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LALIT NARAYAN MITHILA UNIVERSITY

Kameshwaranagar, Darbhanga
Application For Online Examination Form
Master of Science (Botany) Semester I - 2019.

Regular Student
Application No. : PG-I/2019/199163

To,

The Controller of Examinations,


Examination
Lalit Narayan Mithila University, Kameshwaranagar, Darbhanga- 846004
Sir,
As Regular applicant, I am requesting you to permit me for the
Master of Science (Botany) semester I - 2019, Examination.
I have paid an amount of 587.0 for the said examination.

Examinee Details :

1. REGISTRATION NUMBER : 1520400038 REG. YEAR: 2018

2. NAME OF THE COLLEGE : PG DEPARTMENT, DARBHANGA

3. CLASS ROLL NUMBER : 45

4. NAME OF THE STUDENT : FARGHAB HASSAN

5. FATHER'S NAME : MD. QUADIRUL HASSAN

6. GENDER : FEMALE
7. DATE OF BIRTH
: 05/01/1997
8. CATEGORY : GEN
9. ADMISSION SLIP NO. : 32251
10. ADDRESS : VILL+PO - BARIAUL, NEAR NOORI MASJID, IMAMBARA, PS - KAMTAUL, DIST -
DARBHANGA, PIN - 846005

11. SUBJECT : BOTANY


AECC SUBJECT : AECC-1

Please submit following documents along with the examination form in the college :

Admission Slip of PG semester I Registration Slip of PG

Caste certificate in case of (SC/ST/EBC)

Assistant Signature of Principal / Head with Seal Your's Faithfully


LALIT NARAYAN MITHILA UNIVERSITY University Copy
Kameshwaranagar, Darbhanga S.No: 199163
Online Payment Receipt

Name: FARGHAB HASSAN

Challan No. LNMUEPG1199163201901080429418194AUR7

Course: PG

Student Type: REGULAR

Exam Fee Deposit Details(INR)


Amount Payment Mode: ONLINE
Total Amount in Figures: 587.0

Amount in Words: FIVE HUNDRED EIGHTY SEVEN

Transaction ID: 686485324

Signature of the student Online Acknowledgement Slip

Challan Creation Date: 08-01-2019 Non refundable

LALIT NARAYAN MITHILA UNIVERSITY College Copy


Kameshwaranagar, Darbhanga S.No: 199163
Online Payment Receipt

Name: FARGHAB HASSAN

Challan No. LNMUEPG1199163201901080429418194AUR7

Course: PG

Student Type: REGULAR

Exam Fee Deposit Details(INR)


Amount Payment Mode: ONLINE
Total Amount in Figures: 587.0

Amount in Words: FIVE HUNDRED EIGHTY SEVEN

Transaction ID: 686485324

Signature of the student Online Acknowledgement Slip


Challan Creation Date: 08-01-2019 Non refundable

LALIT NARAYAN MITHILA UNIVERSITY Student Copy


Kameshwaranagar, Darbhanga S.No: 199163
Online Payment Receipt

Name: FARGHAB HASSAN

Challan No. LNMUEPG1199163201901080429418194AUR7

Course: PG

Student Type: REGULAR

Exam Fee Deposit Details(INR)


Amount Payment Mode: ONLINE
Total Amount in Figures: 587.0

Amount in Words: FIVE HUNDRED EIGHTY SEVEN

Transaction ID: 686485324

Signature of the student Online Acknowledgement Slip


Challan Creation Date: 08-01-2019 Non refundable