CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Examination Form for Traditional U.G/P.G. Courses

Ex-Paper Examination, Session: 2014 - 2015
Registration No. :

Roll No. : 8795546

Submit Date : 06 May 2015 22:45:41

Form No. : 1801019

Last Submit Date : 06 May 2015 22:45:41

Print Date : 06 May 2015 23:15:40

Name of Examination : B.B.A IInd Semester 2014 - 2015 (Bachelor of Business Administration)
Name of College : HIERANK BUSINESS SCHOOL NOIDA
Enrollment No. : 11198827
1. Name of the Candidate (IN BLOCK LETTERS) :
MD SADDAM HUSSAIN KHAN
2. Father's Name (IN BLOCK LETTERS) :
MD ASLAM KHAN
3. Mother's Name (IN BLOCK LETTERS) :
NOOR JAHAN BEGUM
4. Date of Birth :

11/12/1991

5. Category :

GEN

6. Gender :

MALE

7. Email :

rehan9007@gmail.com

8. Address (IN BLOCK LETTERS)

Permanent Address

Address of Correspondence

Address :
76/4, SRI NATH POREL LANE HOWRAH-1
PIN CODE 711101
WEST BENGAL

Address :
86, BELILIOUS ROAD HOWRAH-1
PINCODE-711101 WEST BENGAL

Mobile :

8010317265

9. Details of Paper & Paper Code for Main Semester/Ex- student/P.G. Courses
Sr.No.
1

Paper Code
204

Name of the Paper

Business Statistics

10. Academic Record

Sr.No. Examination Passed

Year

Max Marks Marks Obt. Exam Stream

Matriculation

2009

500

270

Intermediate

2011

500

231

Commerce(With
Maths)

11. At Graduation/P.G. level, Give Details of marks obtained in previous semester :

Subjects Taken

Board/University

ENGLISH,HINDI,MA ICSE
THEMATICS,COMM
ERCE,COMMERCIA
L APPLICATION.
ENGLISH,HINDI,AC ISC
COUNTS,COMMER
CE,ECONOMICS.

12. Details of Punishment for U.F.M.(Unfair Means) if any, imposed in any previous examination. : No
Name of Examination:
Year:
Roll No:
Name of Centre :
Punishment Details :
13.If last examination passed from the other university give detail of migration certificate from that university
14. If you are employed, give the details of "No - Objection Certificate"
15. If Migration certificate of another University/board enclosed, mentioned it's number
16. Details of attached Document :
Sr. No.
1
2
3

Document
Class 10th Certificate
Class 12th Certificate
Payment Receipt

Declaration
I MD SADDAM HUSSAIN KHAN S/o, D/o Sh. MD ASLAM KHAN hereby declare that the information given in the
application form is true to best of my knowledge and belief. In case any information is found false/untrue, cancel
my exam form, for which no claim of refund of the fee would be raised by me, in future also, if any particular
submitted are found to be untrue / false, the university can cancel my degree.

Amount Deposited : 1760.00

Date : 06/05/2015

(Signature of Applicant)

Certificate by the Principal

Shri/Smt./Km. MD SADDAM HUSSAIN KHAN S/o / D/o MD ASLAM KHAN has been registered for regular
examination. All the entries in the exam form, marksheets and other certificate attached have been duly checked
and this is certified that he/she is eligible for examination and his/her examination form being forwarded.
Signature of the Principal with Stamp

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Enrollment Form for (Regular) Student Session 2014 - 2015
The Candidate who have already enrolled not need to fill the entries of this form
To,
The REGISTRAR,
CHAUDHARY CHARAN SINGH UNIVERSITY,
MEERUT

Enrollment No. 11198827

Sir,
I Request you for permission to be enrolled as a member of the University.
Imp: Name of the Candidate, Father's and Mother's Name should be written strictly as per High School certificate.
1. Name of the Candidate (Female Candidate should write Km./Smt. after her Name) : MD SADDAM HUSSAIN KHAN
2. Father's Name : MD ASLAM KHAN
3. Mother's Name : NOOR JAHAN BEGUM
4. Date of Birth ( as recorded in High school certificate) : 11/12/1991
5. Category : GEN
6. Permanent Address: 76/4, SRI NATH POREL LANE HOWRAH-1 PIN CODE 711101
7. Length of residence in U.P. :
8. Year of Admission to Degree Class in the College : 2011
9. Name of Board or University conducting the Intermediate Examination :
10. Year of Intermediate Examination :
12. Details of exam passed :
Sr.No. Examination Passed

Year

11. If already Enrolled in CCSU, mention enrollment number :

11198827
Max Marks Marks Obt. Exam Stream

Matriculation

2009

500

270

Intermediate

2011

500

231

Commerce(With
Maths)

Subjects Taken

Board/University

ENGLISH,HINDI, ICSE
MATHEMATICS,
COMMERCE,CO
MMERCIAL
APPLICATION.
ENGLISH,HINDI, ISC
ACCOUNTS,CO
MMERCE,ECON
OMICS.

13. Whether doing Ph.D. or any other degree of any other University in India/Abroad, you may please state full
Particulars:
14. Examination for which studying / appearing at the time of filling the form : B.B.A IInd Semester 2014 - 2015 (Bachelor
of Business Administration)
15. If enclosed Migration Certificate of another University / Board, mention following :
Migration No :
University & Board Name:

Date of Issue:
Your's faithfully.

Class :

Year :

(Signature of the Student)

I Certify that the above named candidate is not enrolled in Chaudhary Charan Singh University, Meerut earlier and has
filled the form himself / herself and I believe the above information is true. The Fee of Rs 120/- is forwarded herewith.
(College Seal)

Principal's Signature

TO BE FILLED VERY ACCURATELY & LEGIBLY BY THE UNIVERSITY OFFICE:

Enrollment No. 11198827

Year

Examination

Roll No

Result

1 : Migration Certificate No.

Dated
2 : Duplicate Migration Certificate No.
Dated
3 : Migration Certificate No.
Dated
University Received and Enrollment number renewed

College/Center

Issued
Issued
of

Full Sign. of Clerk Who

Posted the entries

Signature of Clerk
Signature of Clerk
Signature of Clerk

Signature of the Clerk receiving the Migration certificate

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

ENROLLMENT CERTIFICATE
Examination :

B.B.A IInd Semester 2014 - 2015 (Bachelor of Business Administration)

Roll No. : 8795546

N.B. (All entries except that of Enrollment No. should be filled by the candidate)
Shri/Smt/Km. MD SADDAM HUSSAIN KHAN S/o / D/o MD ASLAM KHAN College HIERANK BUSINESS SCHOOL
NOIDA has been enrolled as a student of University at
No. M --------------------- Date------------------------- resident of 86, BELILIOUS ROAD HOWRAH-1
PINCODE-711101 WEST BENGAL .
Note: This form must be enclosed along with examination form of the candidate who are to be enrolled.
Registrar

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Wednesday,May, 6 2015 22:45:41

Wednesday,May, 6 2015 22:45:41

Student Copy

University Copy

CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination

Online Payment
06/05/2015
879
MD SADDAM HUSSAIN KHAN
1801019
11/12/1991

B.B.A IInd Semester 2014 2015 (Bachelor of Business

Administration)
FEE DETAILS
Amount

1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins

FEE HEAD
Mark-Sheet Fee

Total

Total Amount

University
Registration Fee
Permission Fee
Examination Fee

CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination

AMOUNT
60.00

120.00
120.00
1460.00

1760.00

Submit Date : 06 May 2015 22:45:41

050616444793

MD SADDAM HUSSAIN KHAN

1801019
11/12/1991

B.B.A IInd Semester 2014 2015 (Bachelor of Business

Administration)
FEE DETAILS
Amount

1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins

FEE HEAD
Mark-Sheet Fee

Total

Total Amount

Signature of Depositor
Journal/ Transaction
ID No.

Online Payment
06/05/2015
879

University
Registration Fee
Permission Fee
Examination Fee

AMOUNT
60.00

120.00
120.00
1460.00

1760.00

Signature of Depositor
Journal/ Transaction
ID No.

Last Submit Date : 06 May 2015 22:45:41

050616444793
Print Date : 06 May 2015 23:15:40