8/26/2020

डॉO शकु ला िम ा रा ीय पुनवास िव िव ालय, लखनऊ

Dr. Shakuntala Misra National Rehabilitation University, Lucknow
ONLINE EXAM FORM SUBMISSION FOR SEMESTER END / YEARLY EXAMINATION, MAY
- 2020

NAME OF THE STUDENT MALAY MISHRA

FATHER'S NAME SHIV PRAKASH MISHRA

MOTHER'S NAME NIRA MISHRA

ROLLNO 184150005

DATE OF BIRTH 25-10-1995

ALTERNATE
MOBILE NO. 9453865424 7007863336
MOBILE NO.
ALTERNATE
EMAIL-ID malaymishra025@gmail.com
EMAIL-ID
AADHAAR NO. 219332273228 PIN CODE 271001
CATEGORY GENERAL SUB-CATEGORY
GENDER MALE
42/1 Anand Puri Colony, Chawani Sarkar, Civil Lines Jail Road Gonda
ADDRESS
UP
COURSE LL.M BRANCH/STREAM LL.M
BATCH 2018-19
DETAILS OF PAYMENT OF EXAM FEES
BANK BRANCH MOHAAN ROAD,
BANK NAME BANK OF BARODA
NAME LUCKNOW
CHALLAN / RECEIPT
CHALLAN / RTGS/NEFT NO. 00103134 13-03-2020
DATE
CHALLAN / RTGS/NEFT AMOUNT Rs23900 BANK IFSC CODE BARB0MOHAAN
SEMESTER/PROF./YEAR 4
UNIVERSITY/AFFILIATED COLLEGE DR. SHAKUNTALA MISRA NATIONAL REHABILITATION UNIVERSITY,
NAME LUCKNOW
WRITER/SCRIBE REQUIRED NO

CHALLAN / RTGS / NEFT

DOCUMENT

LIST OF CURRENT SEMESTER/PROF./YEAR THEORY AND PRACTICAL PAPERS

SL. PAPER CODE PAPER NAME
1 LLM 401 DISSERTATION

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Signature/Thumb Impression of the student Signature of the HoD/Dean/Principal

I hereby declare that I am aware of the examination rules of the University. I also affirm that I have
appeared in all the mid semester test, presentation and submitted assignments as applicable for the Course
filled in the on-line examination form. My registration for the Course is valid and not time barred. If any of
my statements is found to be untrue, I shall have no claim for taking examination and my examination
result may be withheld / cancelled at any stage. I undertake that I shall abide by the rules and regulations of
the University.
िट णीः- वतमान प र थितयों के ि गत, िजन अ म वष के िव ािथयों ारा सेमे र/ वािषक शु जमा
नहीं िकया है अथवा उनके पास शु की रसीद उपल नहीं है उ इस शत के साथ अनुमित दान की जाती है िक
वे परी ा समा के प ात् शु रसीद अथवा उससे स तअ प िवभागा के मा म से परी ा िवभाग
को त ाल उपल कराना सुिनि त कर, अ था की थित म उन िव ातिथयों का परी ा प रणाम घोिषत नहीं िकया
जायेगा

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