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                      Admission Form No -[ 43036 / 941421 ]                      PRICE

RS. 60/-

JIWAJI UNIVERSITY, GWALIOR

College :  808 - ACHARYA NARENDRA DEV COLLEGE,
KAILARAS, (MORENA)
Examination Form of Class : 618 - P.G.D.C.A. FIRST SEMESTER   Exam. Month of Dec. 2009

Admission Form No:

 Roll No:
[   43036    /  941421  ]
Last Exam Roll No:   
Status: REGULAR
Name: HEMANT JEURKAR
Name in Hindi :
Father's Name: V M JEURKAR
PLEASE AFFIX
Mother's YOUR LATEST
SUMAN JEURKAR
Name: PASSPORT SIZE
Sex: MALE PHOTOGRAPH
DONOT GET THE
Category: GEN PHOTOGRAPH
ATTESTED
Medium: HINDI
Date of Birth: 30/Jun/1981
Applied for
     Yes / No
Enrollment No:
Enrollment No:     

Details of Qualifying Exam:

Signature of the Candidate
Class ................................................
...................
Year ................ Roll
 
..... No...........................
Status ................... Name of the
Board/Univ................................. ......................................
........................................................
Address:-
Fee Remittance Details:
Name of Bank  
& Place
Bank Challan
No/ DD  
No./Cash
Receipt No.
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Exam Fees Rs.
Late Fees Rs.
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Signature of College Official
DETAILS OF SUBJECT(S) OFFERED
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Compilation Marks Marks Compilation Marks Marks

Year Roll No. Out of Year Roll No.
Semester /Class Obt. Semester /Class obt.
SEM-I SEM-VI
SEM-II SEM-VII
SEM-III SEM-VIII
SEM-IV SEM-IX
SEM-V SEM-X