Chaudhary Charan Singh University, Meerut

Main/Ex. Student(Semester Back) & Back Paper Examination of Odd Semester (I/III/V/VII/IX) - Dec-2010
For Computer Department

869 INNOVATIVE INST. OF EDUCTION & TECHNOLOGY,PLAT NO. 6, KNOWLEDGE PARK-2,

GREATER NOIDA

Roll No : 8692546
Exam Type : Back Exam Enrollment No. : 0863843
Name of Examination : BBA-Ist
Name of Student : RAJESH KUAMR Nationality : INDIAN
Father`s Name : RAM SINGH Nationality : INDIAN
Mother`s Name : GYANVASTI DAVI Nationality : INDIAN
Date of Birth (y-m-d) : 1990-02-28 id:47863
Sex : Male Original Resident of : U.P.
Caste : SC Subcategory : None
Medium of Exam: HINDI Intermediate stream : SCIENCE WITH BIOLOGY
Permanent Address Present Address
VILLAGE-BIRONDI CHAKRA SENPUR VILLAGE-BIRONDI CHAKRA SENPUR
POST-ALPHA 1ST POST-ALPHA 1ST
GREATER NOIDA GREATER NOIDA
GAUTAM BUDDH NAGAR, Pin : 201308 GAUTAM BUDDH NAGAR, Pin : 201308
Paper Name Paper Code
1. ENVIRONMENTAL STUDIES 008
Give Examination details of marks obtained in Previous Examination Result
Year Roll No. Mrks Obt Max Mrks Year Result
Part Ist 8692546 273 500 2008-09 Fail
Details of Punishment in Any Examination (if Any)
Name of Exam Roll No. Enrollment No Year Punishment Details

Journal No. * : Journal Date * : Challan Amount : Rs-565 Name of the Bank : STATE BANK OF INDIA
If Migration Certificate taken from University, If Yes give date :
If you are employed give the details of No. Objection Certificate :
Declaration
I, RAJESH KUAMR(8692546) Son/Doughter of Mr./Mrs RAM SINGH do hereby solemnly affirm that, all the information given in the application form
are true to the best of my knowledge and belief. If any of information is found incorrect or distorted at any stage, I shall have no objection to
cancellation of my exam by the University/College

Attched Documents : 4 SEM MARKSHEET (Signature of the Applicant)

Certificate by the Principal
RAJESH KUAMR(47863) son / daughter of Sri RAM SINGH has been registered for examination. All the entries in the exam form, marksheets
attached have been duly checked and this is certified that he/she is eligible for the examination and his/her examination form is being forwarded.
Dated :________________________

Signature of the checker Signature of the Principal with stamp

* Journal No. and Date is given by the Bank on Bank Challan

Page 1/3
 Chaudhary Charan Singh University, Meerut
Main/Ex. Student(Semester Back) & Back Paper Examination of Odd Semester (I/III/V/VII/IX) - Dec-2010
For Examination Department

869 INNOVATIVE INST. OF EDUCTION & TECHNOLOGY,PLAT NO. 6, KNOWLEDGE PARK-2,

GREATER NOIDA

Roll No : 8692546
Exam Type : Back Exam Enrollment No. : 0863843
Name of Examination : BBA-Ist
Name of Student : RAJESH KUAMR Nationality : INDIAN
Father`s Name : RAM SINGH Nationality : INDIAN
Mother`s Name : GYANVASTI DAVI Nationality : INDIAN
Date of Birth (y-m-d) : 1990-02-28 id:47863
Sex : Male Original Resident of : U.P.
Caste : SC Subcategory : None
Medium of Exam: HINDI Intermediate stream : SCIENCE WITH BIOLOGY
Permanent Address Present Address
VILLAGE-BIRONDI CHAKRA SENPUR VILLAGE-BIRONDI CHAKRA SENPUR
POST-ALPHA 1ST POST-ALPHA 1ST
GREATER NOIDA GREATER NOIDA
GAUTAM BUDDH NAGAR, Pin : 201308 GAUTAM BUDDH NAGAR, Pin : 201308
Paper Name Paper Code
1. ENVIRONMENTAL STUDIES 008
Give Examination details of marks obtained in Previous Examination Result
Year Roll No. Mrks Obt Max Mrks Year Result
Part Ist 8692546 273 500 2008-09 Fail
Details of Punishment in Any Examination (if Any)
Name of Exam Roll No. Enrollment No Year Punishment Details

Journal No. * : Journal Date * : Challan Amount : Rs-565 Name of the Bank : STATE BANK OF INDIA
If Migration Certificate taken from University, If Yes give date :
If you are employed give the details of No. Objection Certificate :
Declaration
I, RAJESH KUAMR(8692546) Son/Doughter of Mr./Mrs RAM SINGH do hereby solemnly affirm that, all the information given in the application form
are true to the best of my knowledge and belief. If any of information is found incorrect or distorted at any stage, I shall have no objection to
cancellation of my exam by the University/College

Attched Documents : 4 SEM MARKSHEET (Signature of the Applicant)

Certificate by the Principal
RAJESH KUAMR(47863) son / daughter of Sri RAM SINGH has been registered for examination. All the entries in the exam form, marksheets
attached have been duly checked and this is certified that he/she is eligible for the examination and his/her examination form is being forwarded.
Dated :________________________

Signature of the checker Signature of the Principal with stamp

* Journal No. and Date is given by the Bank on Bank Challan

Page 2/3
Student Copy STATE BANK OF INDIA
Main/Ex. Student(Semester Back) & Back Paper Examination of Odd Semester (I/III/V/VII/IX) - Dec-2010

Account No : 30990406022 Account Name : Chaudhary Charan Singh University, Meerut

Id/Ref No : 8692546 Name of Student : RAJESH KUAMR
Application No. : 47863

Name of Exam: BBA-Ist (To be entered by Bank employee)

Fee Head Amount
Examination Fee 500 Journal No. :
University Registration Fee 65
Bank Charges Nil
Total 565
Note : This fee is not refundable.
Signature of Bank Official:

--------------------------------------------------------------------------------------------------------------

University Copy STATE BANK OF INDIA

Main/Ex. Student(Semester Back) & Back Paper Examination of Odd Semester (I/III/V/VII/IX) - Dec-2010

Account No : 30990406022 Account Name : Chaudhary Charan Singh University, Meerut

Id/Ref No : 8692546 Name of Student : RAJESH KUAMR
Application No. : 47863

Name of Exam: BBA-Ist (To be entered by Bank employee)

Fee Head Amount
Examination Fee 500 Journal No. :
University Registration Fee 65
Bank Charges Nil
Total 565
Note : This fee is not refundable.
Signature of Bank Official:

--------------------------------------------------------------------------------------------------------------

Bank Copy STATE BANK OF INDIA

Main/Ex. Student(Semester Back) & Back Paper Examination of Odd Semester (I/III/V/VII/IX) - Dec-2010

Account No : 30990406022 Account Name : Chaudhary Charan Singh University, Meerut

Id/Ref No : 8692546 Name of Student : RAJESH KUAMR
Application No. : 47863

Name of Exam: BBA-Ist (To be entered by Bank employee)

Fee Head Amount
Examination Fee 500 Journal No. :
University Registration Fee 65
Bank Charges Nil
Total 565
Note : This fee is not refundable.
Signature of Bank Official:

Page 3/3