10/25/2019

Teerthanker Mahaveer University,Moradabad

EXAMINATION FORM FOR ACADEMIC SESSION (ODD SEMESTER

EXAMINATION 2019-20)

MMLT (M.SC. IN MEDICAL LAB TECHNOLOGY)

1. Name of Examination

2. Program - Year / Sem. I SEM

3. Program Code PAR-009
4. Enrolment No. TPS1915003
5. Name of Student SHIVENDRA SINGH CHAUDHARY

6. छा /छा ा का नाम िशबे िसंह चौधरी

7. Father's Name
8. िपता का नाम
9. Mother’s Name
10. माता का नाम
11. Aadhar No.
12. Postal Address
13. Permanent Address
DOCTOR PRASAD CHAUDHARY Contact No. 9118093626
डा र साद चौधरी
SANGITA DEVI CHAUDHARY
संगीता दे बी चौधरी
TMU CAMPUS NEW BOYS HOSTEL 244001
RAMGRAM-10, MANJHARIYA CHOWK,
NAWALPARASI

14. Detail of the Examination applied for

Course
S.No /Practical Course / Practical Name Category
Code
MMLT-CH-
1 CLINICAL HAEMATOLOGY THEORY
101
MMLT-CH-
2 IMMUNOHAEMATOLOGY & BLOOD BANKING THEORY
102
MMLT-CH-
3 PRINCIPLES OF IMMUNOLOGY THEORY
103
MMLT-CH-
4 PRACTICAL:-CLINICAL HAEMATOLOGY PRACTICAL
151
MMLT-CH- PRACTICAL:-IMMUNOHAEMATOLOGY
5 PRACTICAL
152 &BLOOD BANKING TECHNIQUES-I
MMLT-CH-
6 PRINCIPLES OF IMMUNOLOGY PRACTICAL
153
MMLT-CH-
7 CLINICAL POSTING PRACTICAL
154
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15. Detail of Previous Examination

16. Examination fee detail

Due Paid
Programme Year/Semester Session CR No Date
Amount Amount
MMLT (M.SC. IN 21-
2019-
MEDICAL LAB I 0.00 4000 BR2110201900022 10-
20
TECHNOLOGY) 19

17. Declaration

I declare / under take that

(i) I will not object for any type of search at the time of entry to examination centre /
hall and / or during the examination conducted to ensure fairness of the
examinations.
(ii) I shall not indulge in any unwarranted act during the examination and shall abide
by the directives given by invigilator and / or any other authorized person during or
prior to the examinations.
(iii) My candidature shall be subject to compliance of attendance and other rules
applicable.
(iv) In case I am found involved in any act tantamount to be used of unfair means,
action taken and punishment awarded on account of that shall be binding on me.

Date: Student Signature

Forwarded by:

Certified that SHIVENDRA SINGH CHAUDHARY is a bonafide student of our

college and the particulars mentioned above are true to the best of our knowledge.

Programme / Class Principal / Director / Dean Seal of

Coordinator College/Department

For Office Use Only

Examination Fee details:
Candidature – Accepted / Rejected / Detained
Admit Card :
Issued / On hold :
Checked By: Jt. Controller of Examinations

Approved by

Controller of Examinations

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