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    This document is an application for re-evaluation submitted by Amir Ahmad for 3 courses - Pharmaceutics-I, Pharmaceutical Chemistry-I, and Pharmacognosy - from his Diploma in Pharmacy program. The total fees for the re-evaluation is Rs. 1500. The student is required to submit the hard copy of this form along with payment to the institution for further processing.

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    This document is an application for re-evaluation submitted by Amir Ahmad for 3 courses - Pharmaceutics-I, Pharmaceutical Chemistry-I, and Pharmacognosy - from his Diploma in Pharmacy program. The total fees for the re-evaluation is Rs. 1500. The student is required to submit the hard copy of this form along with payment to the institution for further processing.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    Print Registration Form

    Uploaded by

    dpak
    This document is an application for re-evaluation submitted by Amir Ahmad for 3 courses - Pharmaceutics-I, Pharmaceutical Chemistry-I, and Pharmacognosy - from his Diploma in Pharmacy program. The total fees for the re-evaluation is Rs. 1500. The student is required to submit the hard copy of this form along with payment to the institution for further processing.

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    APPLICATION FOR SCRUTINY / RE-EVALUATION (EVEN SEMESTER) MAY -19

    RECEIPT NO. RE99-198921247660

    ROLL NO 2921420821038

    ENROLLMENT NO E18198921400038

    BRANCH CODE / NAME 214 / DIPLOMA IN PHARMACY

    STUDENT NAME AMIR AHMAD

    FATHER'S / HUSBAND NAME LAIQUE

    DATE OF BIRTH 23/01/1988

    INSTITUTE NAME R.V. NORTHLAND INSTITUTE DADRI GAUTAMBUDDHA NAGAR (1989)

    S.NO. PAPER CODE PAPER NAME APPLY FOR

    1 214101 PHARMACEUTICS-I APPLIED FOR RE-VALUATION

    2 214103 PHARMACEUTICAL CHEMISTRY-I APPLIED FOR RE-VALUATION

    3 214105 PHARMACOGNOSY APPLIED FOR RE-VALUATION

    SCRUTINY FEES AMOUNT : 0

    RE-EVALUATION FESS AMOUNT : 1500

    TOTAL FESS AMOUNT : 1500

    NOTE

    STUDENT WILL SUBMIT HARD COPY OF THIS FORM TO CONCERNED INSTITUTION WITH THE APPROPRIATE
    FEES FOR FURTHER PROCESSING. AFTER THAT PRINCIPAL / DIRECTOR OF THE INSTITUTION HAS TO
    FORWARD / AUTHENTICATE THROUGH ON-LINE FROM THE INSTITUTE LOGIN.

    SIGNATURE OF STUDENT

    DATE : 29/08/2019

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