amount
NAME OF THE
CLASS -B.A. PART II
Exam -2013
1000 X FEE HEAD AMOUNT
500 X
Examination
Fee
610
100 X
Enrolment
Fee
0
50 X
Viva Voice
Fee
0
10 X Marks Fee 0
5 X
Affilation
Fee
0
2 X Sports Fee 0
Coins Cultural Fee 0

Registration
Fee
120

Permission
Fee
0

Bank
Processing
Charges
17
Total
TOTAL
AMOUNT
747
Signature/ Stamp
ICICI Bank
Signature of
Depositor
Journal/ Transaction
ID No. ................

PRIVATE (BACK)
CHAUDHARY CHARAN SINGH
UNIVERSITY, MEERUT
ICICI Bank
Name of branch:
..........................
Date of Deposit: _ _ / _ _ / _ _
Account to be credited: 0036SLFEECOL
Institution Name: F C C C S U
Student Name: SATISH KUMAR
ID Reference no /
Application no.
24135176
Class/Sem/Year:
B.A. PART II Exam
-2013
Roll No. : PA475876
Course:
10002
Cash Details: FEE DETAILS
Denomination Amount
NAME OF THE
CLASS -B.A. PART II
Exam -2013
1000 X FEE HEAD AMOUNT
500 X
Examination
Fee
610
100 X
Enrolment
Fee
0
50 X
Viva Voice
Fee
0
10 X Marks Fee 0
5 X
Affilation
Fee
0
2 X Sports Fee 0
Coins Cultural Fee 0

Registration
Fee
120

Permission
Fee
0

Bank
Processing
Charges
17
Total
TOTAL
AMOUNT
747
Signature/ Stamp
ICICI Bank
Signature of
Depositor
Journal/ Transaction
ID No. ................

PRIVATE (BACK)
CHAUDHARY CHARAN SINGH
UNIVERSITY, MEERUT
ICICI Bank
Name of branch:
..........................
Date of Deposit: _ _ / _ _ / _ _
Account to be credited: 0036SLFEECOL
Institution Name: F C C C S U
Student Name: SATISH KUMAR
ID Reference no /
Application no.
24135176
Class/Sem/Year:
B.A. PART II Exam
-2013
Roll No. : PA475876
Course:
10002
Cash Details: FEE DETAILS
Denomination Amount
NAME OF THE
CLASS -B.A. PART II
Exam -2013
1000 X FEE HEAD AMOUNT
500 X
Examination
Fee
610
100 X
Enrolment
Fee
0
50 X
Viva Voice
Fee
0
10 X Marks Fee 0
5 X
Affilation
Fee
0
2 X Sports Fee 0
Coins Cultural Fee 0

Registration
Fee
120

Permission
Fee
0

Bank
Processing
Charges
17
Total
TOTAL
AMOUNT
747
Signature/ Stamp
ICICI Bank
Signature of
Depositor
Journal/ Transaction
ID No. ................