Form Number: Himachal Pradesh University Roll Number: 5161100010

2017NOV204232 Summer Hill Shimla 171005

Appearing Exam and Center Details
For Office Use Only
Name of Examination (Class): BBA-BBA Semester: First
Eligible / Ineligible
Exam Month: Nov Year: 2017
Remarks:
Institute: Govt.College Una Exam Centre Code: UN01

Exam Centre Name: Govt.College Una Capacity: Regular

College Roll No: 1632 Exam Roll No:

Personal Details

Candidate's Name: VISHAL KHANNA Date of Birth: 01-09-1998

Candidate's Name in Hindi: Gender:Male

Father's Name: SANJAY KHANNA Mobile: 9805400943

Father's Name in Hindi: State: Himachal Pradesh

Signature & code of verifying authority

Mother's Name: JYOTI KHANNA Medium: English

Mother's Name in Hindi: Category: General

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

Previous Exam: +2 non medical Previous Exam Result: Pass

Previous Exam Month: Mar Previous Exam Year: 2016

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

Appearing Paper Details (with paper name and paper code)

S. No Paper Code Paper Name Category Exam Type Credits

1 BBA104 Entrepreneurship Development Elective Course Reappear 6

Total Credits 6

Challan Id: HPUN0120171114204232 Amount 100

Bank Transaction Id: DRAFT-43792 Date Challan Deposited: 21-09-2017

Contact Details
Present Address: Permanent Address:
Vpo chauki maniar teh.bangana distt una himachal Pradesh , Vpo chauki maniar Vpo chauki maniar teh.bangana distt una himachal Pradesh , Vpo chauki maniar
teh.bangana distt una himachal Pradesh teh.bangana distt una himachal Pradesh
Chauki maniar ,
Himachal Pradesh 174314 - ,
Himachal Pradesh 174314 -
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: