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Re-Print Exam Form University of Kota, Kota: Compulsory Subject / Papers Optional Subjects / Papers

This document is an exam registration form for Ankit Tiwari to take the B.Sc. B.Ed. PART-I EXAM.2019. It provides his personal details like name, father's name, date of birth, address, as well as academic details including the last qualifying exams passed in 2016 and 2018 and the subjects being offered for the current exam. It is certified by both the student and principal that the details provided are correct.

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Åñkít Tíwãrì
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339 views3 pages

Re-Print Exam Form University of Kota, Kota: Compulsory Subject / Papers Optional Subjects / Papers

This document is an exam registration form for Ankit Tiwari to take the B.Sc. B.Ed. PART-I EXAM.2019. It provides his personal details like name, father's name, date of birth, address, as well as academic details including the last qualifying exams passed in 2016 and 2018 and the subjects being offered for the current exam. It is certified by both the student and principal that the details provided are correct.

Uploaded by

Åñkít Tíwãrì
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Re-Print Exam Form

1 Print Date :13-May-2019   25:28 PM                                            UNIVERSITY COPY

UNIVERSITY OF KOTA, KOTA Print Date 13-May-2019

 
REGULAR Examination : B.Sc. B.Ed. PART-I EXAM.2019      
 College 103 - GREAT INDIA T.T. COLLEGE, KHANPUR,  Form No. 23007383
 Exam Centre
 Roll No.  
 Student's Name ANKIT TIWARI
 Name in Hindi अं कत तवारी
 Father's Name NARAYAN LAL SHARMA
Father's Name in Hindi नारायण लाल शमा

 Mother's Name MANORAMA SHARMA


 Mother'sin Hindi Name मनोरमा शमा

 Caste GEN
 Sex MALE
 Date of Birth 27-Sep-2002
 Medium HINDI
 Phone/MobileNo 9116862828
KHERA ROAD, BAKANI
 Address
BAKANI
  JHALAWAR  RAJASTHAN   326022

 Already Enrolled NO                    
 Religion & Nationality HINDU    &    INDIAN
 Roll No. Class & Year of last exam appeared in this University
 Roll No. Class Year
Signature of Student

For College Use Compulsory subjects already passed Roll No. Year
 Examination Fee Rs. 2225
 Deposited Vide Ref. No 23007383
Transaction No- 19051349586740
Transaction Date- 13-May-2019

Reappearing in Practical Exam : NA

 Details of Last Qualifying Examination passed


  Class   Name of Board / University   Optional Subject   Roll No.  Percentage   Year of passing   Result
X RBSE   ALL SUBJECT   1870166 83.67   2016   PASS  
HINDI , ENGLISH,
PHYSICS, CHEMI.,
XII RBSE   2626509 74.60   2018   PASS  
BIOLO.  
 Details of Subjects Offered for Examination 2018

 Compulsory subject / Papers  Optional subjects / Papers


9101 : GEN. ENGLISH(COMPULSORY)*
9102 : CHILDHOOD AND GROWING UP
9103 : CONTEMPORARY INDIA AND EDUCATION
9104 : INSTRUCTIONAL SYSTEM & EDUCATIONAL
EVALUATION
9105 : CHEMISTRY(I,II,III)
9106 : BOTANY (I,II,III)
9107 : ZOOLOGY(I,II,III)
UNFAIRMEANS IN LAST YEAR: NO
Certified that all above entries are correct to the best of my knowledge and belief. I am not appearing in any other university examination and there is no UM case against me. I have deposited Examination fee
in bank 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 ONLINE PAYMENT in time and
exam form with a copy 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 bank
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 B.Sc. B.Ed. PART-I EXAM.2019 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 University of Kota, Kota, otherwise
Photo state copies of documents is to be enclosed with form.
This Examination form is valid from to
कृपया हद म नाम बोड क अंकता लका के अनुसार लखकर, यथा थान पर अपने ह ता र कर परी ा आवेदन प को नधा रत अव ध म स ब धत महा व ालय म जमा करावे |

 
Re-Print Exam Form
2 Print Date :13-May-2019   25:28 PM                                            COMPUTER COPY

UNIVERSITY OF KOTA, KOTA Print Date 13-May-2019

 
REGULAR Examination : B.Sc. B.Ed. PART-I EXAM.2019      
 College 103 - GREAT INDIA T.T. COLLEGE, KHANPUR,  Form No. 23007383
 Exam Centre
 Roll No.  
 Student's Name ANKIT TIWARI
 Name in Hindi अं कत तवारी
 Father's Name NARAYAN LAL SHARMA
Father's Name in Hindi नारायण लाल शमा

 Mother's Name MANORAMA SHARMA


 Mother'sin Hindi Name मनोरमा शमा

 Caste GEN
 Sex MALE
 Date of Birth 27-Sep-2002
 Medium HINDI
 Phone/MobileNo 9116862828

 Address KHERA ROAD, BAKANI


BAKANI
  JHALAWAR  RAJASTHAN   326022

 Already Enrolled NO                    
 Religion & Nationality HINDU    &    INDIAN
 Roll No. Class & Year of last exam appeared in this University
 Roll No. Class Year
Signature of Student

For College Use Compulsory subjects already passed Roll No. Year
 Examination Fee Rs. 2225
 Deposited Vide Ref. No 23007383
Transaction No- 19051349586740
Transaction Date- 13-May-2019

Reappearing in Practical Exam : NA

 Details of Last Qualifying Examination passed


  Class   Name of Board / University   Optional Subject   Roll No.  Percentage   Year of passing   Result
X RBSE   ALL SUBJECT   1870166 83.67   2016   PASS  
HINDI , ENGLISH,
PHYSICS, CHEMI.,
XII RBSE   2626509 74.60   2018   PASS  
BIOLO.  
 Details of Subjects Offered for Examination 2018
 Compulsory subject / Papers  Optional subjects / Papers
9101 : GEN. ENGLISH(COMPULSORY)*
9102 : CHILDHOOD AND GROWING UP
9103 : CONTEMPORARY INDIA AND EDUCATION
9104 : INSTRUCTIONAL SYSTEM & EDUCATIONAL
EVALUATION
9105 : CHEMISTRY(I,II,III)
9106 : BOTANY (I,II,III)
9107 : ZOOLOGY(I,II,III)
UNFAIRMEANS IN LAST YEAR: NO
Certified that all above entries are correct to the best of my knowledge and belief. I am not appearing in any other university examination and there is no UM case against me. I have deposited Examination fee
in bank 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 ONLINE PAYMENT in time and
exam form with a copy 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 bank
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 B.Sc. B.Ed. PART-I EXAM.2019 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 University of Kota, Kota, otherwise
Photo state copies of documents is to be enclosed with form.
This Examination form is valid from to
कृपया हद म नाम बोड क अंकता लका के अनुसार लखकर, यथा थान पर अपने ह ता र कर परी ा आवेदन प को नधा रत अव ध म स ब धत महा व ालय म जमा करावे |

 
Re-Print Exam Form         [13-May-2019 25:28 PM]
UNIVERSITY OF KOTA, KOTA
Enrollment/Eligibility Form for REGULAR
Name of Examination :  91001-B.Sc. B.Ed. PART-I EXAM.2019
 महा व ालय का नाम 103 - GREAT INDIA T.T. COLLEGE, KHANPUR For Office Use Only
आवेदक का ववरण :     Form No. 23007383
 नाम ANKIT TIWARI  En No.  
  पता का नाम NARAYAN LAL SHARMA

 माता का नाम MANORAMA SHARMA

 आर त वग GEN

  लग MALE

  वेश क त थ   11-Jul-2018
 ज म त थ 27-Sep-2002

 Phone/MobileNo 9116862828
 आवेदक का प वहार का
पता
KHERA ROAD, BAKANI    JHALAWAR RAJASTHAN   326022  
 आवेदक का धम / रा ीयता HINDU    &    INDIAN  
 उतीण क गई परी ा का ववरण

  Class   Name of Board / University   Year of passing   Optional Subject Total Marks  Marks  % Marks
obtained
Sr. Secondary RBSE 2016 ALL SUBJECT 600 502 83.67
Sr. Secondary RBSE 2018 HINDI , ENGLISH, 500 373 74.60
PHYSICS, CHEMI.,
BIOLO.
First Year

Second Year

Third Year

Other

आवेदन के लए नदश:- स यापन हेतु संल न कये गये मूल प क सूची (स या पत फोटो त भी संल न करे)
मेरे ारा भरी गई उपरो जानकारी स य है, म इस स म भी कसी अ य बोड / व वधालय क परी ा म नह मा णत कया जाता है क उपरो जानकारी जांचने पर सही पायी गयी है बोड / व व ालय / सं था जंहा से अहकारी
बेथ रहा ँ ना ही मुझे इस स म कसी बोड ारा अनु चत साधन के योग के कारण परी ा म बैठने से वं चतपरी ा उतीण क गयी है व व यालय से सां वना ा त है| छा ने उपरो ववरण अपनी अं तम उतीण परी ा क मूल
कया है तथा म पूव म इस व व ालय म नामां कत नह रहा ँ | अंक ता लका के आधार पर पूण कया है, तथा छा ने वंय का पता का तथा माता का नाम इसी तरह भरा है जैसा क
अहकारी अं तम उतीण परी ा क मूल अंक ता लका से दज है |
ाचाय के ह ता र
आवेदक के ह ता र (मय महा व ालय क मोहर)
महा व ालय उपयोग हेतु व ालय उपयोग हेतु
छा के ारा अहकारी परी ा उतीण करने क मूल ा त नामांकन शु क रा श क मयां जो पूण क जाती है
अंकता लका क जांच ली गई है छा नामाकंन क ा त पा ता शु क रा श 1. ..........
पा ता रखता  है| मूल अंकता लका तथा वजन माण 2. ..........
प संल न ह | 3. ..........
फ़ स ववरण : रसीद सं या  ..........
रा श    200 दनांक        ..........
रसीद सं या   ..........
दनांक         ..........
ह ता र (महा व ालय ल पक)

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