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.