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Form Number: Himachal Pradesh University Roll Number: 2113KG01040026

2016JUN12638 Summer Hill Shimla 171005


Appearing Exam and Center Details
For Office Use Only
Name of Examination (Class): BSc-Mathematics-BSc Semester: Sixth
Eligible / Ineligible
Exam Month: Jun Year: 2016
Remarks:
Institute: Govt.College Dharamsala Exam Centre Code: KG01

Exam Centre Name: Govt.College Dharamsala Capacity: Regular

College Roll No: 05637 Exam Roll No:


Personal Details

Candidate's Name: DEEKSHA KAPOOR Date of Birth: 10-12-1995

Candidate's Name in Hindi: Gender:Female

Father's Name: SHRI RAJ KUMAR Mobile: 9736634161

Father's Name in Hindi: State: Himachal Pradesh

Signature & code of verifying authority


Mother's Name: SMT SOMA DEVI Medium: English

Mother's Name in Hindi: Category: Scheduled Tribe

Appearing in New / Old Syllabus: New syllabus Handicap category: Normal

Previous Exam: 12th Previous Exam Result: Pass

Previous Exam Month: Mar Previous Exam Year: 2013

Previous Education Board: H.P. BOARD OF SCHOOL EDUCATION


Appearing Paper Details (with paper name and paper code)

S. No Paper Name Paper Code Category Exam Type Credits

1 BA/BSCMATH0613 Advanced Calculus Major Fresh 4

2 BA/BSCMATH0614 Numerical Analysis Major Fresh 3

3 BA/BSCMATH0614(P) Numerical Analysis-Lab1 Major Lab Fresh 1

4 BSCPHY05/0623 Renewable Sources of Energy Minor Fresh 4

5 CHEM616 Inorganic Chemistry Minor Fresh 3

6 CHEM616(P) Project- Inorganic Chemistry & viva Minor Lab Fresh 1

7 BA/BSCMATH0621 Linear Programming Core Elective Fresh 4

Total Credits 20

Challan Id: HPKG012016JUN3112638 Amount 700

Bank Transaction Id: 031493303 Date Challan Deposited: 04-04-2016

Second Challan Id: HPKG012016JUN1912638 Second Challan Amount 200

Second Challan Receipt: 007696399 Second Date Challan: 16-04-2016 00:00:00


Contact Details
Present Address: Permanent Address:
WARD NO 5 ,
WARD NO 5 WARD NO 5 ,
WARD NO 5
P O NAGANPATT TEH DHARAMSHALA DISTT KANGRA , Himachal Pradesh -, Himachal Pradesh 176209 -
176209
Handwriting Specimen:
Note:
I have filled the form and carefully verified all the details after careful study of the university syllabi, rules and regulations pertaining to the year and ession of the examination, under reference. The
above particulars filled in by me are correct and that in case of any discrepancy therein, I shall be responsible for the consequence. I also certify that I have not been debarred to appear in the
examination for any case of unfair means. No such case is pending against me.

Place:
Candidates Signature:
Date:

Place:
Prinicipal's Signature and Stamp:
Date:

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