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Examination Form

This document is an examination form for a regular B.A. student named Bhopala Ram at Jai Narain Vyas University, Jodhpur for the 2024-2025 academic session. The form includes personal details, previous academic results, and subjects for the IIIrd semester, along with a total fee of 1350. It also lists required documents and emphasizes the deadline for submission as January 22, 2025.

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bkbishnoi36
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0% found this document useful (0 votes)
6 views

Examination Form

This document is an examination form for a regular B.A. student named Bhopala Ram at Jai Narain Vyas University, Jodhpur for the 2024-2025 academic session. The form includes personal details, previous academic results, and subjects for the IIIrd semester, along with a total fee of 1350. It also lists required documents and emphasizes the deadline for submission as January 22, 2025.

Uploaded by

bkbishnoi36
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

Submit Date : 17/01/2025 08:10:50 Correction Date : --NA-- Print Date : 17/01/2025 15:11:52 Office Copy

Hard Copy Submit Date:


JAI NARAIN VYAS UNIVERSITY, JODHPUR 22/01/2025

Examination Form (Main) - Session ( 2024 - 2025 )


Total Fee : 1350
REGULAR Student B.A. (Sem.)(NEP2020) IIIrd Sem
Subject : History, Political Science, Hindi Lit.

FACULTY OF ARTS, EDUCATION & SOC. SCS. (DEAN OFFICE ARTS FACULTY DEAN OFFICE NEW CAMPUS)
Form No. : 12871766 Roll No./Reg. No. : 24RBA31168
Student Name : BHOPALA RAM Gender : MALE
Student : Date of Birth : 27/06/2006
Name(H)
Father's Name : PAPPU RAM Nationality : INDIAN
Father's : Caste : General
Name(H)
Mother's Name : JETI University Ward : NO
Mother's : Is Orphan : NO
Name(H)
Medium : HINDI Minority : NO
Domicile : Rajasthan Mobile No. : 7877039161
Enrollment No. : NO Religion : Hindu
Blood Group : A+ Is PH/ Blind : NO
E-Mail Id : [email protected] Address : Samrathal nagar Akalkhory osian
m jodhpur,Rajasthan,JODHPUR,342306
Aadhar No : 856759241824 ABC ID : 343126443781

Candidate's Bank Details


Bank Name A/C Holder Name Account No. IFSC Code Relation With A/C Holder
BANK OF BARODA Pappu Ram 53670100006435 BARB0OSIA Father
NX
Previous Year/Sem Result

S No. Degree Year/Sem Year SGPA Credit Point Due Paper Result Status Total
Marks Attempt
1 B.A. (Sem.)(NEP2020) Ist Sem 2024 6.50 20 0 PASS 1
2 B.A. (Sem.)(NEP2020) IInd Sem 2024 6.80 20 0 PASS 1

Details of last Qualifying Examination Passed


Qualification Name of Board/ University Max Marks Obtained Passing Year Percentage
Marks
12th Rajasthan Board of Secondary Education, 500 462 2023 92.40
Ajmer-305 001.
10th Rajasthan Board of Secondary Education, 600 557 2021 92.83
Ajmer-305 001.

Candidate's Identification Details


10th RollNo 10th Marksheet Sr. No. 10th Passing Year
0823326 0689844 2021

Main Papers Main Papers Fee Details


S Paper Code Paper Name Degree Year/Sem Head Name Amount
No Exam Fee 900
.
Marksheet Fee 100
1 DCC HINDI LITERATURE ( Adhunik Hindi Kavita ) B.A. (Sem.)(NEP2020)
HIN6001T R IIIrd Sem Data Handling Charges 350
2 DCC HIS6001T HISTORY( History of India (1757 - 1857 C.E.) ) B.A. (Sem.)(NEP2020)
R IIIrd Sem
3 DCC (Political Science ) International Political Thought B.A. (Sem.)(NEP2020)
POL6001T R IIIrd Sem
4 SECFAPSK11 Visual Expression-I B.A. (Sem.)(NEP2020)
IIIrd Sem

Certified that all above entries are correct to the best Certified that all above entries are checked and All entries has been verified and checked through
of my knowledge and belief, I am not appearing in verified by faculty college and student is eligible to record and documents provided by student. Student
any other University examination and there is no UM appear in above mentioned examination. is qualified / not qualified to appear in B.A.
case against me. I have deposited Examination fee. Examination fee has been deposited through Online (Sem.)(NEP2020) IIIrd Sem.query pending
Fee once deposited will not be refunded. payment and all marksheets has been attached with ................
exam form by the student.

Page 1
Signature of Student Signature and seal of Dean/Head/Principal Full signature of checker in University

Signature

Document Enclosed
1. TC(Transfer Certificate)
2. Original Migration Certificate
3. CC(Caste Certificate)
4. Valid Challan of Examination Fees
5. Graduation Marksheet
6. Last Examination Marksheet(Photocopy with self attest)
7. Token No. Slip of E-Mitra or E-Reciept
8. PH/Blind category certificate(in case of student belongs to PH/Blind category)
9. Employee ward certificate (In case of student belongs to employee award category-only for non teaching staff)
Note: Self Attest Photocopy of All The Above Document to be Enclosed.
Before submitting Examination. Please check Eligibility.

THE LAST DATE TO SUBMIT PRINTED EXAMINATION FORM (HARD COPY) IS 22/01/2025

Page 2
Submit Date : 17/01/2025 08:10:50 Correction Date : --NA-- Print Date : 17/01/2025 15:11:52 Student Copy
Hard Copy Submit Date:
JAI NARAIN VYAS UNIVERSITY, JODHPUR 22/01/2025

Examination Form (Main) - Session ( 2024 - 2025 )


Total Fee : 1350
REGULAR Student B.A. (Sem.)(NEP2020) IIIrd Sem
Subject : History, Political Science, Hindi Lit.

FACULTY OF ARTS, EDUCATION & SOC. SCS. (DEAN OFFICE ARTS FACULTY DEAN OFFICE NEW CAMPUS)
Form No. : 12871766 Roll No./Reg. No. : 24RBA31168
Student Name : BHOPALA RAM Gender : MALE
Student : Date of Birth : 27/06/2006
Name(H)
Father's Name : PAPPU RAM Nationality : INDIAN
Father's : Caste : General
Name(H)
Mother's Name : JETI University Ward : NO
Mother's : Is Orphan : NO
Name(H)
Medium : HINDI Minority : NO
Domicile : Rajasthan Mobile No. : 7877039161
Enrollment No. : NO Religion : Hindu
Blood Group : A+ Is PH/ Blind : NO
E-Mail Id : [email protected] Address : Samrathal nagar Akalkhory osian
m jodhpur,Rajasthan,JODHPUR,342306
Aadhar No : 856759241824 ABC ID : 343126443781

Candidate's Bank Details


Bank Name A/C Holder Name Account No. IFSC Code Relation With A/C Holder
BANK OF BARODA Pappu Ram 53670100006435 BARB0OSIA Father
NX
Previous Year/Sem Result

S No. Degree Year/Sem Year SGPA Credit Point Due Paper Result Status Total
Marks Attempt
1 B.A. (Sem.)(NEP2020) Ist Sem 2024 6.50 20 0 PASS 1
2 B.A. (Sem.)(NEP2020) IInd Sem 2024 6.80 20 0 PASS 1

Details of last Qualifying Examination Passed


Qualification Name of Board/ University Max Marks Obtained Passing Year Percentage
Marks
12th Rajasthan Board of Secondary Education, 500 462 2023 92.40
Ajmer-305 001.
10th Rajasthan Board of Secondary Education, 600 557 2021 92.83
Ajmer-305 001.

Candidate's Identification Details


10th RollNo 10th Marksheet Sr. No. 10th Passing Year
0823326 0689844 2021

Main Papers Main Papers Fee Details


S Paper Code Paper Name Degree Year/Sem Head Name Amount
No Exam Fee 900
.
Marksheet Fee 100
1 DCC HINDI LITERATURE ( Adhunik Hindi Kavita ) B.A. (Sem.)(NEP2020)
HIN6001T R IIIrd Sem Data Handling Charges 350
2 DCC HIS6001T HISTORY( History of India (1757 - 1857 C.E.) ) B.A. (Sem.)(NEP2020)
R IIIrd Sem
3 DCC (Political Science ) International Political Thought B.A. (Sem.)(NEP2020)
POL6001T R IIIrd Sem
4 SECFAPSK11 Visual Expression-I B.A. (Sem.)(NEP2020)
IIIrd Sem

Certified that all above entries are correct to the best Certified that all above entries are checked and All entries has been verified and checked through
of my knowledge and belief, I am not appearing in verified by faculty college and student is eligible to record and documents provided by student. Student
any other University examination and there is no UM appear in above mentioned examination. is qualified / not qualified to appear in B.A.
case against me. I have deposited Examination fee. Examination fee has been deposited through Online (Sem.)(NEP2020) IIIrd Sem.query pending
Fee once deposited will not be refunded. payment and all marksheets has been attached with ................
exam form by the student.

Page 3
Signature of Student Signature and seal of Dean/Head/Principal Full signature of checker in University

Signature

Document Enclosed
1. TC(Transfer Certificate)
2. Original Migration Certificate
3. CC(Caste Certificate)
4. Valid Challan of Examination Fees
5. Graduation Marksheet
6. Last Examination Marksheet(Photocopy with self attest)
7. Token No. Slip of E-Mitra or E-Reciept
8. PH/Blind category certificate(in case of student belongs to PH/Blind category)
9. Employee ward certificate (In case of student belongs to employee award category-only for non teaching staff)
Note: Self Attest Photocopy of All The Above Document to be Enclosed.
Before submitting Examination. Please check Eligibility.

THE LAST DATE TO SUBMIT PRINTED EXAMINATION FORM (HARD COPY) IS 22/01/2025

Page 4

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