CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

D.A.V. COLLEGE,MUZAFFARNAGAR
For the admission to Regular/Self financing Courses SESSION : 2012 - 2013 DEGREE : M.SC. MICROBIOLOGY SUBJECT : MICROBILOLOGY Registration No. : 802652948 1. Name of the Candidate (IN BLOCK LETTERS) : Registration Date : 04/07/2012 Confidential No. : 953183

VISHAL KUMAR
2. Father's Name (IN BLOCK LETTERS) :

MR. PRAMOD KUMAR

3. Mother's Name (IN BLOCK LETTERS) :

MRS. USHA DEVI

4. Date of Birth : 6. Gender : 8. Category : 10. Domicile :

06/01/1990 MALE OPEN (OP) UTTAR PRADESH

5. Nationality : 7. Religion : 9. Res. Category : 11. Email :

INDIAN HINDU

ankitcomputer@gmail.com

12. Address (IN BLOCK LETTERS) Permanent Address Address : Vill. Bhaypur Sharifnagar Thakurdwara District : Moradabad Pin : Address of Correspondence Address : Vill. Bhaypur Sharifnagar Thakurdwara District : Moradabad
Space for self attested Photograph Do not Pin or Staple Paste recent clear Passport Size Photograph

244601

Pin : Phone : Mobile :

244601

13. Signature of Candidate

8858346952

14. Weightages Claimed : SNo. Weightage

15. Academic Record SNo. Examination Passed Year Max Marks Marks Obt. Exam Stream Subjects Taken Board/University

Matriculation

2004

600

242

Science

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

Intermediate

2006

500

279

PCB

PCB

Graduation

2009

1350

715

B.Sc.

16. Whether you were punished for any offense / unfair means committed by you in the perviously attended or the present institution. If yes, give details :

17. If the result of the qualifying examination is not yet declared, submit a certificate from the Head of the institution to the effect that the candidate has appeared in all theory / practical papers of the qualifying examination.

Undertaking
1. I shall always obey in letter and spirit the rules and regulations formulated by the University and the College and shall be personally responsible for obeying the same. 2. That I shall not indulge in any activity that comes under indiscipline nor shall be involved in any action that has been declared against the conduct rules. 3. That at no stage I shall be involved in ragging and shall also cooperate in reporting any such matter to austerities if I come to know about this. 4. That I shall be personally responsible to complete my assignments and submit them in time for assessment and evaluation. 5. That I shall ensure that I am regular and punctual in my classes and attempt to complete 100% attendance but not less that 75% under any circumstance. 6. That at present, I am not a student of any other College/University and shall not be appearing at any other examination leading to a degree. I have read the above points carefully and shall be responsible for following them. I hereby declare that the information given in this application form is true on best of my Knowledge and belief. In case any information is found untrue, the university/college can cancel my admission for that no claim for refund of fee would be raised by me nor challenge in any court law.

Dated :

Signature of the Applicant him / herself

Signature of Parents/Guardian

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

I.P. COLLEGE BULANDSHAHR
For the admission to Regular/Self financing Courses SESSION : 2012 - 2013 DEGREE : M.SC. MICROBIOLOGY SUBJECT : MICROBILOLOGY Registration No. : 802652948 1. Name of the Candidate (IN BLOCK LETTERS) : Registration Date : 04/07/2012 Confidential No. : 953183

VISHAL KUMAR
2. Father's Name (IN BLOCK LETTERS) :

MR. PRAMOD KUMAR

3. Mother's Name (IN BLOCK LETTERS) :

MRS. USHA DEVI

4. Date of Birth : 6. Gender : 8. Category : 10. Domicile :

06/01/1990 MALE OPEN (OP) UTTAR PRADESH

5. Nationality : 7. Religion : 9. Res. Category : 11. Email :

INDIAN HINDU

ankitcomputer@gmail.com

12. Address (IN BLOCK LETTERS) Permanent Address Address : Vill. Bhaypur Sharifnagar Thakurdwara District : Moradabad Pin : Address of Correspondence Address : Vill. Bhaypur Sharifnagar Thakurdwara District : Moradabad
Space for self attested Photograph Do not Pin or Staple Paste recent clear Passport Size Photograph

244601

Pin : Phone : Mobile :

244601

13. Signature of Candidate

8858346952

14. Weightages Claimed : SNo. Weightage

15. Academic Record SNo. Examination Passed Year Max Marks Marks Obt. Exam Stream Subjects Taken Board/University

Matriculation

2004

600

242

Science

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

Intermediate

2006

500

279

PCB

PCB

Graduation

2009

1350

715

B.Sc.

16. Whether you were punished for any offense / unfair means committed by you in the perviously attended or the present institution. If yes, give details :

17. If the result of the qualifying examination is not yet declared, submit a certificate from the Head of the institution to the effect that the candidate has appeared in all theory / practical papers of the qualifying examination.

Undertaking
1. I shall always obey in letter and spirit the rules and regulations formulated by the University and the College and shall be personally responsible for obeying the same. 2. That I shall not indulge in any activity that comes under indiscipline nor shall be involved in any action that has been declared against the conduct rules. 3. That at no stage I shall be involved in ragging and shall also cooperate in reporting any such matter to austerities if I come to know about this. 4. That I shall be personally responsible to complete my assignments and submit them in time for assessment and evaluation. 5. That I shall ensure that I am regular and punctual in my classes and attempt to complete 100% attendance but not less that 75% under any circumstance. 6. That at present, I am not a student of any other College/University and shall not be appearing at any other examination leading to a degree. I have read the above points carefully and shall be responsible for following them. I hereby declare that the information given in this application form is true on best of my Knowledge and belief. In case any information is found untrue, the university/college can cancel my admission for that no claim for refund of fee would be raised by me nor challenge in any court law.

Dated :

Signature of the Applicant him / herself

Signature of Parents/Guardian

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

J.V. COLLEGE BARAUT (BAGHPAT)
For the admission to Regular/Self financing Courses SESSION : 2012 - 2013 DEGREE : M.SC. MICROBIOLOGY SUBJECT : MICROBILOLOGY Registration No. : 802652948 1. Name of the Candidate (IN BLOCK LETTERS) : Registration Date : 04/07/2012 Confidential No. : 953183

VISHAL KUMAR
2. Father's Name (IN BLOCK LETTERS) :

MR. PRAMOD KUMAR

3. Mother's Name (IN BLOCK LETTERS) :

MRS. USHA DEVI

4. Date of Birth : 6. Gender : 8. Category : 10. Domicile :

06/01/1990 MALE OPEN (OP) UTTAR PRADESH

5. Nationality : 7. Religion : 9. Res. Category : 11. Email :

INDIAN HINDU

ankitcomputer@gmail.com

12. Address (IN BLOCK LETTERS) Permanent Address Address : Vill. Bhaypur Sharifnagar Thakurdwara District : Moradabad Pin : Address of Correspondence Address : Vill. Bhaypur Sharifnagar Thakurdwara District : Moradabad
Space for self attested Photograph Do not Pin or Staple Paste recent clear Passport Size Photograph

244601

Pin : Phone : Mobile :

244601

13. Signature of Candidate

8858346952

14. Weightages Claimed : SNo. Weightage

15. Academic Record SNo. Examination Passed Year Max Marks Marks Obt. Exam Stream Subjects Taken Board/University

Matriculation

2004

600

242

Science

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

Intermediate

2006

500

279

PCB

PCB

Graduation

2009

1350

715

B.Sc.

16. Whether you were punished for any offense / unfair means committed by you in the perviously attended or the present institution. If yes, give details :

17. If the result of the qualifying examination is not yet declared, submit a certificate from the Head of the institution to the effect that the candidate has appeared in all theory / practical papers of the qualifying examination.

Undertaking
1. I shall always obey in letter and spirit the rules and regulations formulated by the University and the College and shall be personally responsible for obeying the same. 2. That I shall not indulge in any activity that comes under indiscipline nor shall be involved in any action that has been declared against the conduct rules. 3. That at no stage I shall be involved in ragging and shall also cooperate in reporting any such matter to austerities if I come to know about this. 4. That I shall be personally responsible to complete my assignments and submit them in time for assessment and evaluation. 5. That I shall ensure that I am regular and punctual in my classes and attempt to complete 100% attendance but not less that 75% under any circumstance. 6. That at present, I am not a student of any other College/University and shall not be appearing at any other examination leading to a degree. I have read the above points carefully and shall be responsible for following them. I hereby declare that the information given in this application form is true on best of my Knowledge and belief. In case any information is found untrue, the university/college can cancel my admission for that no claim for refund of fee would be raised by me nor challenge in any court law.

Dated :

Signature of the Applicant him / herself

Signature of Parents/Guardian

Wed, 4 July, 2012

22:38:35

IST

Wed, 4 July, 2012

22:38:35

IST

Wed, 4 July, 2012

22:38:35

IST

Bank Copy

University Copy

Student Copy

Chaudhary Charan Singh University, Meerut

ICICI
Account to be credited Student Name Registration No. Degree

Chaudhary Charan Singh University, Meerut

ICICI
Account to be credited Student Name Registration No. Degree

Chaudhary Charan Singh University, Meerut

ICICI
Account to be credited Student Name Registration No. Degree

FCCCSU VISHAL KUMAR

FCCCSU VISHAL KUMAR

FCCCSU VISHAL KUMAR

802652948
M.Sc. Microbiology

802652948
M.Sc. Microbiology

802652948
M.Sc. Microbiology

Cash Details Denomination 100 X 50 X 10 X 5X Coins Total Signature / Stamp ICICI Journal/ Transaction ID No. Amount

FEE DETAILS
M.Sc. Microbiology

Cash Details Denomination 100 X 50 X Amount

FEE DETAILS
M.Sc. Microbiology

Cash Details Denomination 100 X 50 X Amount

FEE DETAILS
M.Sc. Microbiology

FEE HEAD Registration Fee Bank Processing Charge Total Amount

AMOUNT

FEE HEAD Registration Fee

AMOUNT

FEE HEAD Registration Fee

AMOUNT

50
10 X 5X

50
10 X 5X

50

17
Coins

Bank Processing Charge Total Amount

17
Coins

Bank Processing Charge Total Amount

17

67

Total Signature / Stamp

67

Total Signature / Stamp

67

Signature of Depositor

ICICI Journal/ Transaction ID No.

Signature of Depositor

ICICI Journal/ Transaction ID No.

Signature of Depositor

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