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The document is an online exam form submission for a student named Shivang Shukla for the end semester examination in September 2019. It provides details of the student like name, father's name, course, subjects, bank transaction details for fee payment.

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ajai Shukla
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0% found this document useful (0 votes)
105 views2 pages

Rishu PDF

The document is an online exam form submission for a student named Shivang Shukla for the end semester examination in September 2019. It provides details of the student like name, father's name, course, subjects, bank transaction details for fee payment.

Uploaded by

ajai Shukla
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

डॉO शकु तला म ा रा य पन

ु वास व व व यालय, लखनऊ


Dr. Shakuntala Misra National Rehabilitation University, Lucknow
ONLINE EXAM FORM SUBMISSION FOR END SEMESTER / SEMESTER / YEARLY
EXAMINATION, SEPETEMBER - 2019

NAME OF THE STUDENT SHIVANG SHUKLA

FATHER'S NAME VINAY KUMAR SHUKLA

MOTHER'S NAME NEELAM SHUKLA

ROLLNO 1801961047

DATE OF BIRTH 15.08.1999


ALTERNATE
MOBILE NO. 7355155656 9918367259
MOBILE NO.
ALTERNATE
EMAIL-ID shuklashivang22@[Link] [Link]@[Link]
EMAIL-ID
AADHAAR NO. 226917334010 PIN CODE 229207
CATEGORY GENERAL SUB-CATEGORY
GENDER MALE
ADDRESS SHANKAR NAGAR MURAI BAGH DALMAU RAEBARELI (U.P) 229207
COURSE [Link].(NURSING) BRANCH/STREAM [Link].(NURSING)
BATCH 2018-2019
DETAIL OF EXAM FEES
PUNJAB NATIONAL BANK BRANCH PUNJAB NATIONAL
BANK NAME
BANK NAME BANK DALMAU
RTGS/NEFT NO. 187559652 RECEIPT DATE 27-09-2019
RTGS/NEFT AMOUNT RS. 6000 BANK IFSC CODE BARB0MOHAAN
SEMESTER/PROF./YEAR 1
UNIVERSITY/AFFILIATED COLLEGE NAME T.S. MISRA COLLEGE OF NURSING, AMAUSI, LUCKNOW
WRITER/SCRIBE REQUIRED NO

RTGS / NEFT
DOCUMENT

LIST OF CURRENT SEMESTER/PROF./YEAR THEORY AND PRACTICAL PAPERS


SL. PAPER CODE PAPER NAME
1 BBN 101 ANATOMY & PHYSIOLOGY
2 BBN 108 NURSING FOUNDATION P
3 BBN 102 NUTRITION & BIOCHEMISTRY
4 BBN 103 NURSING FOUNDATION
5 BBN 104 PSYCHOLOGY
6 BBN 105 MICROBIOLOGY
7 BBN 106 ENGLISH
8 BBN 107 INTRODUCTION TO COMPUTERS

Signature/Thumb Impression of the student Signature of the HoD/Dean/Principal


I hereby declare that I am aware of the examination rules of the University. I also affirm that I have
appeared in all the mid semester test, presentation and submitted assignments as applicable for the Course
filled in the on-line examination form. My registration for the Course is valid and not time barred. If any of
my statements is found to be untrue, I shall have no claim for taking examination and my examination
result may be withheld / cancelled at any stage. I undertake that I shall abide by the rules and regulations of
the University.

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