Govt. Nagarjuna P.G.(Auto) College of Science, Raipur(C.G.

)
Affiliated to Pt. Ravishankar Shukla University Raipur (C.G)
An Autonomous College
Yearly Examination- 2021

APPLICATION NO : 4919

EXAMINATION FORM
01. Course applied for : M.Sc. (DEFENCE STUDIES) 02.Applied Exam : REGULAR

03. Enroll No : AB/43367 04. Roll No/Form No : 1940504

05. Name in full : : GOMTI DHIMAR 06. Gender : Female

07. Category : OBC 08. Date Of Birth : 12/10/1997

09. Reciept No & Date (Fill By : _________________________ 10. Reciept Amount : _____________
College)

11. Address for : OM SHIV HANUMAN MANDIR KOTA COLONY NAYA TALAB PARA, RAIPUR
Correspondance

12. E-mail : gomtidhimar.18@gmail.com 13. Contact No : 8770371396

14. Mother's Name : URMILA DHIMAR 15. Fath./Husband's Name : ARJUN DHIMAR

16. College Admission No : 16/568 17. Aadhar No : 7888 6528 2295

18. Medium : HINDI

19. Applied Subject : PAHI NATIONAL SECURITY OF INDIA

SECMI TREATIES AND PEACE STUDIES
HINM DISARMAMENT, ARMS CONTROL & PEACE
CHI INTERNATIONAL LAW
LB1 LAB COURSE I
LB2 LAB COURSE II
Name of Exam Year Obt. Marks Result

SEM-III 2020 466/600 Pass

Date : 20/09/2021

SIGNATURE OF APPLICANT
Place :