This Challan is valid from 24-07-2014 to 24-07-2014 Print Date: 24-07-2014 18:23 PM

Reference No: 2131340 Reference No: 2131340 Reference No: 2131340

RUHS, JAIPUR RUHS, JAIPUR RUHS, JAIPUR
University Copy
Date: - - 2014
College Copy
Date: - - 2014
Student Copy
Date: - - 2014
DETAILS OF THE STUDENT DETAILS OF THE STUDENT DETAILS OF THE STUDENT
Student Name SHUJAUDDIN
Form No. 2131340
Enrollment No. 2009/17788
Category REGULAR
Class Code 61002
College Code 4003
Challan No 2131340
Student Name SHUJAUDDIN
Form No. 2131340
Enrollment No. 2009/17788
Category REGULAR
Class Code 61002
College Code 4003
Challan No 2131340
Student Name SHUJAUDDIN
Form No. 2131340
Enrollment No. 2009/17788
Category REGULAR
Class Code 61002
College Code 4003
Challan No 2131340
Denomination Rs. Ps
1000 *
500 *
100 *
50 *
20 *
10 *
5 *
Total
Denomination Rs. Ps
1000 *
500 *
100 *
50 *
20 *
10 *
5 *
Total
Denomination Rs. Ps
1000 *
500 *
100 *
50 *
20 *
10 *
5 *
Total
Detail of Fee
Exam Fees Rs. 2063
Late Fees Rs.
Devlop. Fees Rs. 250
Contingency Fees Rs. 125
Total Payable
Amount
Rs. 2438
Amount (In words): Rs.
TWO THOUSAND FOUR HUNDRED
THIRTY EIGHT Only
Detail of Fee
Exam Fees Rs. 2063
Late Fees Rs.
Devlop. Fees Rs. 250
Contingency Fees Rs. 125
Total Payable
Amount
Rs. 2438
Amount (In words): Rs.
TWO THOUSAND FOUR HUNDRED
THIRTY EIGHT Only
Detail of Fee
Exam Fees Rs. 2063
Late Fees Rs.
Devlop. Fees Rs. 250
Contingency Fees Rs. 125
Total Payable
Amount
Rs. 2438
Amount (In words): Rs.
TWO THOUSAND FOUR HUNDRED
THIRTY EIGHT Only
Mobile No. 9636356722
Signature of Depositor
Mobile No. 9636356722
Signature of Depositor
Mobile No. 9636356722
Signature of Depositor
For Emitra use only
Acknowledgement Cashier/Officer
61002-M.PHARMA
SEM.-II(PHARMACEUTICS) EXAM. J ULY
2014
valid from 24-07-2014 to 24-07-2014
For Emitra use only
Acknowledgement Cashier/Officer
61002-M.PHARMA
SEM.-II(PHARMACEUTICS) EXAM. J ULY
2014
valid from 24-07-2014 to 24-07-2014
For Emitra use only
Acknowledgement Cashier/Officer
61002-M.PHARMA
SEM.-II(PHARMACEUTICS) EXAM. J ULY
2014
valid from 24-07-2014 to 24-07-2014

http://ruhsraj.net/ruhsMain/prInTForm.php
1 of 3 7/24/2014 2:56 PM
1 Print Date :24-Jul-2014 UNIVERSITY COPY
Rajasthan University Of Health Sciences, Jaipur, Rajasthan
Examination : M.PHARMA SEM.-II(PHARMACEUTICS) EXAM.
JULY 2014

College
4003 - ALWAR PHARMACY COLLEGE, NORTH EXTENSION, MIA,
ALWAR,ALWAR
Form No. 2131340
Exam Centre
Roll No.
Student's Name
SHUJAUDDIN
Father's Name MOHAMMAD YOUSUF
Mother's Name SIRA BI
Caste GEN Sub Cat.: NONE
Minority YES : MUSLIM
Sex MALE
Date of Birth 05-Jun-1991
Attempt I
Phone/MobileNo
9636356722
Address
VILLAGE TAKHATPUR ALLAH URF NANKAR POST FATEHPUR
MORADABAD

UTTAR PRADESH 244001
Already Enrolled YES ENROL NO:2009/17788
Roll No. Class & Year of last exam appeared in this University
Roll No. Class Year

Signature of Candidate
Details of Last Qualifying Examination passed
For College Use
Examination Fee Rs. 2438
Token No-
Token Date-
Name of University Exam Roll No Obt. Marks Out of Year Result
M.PHARMA SEM.-I RUHS MAINEXAM 509 276 500 2014 PASS
Compl.
Marks
PART/SEM-I
YEAR MONTH
ROLL
NO
OBT.
MARKS
2014 May 509 276
PART/SEM-II
YEAR MONTH
ROLL
NO
OBT.
MARKS

PART/SEM-III
YEAR MONTH
ROLL
NO
OBT.
MARKS

PART/SEM-IV
YEAR MONTH
ROLL
NO
OBT.
MARKS

Details of Subject(S) Offered
S.No. Code Sub Name
1 9210 ADV.IN PHARMACEUTICAL SCIENCE INCLUDING BIOSTATISTICS-
2 9220 NOVEL DURG DELIVERY SYSTEM-
3 9230 BIOPHARMACEUTICS & PHARMACOKINETICS-



UNFAI R-MEANS CASE I N LAST YEAR:
Certified that all above entries are correct to the best of my knowledge and belief. I amnot appearing in any other university examination and there is no UM case against me. I have deposited
Examination fee in E-Mitra by challan.
Signature of Student
Please check that challan number and form number should be same in all copies. If your form is correctly printed deposit fee in in time and exam form with a copies of challan in
college. Fees once deposited will not be refunded .
Certified that all above entries are checked & verified by college and student is
eligible to appear in above-mentioned examination. Examination Fee is deposited in
E-Mitra
Signature &seal of Principal

All entries have been verified and checked through record and documents provided
by student. Student is qualified / not qualified to appear in M.PHARMA
SEM.-II(PHARMACEUTICS) EXAM. J ULY 2014 Query pending .................
Full Signature of Checker in University
Note : Please Submit enrolment form and enclose Original Marksheet of Qualifying examination and Migration certificate if you are not enrolled in RUHS, J aipur, otherwise
Photo state copies of documents is to be enclosed with form. This Examination form is valid from 24-07-2014 to 24-07-2014

http://ruhsraj.net/ruhsMain/prInTForm.php
2 of 3 7/24/2014 2:56 PM
2 Print Date :24-Jul-2014 COMPUTER COPY
Rajasthan University Of Health Sciences, Jaipur, Rajasthan
Examination : M.PHARMA SEM.-II(PHARMACEUTICS) EXAM.
JULY 2014

College
4003 - ALWAR PHARMACY COLLEGE, NORTH EXTENSION, MIA,
ALWAR,ALWAR
Form No. 2131340
Exam Centre
Roll No.
Student's Name
SHUJAUDDIN
Father's Name MOHAMMAD YOUSUF
Mother's Name SIRA BI
Caste GEN Sub Cat.: NONE
Minority YES : MUSLIM
Sex MALE
Date of Birth 05-Jun-1991
Attempt I
Phone/MobileNo
9636356722
Address
VILLAGE TAKHATPUR ALLAH URF NANKAR POST FATEHPUR
MORADABAD

UTTAR PRADESH 244001
Already Enrolled YES ENROL NO:2009/17788
Roll No. Class & Year of last exam appeared in this University
Roll No. Class Year

Signature of Candidate
Details of Last Qualifying Examination passed
For College Use
Examination Fee Rs. 2438
Token No-
Token Date-
Name of University Exam Roll No Obt. Marks Out of Year Result
M.PHARMA SEM.-I RUHS MAINEXAM 509 276 500 2014 PASS
Compl.
Marks
PART/SEM-I
YEAR MONTH
ROLL
NO
OBT.
MARKS
2014 May 509 276
PART/SEM-II
YEAR MONTH
ROLL
NO
OBT.
MARKS

PART/SEM-III
YEAR MONTH
ROLL
NO
OBT.
MARKS

PART/SEM-IV
YEAR MONTH
ROLL
NO
OBT.
MARKS

Details of Subject(S) Offered
S.No. Code Sub Name
1 9210 ADV.IN PHARMACEUTICAL SCIENCE INCLUDING BIOSTATISTICS-
2 9220 NOVEL DURG DELIVERY SYSTEM-
3 9230 BIOPHARMACEUTICS & PHARMACOKINETICS-



UNFAI R-MEANS CASE I N LAST YEAR:
Certified that all above entries are correct to the best of my knowledge and belief. I amnot appearing in any other university examination and there is no UM case against me. I have deposited
Examination fee in E-Mitra by challan.
Signature of Student
Please check that challan number and form number should be same in all copies. If your form is correctly printed deposit fee in in time and exam form with a copies of challan in
college. Fees once deposited will not be refunded .
Certified that all above entries are checked & verified by college and student is
eligible to appear in above-mentioned examination. Examination Fee is deposited in
E-Mitra
Signature &seal of Principal

All entries have been verified and checked through record and documents provided
by student. Student is qualified / not qualified to appear in M.PHARMA
SEM.-II(PHARMACEUTICS) EXAM. J ULY 2014 Query pending .................
Full Signature of Checker in University
Note : Please Submit enrolment form and enclose Original Marksheet of Qualifying examination and Migration certificate if you are not enrolled in RUHS, J aipur, otherwise
Photo state copies of documents is to be enclosed with form. This Examination form is valid from 24-07-2014 to 24-07-2014
http://ruhsraj.net/ruhsMain/prInTForm.php
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