MAHARSHI DAYANAND UNIVERSITY Rohtak -124001, Haryana(INDIA) (A state university established under Haryana Act No. XXV OF 1975) ‘A+ Grade university Accredited by NAAC ‘Application Form- Re-appear/Improvement(uly-2021) Candidate Profile orm Number Bor739s7000sTT034 reated Date 30/03/2020 Mosified Date: plicant No 173937 ‘Student SAPI hro1260034 ‘college Name fess Name BACSEMESTER) erester/Yeat 5 Registration No f1911410525 ‘Applicant Full Name TaNvi ate of Birth 35/06/2000 ender FEMALE ther Name KALI CHARAN = picae ‘Mother Name RAMWATI Tfany) bile No 595745556 am District Fardabad Contact Details \ddresszH N 97 D BHAGAT SINGH COLONY, SALLABGARH, HARYANA labile No:8595745558 __Emaipoonamkaril01@gmailcom Paper Applied Sujet Subjes Name am pe ve ENGLISH espe Payment Details Tad SoLTSa7COSIi0H4 ence Pea ayant 69 | solemnly affirm thatthe above information/entsies made and furnished by me are true and correct. Further, | agree to abide by all the rules and regulations of the University, which | have read and understood. In case, any information is found to be false and incorrect, this shall ental automatic ‘cancellation of candidate besides rendering me liable to such action, as the university may deem proper.