arr09 Himachal Pradesh Technical Univesity
Form No
Himachal Pradesh Technical University s91tt2919,
Print Date
Camp office: Gandhi Chowk, Hamirpur (H.P.) = 177001 ‘sio42019 1022-10 AN
End Semester Examination May/June-2019
‘Name (Execy as por Mate Contest) shubham diman’ 6
Father's Name (Exactly as por Matic Cerificate) ramosh inane ar
Mothers Name (Exactly as por Matic Caries} voona dow tr :
Dale offre registration n HPTU triiot7
Unversity Rall No ‘Yoba0429
Registration No. (esued by the Universi) *Tmbo0829
sex ele
Mobile No, ‘9905626000
Email 1 nnanshudsamsesegmaicom
Claes MASTER OF BUSINESS ADMINISTRATION Semester "
Scheme CHOICE BASED CREOIT SYSTEM Branch Na
Exam Type REAPPEAR Result of Last Examination
Center of Examination _1008-GAUTAM INSTITUTE OF MANAGEMENT & TECHNOLOGY, HAMIRPUR, DISTT, HAMIRPUR
‘Water you want to appea inthe Practical) Examination ? NO
Have you Ben disqualiled by this Universty/Bcard form appearing nary examination? NO
Subject Code Subject Name
Manso? BUSINESS LAW
Maa.261 INSURANCE AND RISK MANAGEMENT
Permanent Address Correspondence Address
Slo sti ramashchiman 464 para gal wardno §harirpurtahharnrpur disst_ slo shri ramash chiman 464 parlap gall ward no 6 hamipur ls hamipur dis
haripur himachal parse amps himachal parde
Fee Details
Examination Fee No 1000.00 Late Foe 00
DECLARATION: sclamnly declare that tho above particulars have boon fle by me and aro correc to ho best of my knomlegds and bai and in any caso of
any sisrepancy found thersin subsequently at ary saga | shal bs responsible or he consoquencas arsng out hore rom and able o equality by the
University
[NOTE:-No need to send ths hardcopy(POF of
aminaton Form fo te University,
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