HIMACHAL PRADESH UNIVERSITY,SHIMLA -171005.

(NAAC - 'A' Accredited University)

[ EXAMINATION FORM ]

STREAM : BSc TYPE : Passcourse

Registration No./Application ID : 257594136 Roll no (college/ICDEOL/Institute) : 17385

College/Institute Name: Govt.College Daulatpur Chowk Exam Center : Govt.College Daulatpur Chowk

Semester : First Exam Type : Fresh Exam Month : OCT Exam Year : 2017

Capacity : Regular Candidate Category : General

Medium : English Handicapped : Normal

Basic Details :

Name : RASHI KAUSHAL

Father's Name : RAJESH KAUSHAL

Mother's Name : PARVEEN KAUSHAL

Date of Birth : 22/11/1998 [DD/MM/YYYY] Gender : Female

Aadhaar No. : N/A

Mobile No. : 7807581331 Email-Id vinaythakur203@gamil.com

:

Fee Details:

Fee Paid Amount : Rs. 1000.00 Dated : 12/09/2017 13:04

Pay Method: Online Challan/Transaction No. IK00HLBNP4

Last Exam Details:
Last exam qualifying Univ./Board : H.P. BOARD OF SCHOOL EDUCATION Year of Passing Exam : 2017

Last Exam Name : 10+2 Roll Number : 1742404070

Permanent Address Details : Correspondence Address Details :

Address : VILLAGE NARI P.O. GHATI TEH. JASWAN DISTT. Address : VILLAGE NARI P.O. GHATI TEH. JASWAN DISTT.
KANGRA KANGRA
State : Himachal Pradesh State : Himachal Pradesh
City / Village : GHATI
City / Village : GHATI
Pin Code : 176501
Pin Code : 176501
Phone : 176501 7807581331
Phone :

Subject Details :

S.No. Subject Code Subject Category Credits

1 CHEM CC 101 Core Course 6

2 MATH101 Core Course 6

3 PHYS101 Core Course 6

4 ENGL103 AE Compulsory Course (AECC) 4

 Total Credits : 22

Declaration by the Candidate

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
session of the examination, under reference. The above particulars filled by me are correct and that in case of any discrepancy therein, I shall be
responsible for the consequences, 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.

Candidate Sign : Date : Place :

Principal's Sign &Stamp: Date : Place :